Radiological results of Dobosiewicz method of three-dimensional treatment of progressive idiopathic scoliosis.
The aim of the study was the radiological evaluation of the three-dimensional asymmetric treatment of scoliosis in strict symmetric initial positions.


METHODS
152 Patients (137 F and 15 M) with idiopathic progressive scoliosis (85 single scoliosis cases and 67 double-major) with proven curve progression were retrospectively analysed on the basis of radiological evaluation in the period of years 1999-2004. Mean age of assessed group was 14.22 years (range 7/21, SD=2.57), mean time of observation 31.80 months (range 18/63, SD=10.75). All children were treated with Dobosiewicz method of three-dimensional asymmetric correction in strict symmetric initial positions and with rigid Cheneau brace when indicated.


RESULTS
Mean initial value of Cobb angle was 25.92 degrees (range 9/62, SD=10.59), mean initial rotation of apical vertebra was 9.55 degrees (range 0/30, SD=7.66). The outcome values were 31.04 degrees (range 5/76, SD=13.96) and 12.97 degrees (range 0/35, SD=8.41), respectively. Mean progression of Cobb angle during entire period of observation was 5.12 degrees (range -21 / +38, SD=9.62), mean progression of apical vertebra rotation was 3.42 degrees (range -21 / +25, SD=6.03). Further multi-factor analysis is discussed in full text. Results are also presented in the form of radiograms.


CONCLUSIONS
The radiological results demonstrated prevalent stabilisation of scoliotic curves in children treated with Dobosiewicz method between October 1999 and December 2004.
Dobosiewicz
Krystyna
K
Department of Physiotherapy, GWSH, Katowice, Poland.
Durmala
Jacek
J
Czernicki
Krzysztof
K
Piotrowski
Jerzy
J
D000293:Adolescent; D000328:Adult; D001915:Braces; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011044:Poland; D011859:Radiography; D012189:Retrospective Studies; D012600:Scoliosis / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy