Open Access Highly Accessed Review

7th SOSORT consensus paper: conservative treatment of idiopathic & Scheuermann's kyphosis

JC de Mauroy1*, HR Weiss17, AG Aulisa2, L Aulisa2, JI Brox3, J Durmala4, C Fusco5, TB Grivas6, J Hermus7, T Kotwicki8, G Le Blay9, A Lebel10, L Marcotte11, S Negrini5, L Neuhaus12, T Neuhaus12, P Pizzetti5, L Revzina13, B Torres14, PJM Van Loon15, E Vasiliadis6, M Villagrasa16, M Werkman18, M Wernicka19, MS Wong20 and F Zaina5

Author Affiliations

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

For all author emails, please log on.

Scoliosis 2010, 5:9  doi:10.1186/1748-7161-5-9

Published: 30 May 2010

Abstract

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.

Methods

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).

Results

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.

Conclusion

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.