7th SOSORT consensus paper: conservative treatment of idiopathic & Scheuermann's kyphosis
1 Clinique du Parc, 155 bd Stalingrad, 69006 Lyon, France
2 Orthopaedics and Traumatology Department Bambino Gesù Children's Hospital, 4, P. S. Onofrio, Roma, RM 00165, Italy
3 Orthopaedic Department, Rikshospitalet University Hospital, NO-0027 Oslo, Norway
4 Department of Rehabilitation University Hospital Medical Center of Silesia, Warszawska 14 40-006 Katowice, Poland
5 ISICO (Italian Scientific Spine Institute), Via R Bellarmino 13/1, 20141 Milan, Italy
6 Orthopaedic Department, "Thriasio" General Hospital, G. Gennimata, Av. 19600, Magoula, Attica, Greece
7 Department of Orthopaedic Surgery, Research School Caphri, PO Box 616,6200 MD, Maastricht University Medical Centre, the Netherlands
8 Department of Pediatric Orthopedics and Traumatology University of Medical Sciences, 10 Fredry Street 61-701, Poznan, Poland
9 Centre medico-chirurgical et de réadaptation des Massues, 92, rue Edmond-Locard, 69322 Lyon cedex 05, France
10 474 Lansdowne Rd. N, Ottawa Ontario K1M0X9, Canada
11 Posturetek 2823 Boulevard Rosemont Montréal, Canada
12 8 Mivtza Kadesh St., 71720 Modi'in, Israel
13 ha'chartzit 10th, rishon le-zion, Israel
14 3380 St. Michael Dr., Palo Alto, CA 94306, USA
15 Slingeland Ziekenhuis Kruisbergseweg 25 7009 BL Doetinchem, The Netherlands
16 Institut E. Salvá, Vía Augusta 185, 08021, Barcelona, Spain
17 Orthopedic Rehabilitation Services, Alzeyer Str. 23, D-55457 Gensingen, Germany
18 SCOLIOCARE-ORTHOMED, Gesundheitsforum Nahetal, Alzeyer Strasse 23, 55457 Gensingen Germany
19 University School of Physical Education, Department of Kinesitherapy, Królowej Jadwigi 27/39, 61-871, Poznan, Poland
20 IDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong Polytechnic University, 11 Yuk Choi Rd, Hung Hom, Hong Kong, China
Scoliosis 2010, 5:9 doi:10.1186/1748-7161-5-9Published: 30 May 2010
Thoracic hyperkyphosis is a frequent problem and can impact greatly on patient's quality of life during adolescence. This condition can be idiopathic or secondary to Scheuermann disease, a disease disturbing vertebral growth. To date, there is no sound scientific data available on the management of this condition. Some studies discuss the effects of bracing, however no guidelines, protocols or indication's of treatment for this condition were found. The aim of this paper was to develop and verify the consensus on managing thoracic hyperkyphosis patients treated with braces and/or physiotherapy.
The Delphi process was utilised in four steps gradually modified according to the results of a set of recommendations: we involved the SOSORT Board twice, then all SOSORT members twice, with a Pre-Meeting Questionnaire (PMQ), and during a Consensus Session at the SOSORT Lyon Meeting with a Meeting Questionnaire (MQ).
There was an unanimous agreement on the general efficacy of bracing and physiotherapy for this condition. Most experts suggested the use of 4-5 point bracing systems, however there was some controversy with regards to physiotherapeutic aims and modalities.
The SOSORT panel of experts suggest the use of rigid braces and physiotherapy to correct thoracic hyperkyphosis during adolescence. The evaluation of specific braces and physiotherapy techniques has been recommended.