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Escoliosis Idiopática del Adolescente. Revisión bibliográfica.

Authors: Sainz Sánchez, Javier;

Escoliosis Idiopática del Adolescente. Revisión bibliográfica.

Abstract

Treball Final de Grau en Medicina. Codi: MD1158. Curs acadèmic: 2017/2018 Study design: Review of the literature Objetive: To review the existing evidence in t he current scientific literature about the uselfulness and capacity of conservative treatment with braces to prevent the progression of scoliotic curves in patients with adolescent idiopathic scoliosis. Methods: We have made a review of the l iterature ava i lable in Pubmed, Tripdatabase, The Cochrane Library and Uptodate of all articles comparing braces against observation from 2012. Results: The totality of the studies reviewed in this study, despite not having an ideal evidence level, support the use of orthosis in curves in risk of progression, objectifying that they slow or at least delay their increase, achieving in most cases prevent them from reaching the Cobb grades indicative of invasive treatment. Conclusion: We can recommend brace tr eatment in patients at risk of curve progression. It is important to comply with the scheduled treatment hours in order to achieve a greater correction. However, more quality evidence is needed in future research to provide a greater degree of recommendati on when prescribing braces. Diseño del estudio: Revisión sistemática de la literatura. Objetivo: Revisar la evidencia existente en la literatura científica actual , sobre la utilidad y capacidad del tratamiento conservador con corsé , para evitar la progresión de las curvas escolióticas en los pacientes con escoliosis idiopática del adolescente. Métodos: Hemos realizado una revisión de la literatura disponible en Pub med, Tripdatabase, The Cochrane Library y Uptodate de los artícu los que compara n el corsé con la observación a partir del 2012. Re s ultados: La totalidad de los estudios revisados en este trabajo, a pesar de no t ener un nivel de evidencia óptimo, respaldan el uso de la ortesis en curvas con riesgo de progresión, objetivando que frenan o al menos retrasan su incremento , logrando en la mayoría de los casos evitar que éstas alcancen los grados Cobb indicativos de tratamiento invasivo. Conclusión: Podemos reco mendar el tratamiento con corsé en pacientes en riesgo de progresión. Es importante cumplir con las horas pautadas del tratamiento para conseguir una mayor corrección. No obstante se necesita evidencia de más calidad en futuras investigaciones para aportar un mayor grado de recomendación a la hora de prescribir el corsé.

Country
Spain
Related Organizations
Keywords

Treatment, Corsé, Observación, Grau en Medicina, Bachelor's Degree in Medicine, Tratamiento, Grado en Medicina, Observation, Escoliosis idiopática del adolescente, Bracing, Adolescent idiopathic scoliosis

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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