Escoliose idiopática juvenil : um estudo de caso.

Abstract

The spinal column is a bony pillar responsible for giving support, mobility and protection. Scoliosis is a deformity that results in alterations of the spinal curvature appearance, generating mainly a lateral deviation with rotation of the vertebral bodies. It is known that the evolution of the scoliosis is possible while there is remaining growth in the vertebral column. The asymmetry ends when growth is complete, indicated by the epiphyses "fused and closed". Objective: To check the measurement changes in the angles of juvenile idiopathic scoliosis in patients with closure of the growth lines after the withdrawal of TLSO (Thoraco-Lumbo-Sacral Orthosis) vest. Method: This is a qualitative case study, by observing the behavior of a scoliosis curve, after removing the vest. The subject was a female individual, 19 years old, with diagnosis and previous treatment of juvenile idiopathic scoliosis, which made use of bracin TLSO Postural physical therapy evaluation was performed and analyzed pre and post observation period panoramic radiographs. The monitoring program was carried out every two months using postural assessment to identify any discrepancies. Results: no significant changes were observed in the Cobb´s angle in the analysis of pre and post radiographs, the initial measure was 24º changing to 25º over a period of 11 months. Conclusion: In this case no evolution occurred in the scoliotic curve, after the removal of the TLSO orthosis, we suggest further observing studies of the scoliotic curve´s behavior after treatment because there are long term degenerative effects that influence the individual quality of life.