Current methods for management of scoliosis. Treatment or malpractice?
Bracing and spine instrumentation are the universally used methods for the treatment of scoliosis used during the last half century. This now demands an objective evaluation of the long-term outcome of treatment in order to determine our contemporary attitude to these unique in medicine, time-resisting therapeutic paradigms. This is essential, with the need to report ambiguity of results of bracing and the accumulated evidence of high morbidity, with sometimes severe complications, of instrumentation. It is also mandatory with regard not only to the demands for the continuous development of scientific principles, based on effective methods for treatment with less side effects to the maximum benefit of the patient, but also from an ethical point of view in accordance with existing moral axioms and requirements for professional integrity.
Sevastik
John A
JA
Departmen of Orthopaedic Surgery, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
D000293:Adolescent; D000328:Adult; D006801:Humans; D008318:Malpractice; D012600:Scoliosis / Q000628:therapy*; D013548:Sweden