The costs and benefits of nonoperative management for adult scoliosis.
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,
Duke Scholars
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Related Subject Headings
- Treatment Outcome
- Surveys and Questionnaires
- Scoliosis
- Quality of Life
- Prospective Studies
- Physical Therapy Modalities
- Pain Measurement
- Orthopedics
- Middle Aged
- Male
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Surveys and Questionnaires
- Scoliosis
- Quality of Life
- Prospective Studies
- Physical Therapy Modalities
- Pain Measurement
- Orthopedics
- Middle Aged
- Male