Adolescent Idiopathic Scoliosis: Current Approaches and Treatment Options

Year 2025, Volume: 9 Issue: 2, 148 - 155, 03.08.2025

Birol Özkal , Günbay Noyan Dirlik

Abstract

Adolescent idiopathic scoliosis (AIS) is a spinal deformity that emerges during adolescence and may progress over time. Although its exact etiology remains unclear, it is thought to involve a complex interplay of genetic, neurological, and developmental factors. Early diagnosis and regular follow-up are crucial determinants of disease progression and treatment success.
Treatment approaches are tailored based on the degree of curvature and skeletal maturity, ranging from observation to bracing and surgical intervention. Particularly in individuals undergoing growth, consistent and effective use of braces is critical to prevent curve progression. Surgical treatment is preferred in cases with severe curvatures to correct the deformity and halt its advancement.
The many unknowns surrounding the pathogenesis of AIS underscore the importance of continued research in this field. Advances in diagnostic techniques and innovative treatment strategies may offer more effective and lasting solutions. Current literature emphasizes the significance of personalized treatment planning and a multidisciplinary approach. There remains a continuing need for future research in the fields of genetics and biomechanics. Although artificial intelligence has made significant progress, it is not yet sufficiently functional for routine clinical use and requires further development.

Keywords

Adolescent Idiopathic Scoliosis , Treatment , Diagnosis , Mangement , Classification

Ethical Statement

Bu çalışmada ulusal ve uluslararası etik kurallara uyulmuştur

Supporting Institution

Yazarlar bu çalışma için finansal destek almadıklarını beyan etmişlerdir.

Adölesan İdiopatik Skolyoz: Güncel Yaklaşımlar ve Tedavi Seçenekleri

Abstract

Adölesan idiopatik skolyoz (AIS), ergenlik döneminde ortaya çıkan ve ilerleyebilen bir omurga deformitesidir. Etiyolojisi tam olarak aydınlatılamamış olmakla birlikte, genetik, nörolojik ve büyümeye bağlı faktörlerin karmaşık bir etkileşimini içerdiği düşünülmektedir. Erken tanı ve düzenli takip, hastalığın seyrini ve tedavi başarısını doğrudan etkileyen en önemli unsurlardır.
Tedavi yaklaşımları, eğriliğin derecesine ve iskeletsel olgunluğa göre belirlenmekte; gözlem, korse tedavisi ve cerrahi seçenekler arasında bireyselleştirilmiş bir planlama yapılmaktadır. Özellikle büyüme çağında olan bireylerde, eğriliğin ilerlemesini önlemek amacıyla korsenin etkin ve düzenli kullanımı kritik öneme sahiptir. Cerrahi tedavi ise büyük eğriliklerde deformitenin düzeltilmesi ve ilerlemenin durdurulması amacıyla tercih edilmektedir.
Adölesan idiyopatik skolyozun patogenezine dair bilinmeyenlerin fazlalığı, bu alanda yapılacak araştırmaların önemini artırmaktadır. Gelişen tanı yöntemleri ve yenilikçi tedavi yaklaşımlarıyla, daha etkin ve kalıcı çözümlere ulaşmak mümkün olabilir. Güncel literatür, bireyselleştirilmiş tedavi planlarının ve multidisipliner yaklaşımın önemini vurgulamaktadır. Gelecekte genetik ve biyomekanik alanlarında yapılacak çalışmalara duyulan ihtiyaç devam etmektedir. Öte yandan, yapay zekâ önemli bir gelişim göstermiş olsa da mevcut durumda klinik kullanım açısından yeterince işlevsel değildir ve daha da geliştirilmesi gerekmektedir.

Keywords

Adölesan idiopatik skolyoz , Yönetim , Tanı , Tedavi , Sınıflandırma

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