Adolescent Idiopathic Scoliosis (AIS) is the most common type of scoliosis, typically presenting during the growth spurt around puberty. This guide offers an overview of how to assess and manage AIS in your practice.
1. Assessment: The assessment of AIS involves a thorough medical history, physical examination, and imaging studies. Physical examination includes the Adam's forward bend test and the use of a scoliometer to measure trunk rotation. X-rays are used to assess curve magnitude (Cobb angle) and skeletal maturity (Risser sign). For more details on AIS assessment, refer to this guideline.
2. Monitoring: Active monitoring is key in managing AIS, particularly during periods of rapid growth. Regular follow-up appointments and X-rays can help track curve progression.
3. Non-surgical Management: This typically involves observation, bracing, and physical therapy. Bracing is recommended for curves between 20-40 degrees in growing adolescents to prevent curve progression. Physical therapy, such as the Schroth method, can also be beneficial.
4. Referral for Surgical Consultation: While the majority of AIS cases can be managed non-surgically, surgery might be considered for severe curves (generally >45-50 degrees) or if the curve continues to progress despite bracing.
Conclusion: The effective management of AIS involves timely assessment, active monitoring, and appropriate intervention. By understanding the specifics of this condition, you can provide your patients with the best possible care.
Further Reading:
• Adolescent Idiopathic Scoliosis: Diagnosis and Management
• SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth
Our dedicated scoliosis care course provides a comprehensive approach to managing AIS, from assessment to treatment. Enhancing your skills and knowledge in this area can help improve outcomes for your patients with AIS.
Remember, each patient's journey with AIS is unique. By providing comprehensive, individualized care, you can make a significant difference in the lives of your patients.
