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Skoliose: Klassifikation, Schweregrad und Management

Scoliosis is a lateral (sideways) curvature of the spine ≥10° (Cobb angle), often with vertebral rotation. It affects 2–3% of adolescents.

Classification

  • Idiopathic (80%): No known cause; adolescent idiopathic scoliosis (AIS) most common.
  • Congenital: Vertebral malformations present at birth.
  • Neuromuscular: Secondary to cerebral palsy, muscular dystrophy, etc.
  • Degenerative: Adult-onset from disc/joint degeneration.

Severity & Management

Cobb AngleSeverityTypical Management
10°–25°MildObservation, physical therapy, bracing if progressing
25°–40°ModerateBracing (if growing), PT, monitoring
>40°–50°SevereSurgical correction (spinal fusion) often indicated

Key Points

  • Genetic predisposition + environmental factors likely contribute.
  • Screening (Adam's forward bend test) during growth spurts.
  • Early detection improves brace efficacy.
  • Most curves do not require surgery.

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