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Adolescent idiopathic scoliosis: natural history and long term treatment effects

Overview of attention for article published in Scoliosis and Spinal Disorders, March 2006
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 320)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

Mentioned by

news
43 news outlets
twitter
8 X users
patent
3 patents
facebook
1 Facebook page
wikipedia
3 Wikipedia pages
googleplus
1 Google+ user

Citations

dimensions_citation
433 Dimensions

Readers on

mendeley
620 Mendeley
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Title
Adolescent idiopathic scoliosis: natural history and long term treatment effects
Published in
Scoliosis and Spinal Disorders, March 2006
DOI 10.1186/1748-7161-1-2
Pubmed ID
Authors

Marc A Asher, Douglas C Burton

Abstract

Adolescent idiopathic scoliosis is a lifetime, probably systemic condition of unknown cause, resulting in a spinal curve or curves of ten degrees or more in about 2.5% of most populations. However, in only about 0.25% does the curve progress to the point that treatment is warranted.Untreated, adolescent idiopathic scoliosis does not increase mortality rate, even though on rare occasions it can progress to the >100 degrees range and cause premature death. The rate of shortness of breath is not increased, although patients with 50 degrees curves at maturity or 80 degrees curves during adulthood are at increased risk of developing shortness of breath. Compared to non-scoliotic controls, most patients with untreated adolescent idiopathic scoliosis function at or near normal levels. They do have increased pain prevalence and may or may not have increased pain severity. Self-image is often decreased. Mental health is usually not affected. Social function, including marriage and childbearing may be affected, but only at the threshold of relatively larger curves.Non-operative treatment consists of bracing for curves of 25 degrees to 35 degrees or 40 degrees in patients with one to two years or more of growth remaining. Curve progression of >/= 6 degrees is 20 to 40% more likely with observation than with bracing. Operative treatment consists of instrumentation and arthrodesis to realign and stabilize the most affected portion of the spine. Lasting curve improvement of approximately 40% is usually achieved.In the most completely studied series to date, at 20 to 28 years follow-up both braced and operated patients had similar, significant, and clinically meaningful reduced function and increased pain compared to non-scoliotic controls. However, their function and pain scores were much closer to normal than patient groups with other, more serious conditions.Risks associated with treatment include temporary decrease in self-image in braced patients. Operated patients face the usual risks of major surgery, a 6 to 29% chance of requiring re-operation, and the remote possibility of developing a pain management problem.Knowledge of adolescent idiopathic scoliosis natural history and long-term treatment effects is and will always remain somewhat incomplete. However, enough is know to provide patients and parents the information needed to make informed decisions about management options.

X Demographics

X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 620 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 3 <1%
Canada 2 <1%
Germany 2 <1%
Brazil 1 <1%
United Kingdom 1 <1%
Portugal 1 <1%
Denmark 1 <1%
Colombia 1 <1%
Nigeria 1 <1%
Other 1 <1%
Unknown 606 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 119 19%
Student > Master 88 14%
Researcher 63 10%
Other 52 8%
Student > Ph. D. Student 48 8%
Other 125 20%
Unknown 125 20%
Readers by discipline Count As %
Medicine and Dentistry 253 41%
Nursing and Health Professions 62 10%
Engineering 58 9%
Agricultural and Biological Sciences 30 5%
Sports and Recreations 18 3%
Other 55 9%
Unknown 144 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 343. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 November 2022.
All research outputs
#95,364
of 25,373,627 outputs
Outputs from Scoliosis and Spinal Disorders
#1
of 320 outputs
Outputs of similar age
#87
of 85,019 outputs
Outputs of similar age from Scoliosis and Spinal Disorders
#1
of 5 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 320 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 85,019 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them