Zasady leczenia nieoperacyjnego skolioz idiopatycznych – wskazówki oparte o zalecenia sosort 2006 (Society on Scoliosis Orthopaedic and Rehabilitation Treatment) Conservative Management of Idiopathic Scoliosis

POD SU MO WA nIE

Le cze nie  za cho waw cze  sko lioz  idio pa tycz nych

jest  trud nym  za gad nie niem  kli nicz nym,  gdyż  prze wi -

dy wa nie  roz wo ju  cho ro by  jest  nie do sko na łe,  te ra pia

jest ucią żli wa  i przej ścio wo  ob ni ża  ja kość  ży cia  cho -

rych.  Me dy cy na opar ta  na fak tach  stop nio wo  wy pie -

ra  le cze nie  ba zu ją ce  na oso bi stym  do świad cze niu  le -

czą ce go.  Po win na ona  do pro wa dzić  do opty ma li za cji

wska zań  do le cze nia  za cho waw cze go  sko lioz  idio pa -

tycz nych,  oraz  do unik nię cia  obu  skraj no ści  w po stę -

po wa niu, to zna czy zbyt póź ne go lub zbyt ma ło in -

ten syw ne go  le cze nia  (ang.  un der -tre at ment)  jak

i do unik nię cia  zbęd ne go  le cze nia  sko lioz  sta bil nych

(ang.  over -tre at ment).  Przed sta wio ne  w ar ty ku le  za -

le ce nia  na le ży  trak to wać  ja ko  wska zów ki,  do cza su

uzy ska nia  prze ko nu ją cych  do wo dów  na uko wych

w za kre sie  le cze nia  za cho waw cze go  sko lioz  idio pa -

tycz nych.

SUMMARY 

Conservative treatment of idiopathic scoliosis is 

a difficult clinical issue, because the development of

the condition is not always predictable, the treatment

is troublesome and it lowers patients’ quality of life

for some time. Evidence based medicine is gradually

replacing treatment based on the personal experience

of a therapist. This should lead to the optimization of

indications for conservative treatment of idiopathic

scoliosis and help to avoid the two extremes in

treatment – under-treatment (treatment implemented

too late or one that is not intensive enough) and over-

treatment (unnecessary treatment of stable scoliosis).

The guidelines presented in this article should be

treated as recommendations until reliable scientific

evidence concerning conservative treatment of idio -

pathic scoliosis is obtained.

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Adres do korespondencji  / Address for correspondence 

Dr hab. med. Tomasz Kotwicki, e-mail: [e-mail]

Katedra i Klinika Ortopedii i Traumatologii Dziecięcej, Uniwersytet Medyczny w Poznaniu

61-545 Poznan, ul. 28 Czerwca 1956 roku nr 135, tel. [phone]

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Otrzymano / Received

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Zaakceptowano / Accepted

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