Özet:

Purpose: The aim of this study was to determine whether clinical outcomes change according to radiographical curve improvement or progression in females with adolescent idiopathic scoliosis (AIS). Methods: Seventy-six patients with AIS, between 10 and 16 years, were conservatively treated. The Cobb angle on radiograph, angle of trunk rotation with scoliometer, body asymmetry with Posterior Trunk Symmetry Index (POTSI) and cosmetic trunk deformity with the Walter Reed Visual Assessment Scale (WRVAS) were retrospectively examined in 76 patients before and after four-month conservative treatment. Patients were divided into two groups based on the presence or absence of the radiographic success (change in Cobb angle ≥6º) for Scoliosis Research Society as curve improvement (N=38) or curve progression (N=38) group. Results were compared between two groups. Results: It was found that thoracic and lumbar Cobb angles and rotations, body symmetry and cosmetic trunk deformity showed improvement in both groups. There was greater improvement in only Lumbar Cobb angle in the curve improvement group than the curve progression group. Conclusion: This study showed that patients who had radiographical curve progression showed similar improvement in clinical outcomes such as, trunk rotation, body symmetry and cosmetic trunk deformity with patients who had curve improvement with conservative treatment.

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