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Abstract

The authorpresents areviewofadult idiopathic scoliosis (AIS), etiology, epidemiology, clinical and radiology assesment, conservative managementandsurgery,includingthe pitfallsthat are oftenencountered. Although the author's experience in handling AIS is quite new,butgiven thedesiretosharethe difficultiesandobstaclesencourageauthortopublish the review.The authordoes notintendto teachbutto shareandstart doingscoliosissurgeryandshould be studiedproperly.

The success ofsurgeryin these patients,the resultswere encouragingfor bothpatientand doctor. Calculation ofappropriate corrections,outsmartwedgevertebraandhemivertebra, mountingscrewwithanatomybased onlandmarksandstraightenthe curveof the spineisthe mostinterestingpart. Ifallcan bedonewitheitherthepatientcanhave anear normalcurveandis free fromthe difficulty of expandinglungorneurological deficits.

Scoliosiscorrectionshouldalsobe doneby us, theneurosurgeonspine, shouldbe started immediatelyin Indonesia, because the casesarethere,verychallengingandencouraging resultssoworth doing.Thorough knowledgeof the anatomy ofthe spinelandmarksandstrictselection of casesas indicated,wouldmaximize the results ofpatientoutcomes.

How to Cite

Mahadewa, T. G. (2018). Adult Idiopathic Scoliosis: Correction or not?. Bali Medical Journal, 7(2), 526–529. https://doi.org/10.15562/bmj.v7i2.1147

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Tjokorda GB Mahadewa
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