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Traitement De La Scoliose Idiopathique Au Centre De Rééducation Motrice De Madagascar
Abstract
Introduction: Idiopathic scoliosis is the most common spinal pathology in adolescents. Its evolutionary potential and its complications make its early detection and management essential. The objective of this study is to describe the means of management of idiopathic scoliosis at the Madagascar Motor Rehabilitation Center.
Materials and methods: A retrospective study was carried out including all patients with idiopathic scoliosis who were treated at the Madagascar Motor rehabilitation Center during the period from January 2000 to December 2020.
Results: Forty-seven patients were collected. The average age was 11.5 years with extremes of 5 and 17 years. The sex ratio was 0.2. The sex ratio was 0.2. Thirty, or 63.8% of patients had started treatment in adolescence. The topography of the scoliosis was right thoracic in 44.6% (n= 21). The Cobb angle at the start of treatment exceeded 35° in 30 patients, i.e. 63.8%. The 47 patients all benefited from a physiotherapy session, at least one EDF before wearing a support or correction corset as the case may be. The reduction of the Cobb angle was noted in 40 patients (85.1%) while 7 patients (14.8%) had stationary curves.
Conclusion: The curvature of idiopathic scoliosis can be reduced or stabilized despite the delay in diagnosis and management. In order to limit its progression to a stage requiring heavy treatment, systematic screening, early and adequate care with the available means must be practiced rigorously.
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DOI: http://dx.doi.org/10.52155/ijpsat.v50.1.7138
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