Back pain during orthotic treatment of idiopathic scoliosis.
The incidence and etiology of back pain during orthotic management of idiopathic scoliosis was determined for 303 patients treated from 1980 through 1990 for a minimum of 1 year.
All patients denied back pain before orthotic prescription.
Thirty-four (11%) patients reported back pain after institution of brace treatment.
A family history of scoliosis (p=0.014) and vigorous sports activities (p<0.001) were correlated with pain.
Seventeen of 34 patients with pain showed>10° of curve progression during bracing, whereas 67 of 269 patients without pain progressed (p=0.002).
Four patients with pain and 11 without were eventually found to have an underlying pathology (spondylolysis/listhesis).
No other underlying pathologies were found.
Night pain or a left thoracic curve pattern were not correlated with a serious underlying etiology.
Back pain occurring after institution of brace treatment for idiopathic scoliosis is often associated with curve progression and is poorly correlated with a serious underlying pathology.
Mots-clés Pascal : Scoliose, Idiopathique, Adolescent, Homme, Corset, Traitement, Complication, Epidémiologie, Incidence, Symptomatologie, Lombalgie, Rachis, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Déformation, Traitement orthopédique, Rachialgie
Mots-clés Pascal anglais : Scoliosis, Idiopathic, Adolescent, Human, Orthopedic brace, Treatment, Complication, Epidemiology, Incidence, Symptomatology, Low back pain, Spine, Pain, Diseases of the osteoarticular system, Spine disease, Deformation, Orthopedic treatment, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0172139
Code Inist : 002B26H. Création : 16/11/1999.