[Significance of early conservative treatment of idiopathic scoliosis in young children].
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Biomedical subjects
Publications and source records attributed to I Tomory.
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Author's opinion is that the disease will very slightly progrediate after adolescent age. Greater progression can be observed only in scoliosis cases higher than 50 degrees. The grown up patient get used to this physical state and it doesn't mean cosmetical handicap. Side effects of adult scoliosis can be pain and less frequently cardio-respiratoric problems. This latter can result in patient's being unable to continue working. Side effects are related to the degree of curving but mainly they come about in cases with more than 50-60 degrees of scoliosis. Consequently much effort should be made by the traditional way or by surgical treatment to stop children patients developing serious curve. Moderate scoliosis can be no handicap for grown ups.
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The author, inspired by the experiences abroad, recommends the fabrication of a brace in Hungary too, which would be appropriate in the modern conservative treatment of scoliosis. The new design made by the Prosthetic and Orthotic Workshop in a serial production since 1978, fits the new requirements regarding cosmetic aspects and simplicity in the making. Results with this brace in the own patient material were similar to the international experiences. A quarter of the patients showed decrease of the curve and in more than half of them further progress was stopped. The author thinks that special examinations should precede the indication for brace treatment. For this reason and for the time of adaptation the child should be placed into a special school, the so-called scoliosis school-sanatorium.
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