The aim of the study was the radiological evaluation of the three-dimensional asymmetric treatment of scoliosis in strict symmetric initial positions.
Material and method: 152 Patients (137 F and 15 M) with idiopathic progressive scoliosis (85 single scoliosis cases and 67 double-major) with proven curve progression were retrospectively analysed on the basis of radiological evaluation in the period of years 1999-2004. Mean age of assessed group was 14.22 years (range 7/21, SD=2.57), mean time of observation 31.80 months (range 18/63, SD=10.75). All children were treated with Dobosiewicz method of three-dimensional asymmetric correction in strict symmetric initial positions and with rigid Cheneau brace when indicated.
Results: Mean initial value of Cobb angle was 25.92 degrees (range 9/62, SD=10.59), mean initial rotation of apical vertebra was 9.55 degrees (range 0/30, SD=7.66). The outcome values were 31.04 degrees (range 5/76, SD=13.96) and 12.97 degrees (range 0/35, SD=8.41), respectively. Mean progression of Cobb angle during entire period of observation was 5.12 degrees (range -21 / +38, SD=9.62), mean progression of apical vertebra rotation was 3.42 degrees (range -21 / +25, SD=6.03). Further multi-factor analysis is discussed in full text. Results are also presented in the form of radiograms.
Conclusion: The radiological results demonstrated prevalent stabilisation of scoliotic curves in children treated with Dobosiewicz method between October 1999 and December 2004.