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Title: 7ᵗʰ SOSORT consensus paper : conservative treatment of idiopathic & Scheuermann's kyphosis
Authors: de Mauroy, JC
Weiss, HR
Aulisa, AG
Aulisa, L
Brox, JI
Durmala, J
Fusco, C
Grivas, TB
Hermus, J
Kotwicki, T
Le Blay, G
Lebel, A
Marcotte, L
Negrini, S
Neuhaus, L
Neuhaus, T
Pizzetti, P
Revzina, L
Torres, B
Van Loon, PJM
Vasiliadis, E
Villagrasa, M
Werkman, M
Wernicka, M
Wong, MS 
Zaina, F
Issue Date: 30-May-2010
Source: Scoliosis, 30 May 2010, v. 5, no. 9, p. 1-15
Abstract: 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 recommened.
Publisher: BioMed Central Ltd.
Journal: Scoliosis 
ISSN: 1748-7161
DOI: 10.1186/1748-7161-5-9
Rights: © 2010 de Mauroy et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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