Title: Management of adolescent idiopathic scoliosis

Abstract:

Adolescent idiopathic scoliosis is a three-dimensional deformity of the spine that develops during growth. It is called idiopathic because the exact cause is unknown. It accounts for 80% of all scoliosis cases. The prevalence of  idiopathic scoliosis in adolescents varies between studies. Globally, it is estimated that approximately 2-3% of the world's population is affected. Usually occurs during the rapid growth period of adolescence, between the ages of 10 and 18 years. Most cases are diagnosed between the ages of 10 and 15.  It occurs more often in girls than boys. The prevalence is estimated to be two to four times higher in girls.

The exact risk factors for idiopathic scoliosis in adolescents remain poorly understood. However, some evidence suggests that genetic factors may play a role.

The circumstances of discovery are often related to  external observation by relatives or  incidental findings during  clinical examination. The clinical picture is accompanied by shoulder girdle asymmetry, thoracic asymmetry, pelvic tilt, and lateral tilt of the spine. Treatment depends on the severity of the curve and remaining bone growth. Treatment options include regular observation, physical therapy, wearing orthopedic braces, and in the most severe cases, surgery.

The main goal of treatment is to prevent deterioration, maintain the correct aesthetic appearance and avoid possible complications.

The aim of this workshop is to present a general algorithm for the treatment of idiopathic scoliosis in adolescents, based on the recommendations of scientific societies and the experience of the Department of Physiotherapy and Rehabilitation, Rabat University Hospital.

Biography:

Samia Karkouri is Professor of Physical Medicine and Rehabilitation–Faculty of Medicine–Rabat, Morocco. Head of Department of Physical Medicine and Rehabilitation, El Ayachi Hospital, Rabat University Hospital General secretary of Moroccan Society of Physical and Rehabilitation Medicine SOMAREF.