Integral approach in contemporary management for medical treatment of spinal deformities
Mariana Miteva Popova, Bilyana Kamenova, Adelin lvanov, Evgeni Vlaev, Vasil Yablanski
Adcibadem City Clinic Tokuda Hospital Sofia
Purpose Representing our experience and accomplished results with conservative
medical treatment of patients with idiopathic scoliosis and kyphosis
Methods The algorithm and the approach, binding the children's orthopaedics, the
physiotherapeutic method of Katharina Schroth and conservative treatment with corset in one strategy for
medical treatment of idiopath-ic scoliosis, Orthopedic treatment — X-ray films and medical examinations
along with consultations performed by highly trained orthopedic surgeons, combined with operative
interventions on account of severe spinal deformities. Physiotherapeutic method of Katharina Schroth —
main approach if conservative way of treatment is chosen for a patient with idiopathic scoliosis and
kyphosis, including system of specific exercises and breathing techniques, correlating with conscious
position, correction and self-correction of the body. Treatment with cor-set — important part in the
strategy for conservative treatment regarding scoliotic deformities. The main asset of the corset
treatment is the continuous passive support and the correction of the body position during daily
activities and it also assists the active process of treatment.
Patients and results Retrospectively we observed 68 patients with idiopathic scoliosis
and kyphosis went through a course of treatment for the period 01.09.2016 till 01.10.2017 in ,,Acibadem
City Clinic Tokuda Hospital-- Sofia. From the first medical examination and afterwards we defined and
specified the sex and the age of the patients. By X-ray films we graduated the scoliotic angle of the
patients using the Cobb angle ( between 10 — 48 degrees ). We also included some clinical features
scoliosis and anthropometric indicators. The applied meth-od is individual for each patient as type and
continuity according to his/her age and condition. We observed that in 48 from the patients who
underwent systemic and accurate physiotherapy there was no further progression i of the scoliotic
deformity and we marked some clinical improvement. Reduction of the scoliotic deformity was noticed in 7
patients. In 10 patients we spotted progression of the deformity and out of the group of 68 patients 3
needed surgical correction of the spinal deformity.
Conclusion The Katharina Schroth method and the corset treatment are two effective ways
that are giving positive results for medical treatment of patients with idiopathic scoliosis and Cobb
angle between 10 and 40 degrees. The Katharina Schroth method is recommended to all patients as
monotherapy or after surgical intervention for correction of the deformity.
