Clinical Advances of Adolescent Idiopathic Scoliosis: Current Status and Prospects

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 25 June 2025 | Viewed by 848

Special Issue Editors


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Guest Editor
Department of Neuroscience Physical Medicine and Rehabilitation, Università degli Studi di Padova, Padua, Italy
Interests: scoliosis; adolescent idiopathic scoliosis; rehabilitation; musculoskeletal disorders; exercise therapy

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Guest Editor
Department of Neuroscience, Rehabilitation Unit, University of Padua, 35128 Padua, Italy
Interests: scoliosis; spinal disorders; rehabilitation; complementary medicine
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Special Issue Information

Dear Colleagues,

Adolescent idiopathic scoliosis (AIS) is a significant clinical concern, with its management requiring ongoing research and innovation. This spinal deformity poses challenges not only due to its impact on quality of life but also due to the complexities in treatment and long-term care. The continued advancement of clinical practices and research efforts is important to improving outcomes for those affected by AIS.

The Special Issue titled “Clinical Advances of Adolescent Idiopathic Scoliosis: Current Status and Prospects” aims to collect the latest advancement in the diagnosis, treatment, and overall management of AIS. Recent years have seen a surge in innovative approaches, from enhanced bracing techniques and surgical advancements to the incorporation of digital health technologies, such as 3D imaging, neurophysiology, and motion analysis, which are helping to refine treatment precision and patient monitoring. This issue will deepen key areas of clinical progress, including non-invasive therapies, surgical strategies, and the evolving role of rehabilitation in AIS care. Additionally, research advances exploring long-term outcomes, treatment optimization, and the integration of innovative approaches will be highlighted to offer a comprehensive view of the current landscape and future directions.

We invite contributions from experts in AIS research and clinical practice to share their findings.

Dr. Maria Chiara Maccarone
Prof. Dr. Stefano Masiero
Guest Editors

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Keywords

  • adolescent idiopathic scoliosis
  • treatment
  • non-invasive therapies
  • surgery
  • neurophisiology
  • imaging
  • motion analysis
  • personalized medicine

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Published Papers (1 paper)

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Research

7 pages, 450 KiB  
Communication
Training for Radiographic Assessment of Scoliosis: A Pilot Educational Study
by Mirko Filippetti, Sofia Tomasello, Rita Di Censo, Angela Modenese, Dalila Scaturro, Giulia Letizia Mauro, Valentina Varalta, Nicola Smania and Alessandro Picelli
J. Clin. Med. 2025, 14(3), 911; https://doi.org/10.3390/jcm14030911 - 30 Jan 2025
Viewed by 619
Abstract
Background: Given the prevalence of scoliosis, it is essential for residents in Physical and Rehabilitation Medicine to develop proficiency in evaluating spinal radiographs, particularly in measuring the Cobb angle. This education and training study aimed to define the minimum educational requirements for [...] Read more.
Background: Given the prevalence of scoliosis, it is essential for residents in Physical and Rehabilitation Medicine to develop proficiency in evaluating spinal radiographs, particularly in measuring the Cobb angle. This education and training study aimed to define the minimum educational requirements for residents to achieve competency in Cobb angle measurement with acceptable inter- and intra-operator variability, as reported in the literature. Methods: In this ethics-approved study, Physical and Rehabilitation Medicine residents measured Cobb angles and the Risser index using specialized software on 30 different spinal X-rays, with oversight to ensure consistency and eliminate bias. Results: The data revealed that 44.4% of residents achieved the target accuracy for primary Cobb angles (<3.6°), but only 11.1% did so for secondary curves. For intra-operator error, 88.9% of residents met the target for primary curves, but only 11.1% achieved the target for secondary curves. The Risser index showed minimal deviation across all participants. Conclusions: These findings highlight that mastering Cobb angle measurement is challenging and generally requires more than 20 different measurements for inter-operator reliability and over 30 repetitions for intra-operator reliability, particularly when secondary curves are included. Full article
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