The costs and benefits of nonoperative management for adult scoliosis.

Journal Article (Journal Article)

STUDY DESIGN: A prospective cohort of adult scoliosis patients treated nonoperatively had a minimum of 2-year follow-up during which time data were collected on the type and quantity of nonoperative treatment used. OBJECTIVE: To quantify the use, cost, and effectiveness of nonoperative treatment for adult scoliosis. SUMMARY OF BACKGROUND DATA: A 2007 systematic review of nonsurgical treatment in adult scoliosis revealed minimal data, and concluded that evidence for nonoperative care was lacking. METHODS: Duration of use and frequency of visits were collected for 8 specific treatment methods: medication, physical therapy, exercise, injections/blocks, chiropractic care, pain management, bracing, and bed rest. Costs for each intervention were determined using the Medicare Fee schedule. Outcome measures were the SRS-22, SF-12, and ODI. Analysis was performed for the entire group, and for subsets of high (ODI, >40), mid (ODI = 21-40) and low (ODI,

Full Text

Duke Authors

Cited Authors

  • Glassman, SD; Carreon, LY; Shaffrey, CI; Polly, DW; Ondra, SL; Berven, SH; Bridwell, KH

Published Date

  • March 1, 2010

Published In

Volume / Issue

  • 35 / 5

Start / End Page

  • 578 - 582

PubMed ID

  • 20118843

Electronic International Standard Serial Number (EISSN)

  • 1528-1159

Digital Object Identifier (DOI)

  • 10.1097/BRS.0b013e3181b0f2f8


  • eng

Conference Location

  • United States