Symptoms and Clinical Follow-up in Adolescant Idıopathic Scoliosis

Year 2023, Volume: 8 Issue: 1, 21 - 25, 19.03.2023

Ayşe Atilabey Güç

Abstract

Adolesan idiopatik Skolyozda Semptomlar ve Klinik Takip

Abstract

Özet
Giriş: Adolesan idiopatik skolyozlu (AİS) genelde tesadüfen veya okul taramalarında ortaya çıkar. AİS’da tanı, tedavi ve takip için ayrıntılı öykü, muayene ve radyolojik incelemeler yapılmalıdır.
Bulgular: AİS’da ağrı sık gözlenen bir durum değildir. Skolyozlu bir hastada ağrı kifoz veya altta yatan potansiyel bir lezyonun habercisidir. Psikiatrik problemler büyük eğriliklerde gözlenebilir. Erken ölüme yol açmayan nefes darlığı gibi pulmoner semptomlar genelede 60-80 derece üzeri eğriliklerde görülür. Eğri ilerlemesini etkileyen tanı yaşı, menarş durumu, trianguler fibrokartilajın kapanıp kapanmadığı, Risser evresi, Sanders evresi klinik takipte önemlidir.
Sonuç: AİS sıklıkla asemptomatik seyreder. Klinik takipte tanı yaşının küçük olması, kız cinsiyet, premenarş ve menarş sonrası 1 yıl, Risser-Sanders evresinin küçük olması, başlangıçta yüksek açı, torakal eğrilikler progresyon riskinin habercisidir.

Symptoms and Clinical Follow-up in Scoliosis
Abstract
Introduction: The curvature is usually discovered incidentally or during school screening, except that the individual with adolescent idiopathic scoliosis (AIS) is noticing the curvature. Detailed history, examination and radiological examinations should be performed for diagnosis, treatment and follow-up in AIS.
Results: Pain is not a common condition in AIS. In a patient with scoliosis, pain is a precursor of kyphosis or a potential underlying lesion. Psychiatric problems can be observed in large curves. Pulmonary symptoms such as shortness of breath are generally seen in curves above 60-80 degrees. The age at diagnosis, menarche status, open of triangular fibrocartilage, Risser stage, Sanders stage, which affect the curve progression, are important in clinical follow-up.
Conclusion: AIS is often asymptomatic. Small age at diagnosis, female gender, premenarche and 1 year after menarche, low Risser-Sanders stage, high angle at the beginning, and thoracic curvatures in clinical follow-up are predictors of the risk of progression.

Keywords

Adolesan idiopatik skolyoz, Risser evresi, Sanders evresi

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