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.