Back pain during orthotic treatment of idiopathic scoliosis

Norman Ramírez, Charles E. Johnston, Richard H. Browne, Sonia Vazquez

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)198-201
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume19
Issue number2
DOIs
Publication statusPublished - 1999

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Keywords

  • Back pain
  • Brace treatment
  • Idiopathic scoliosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

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