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Acute and chronic back pain
70%
1778/2548
Premature death
6%
154/2548
Disability
9%
223/2548
Clinical depression
4%
100/2548
Limitation in activities of daily living
11%
283/2548
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Patient with untreated adolescent idiopathic scoliosis with a curve of 60 degrees or greater at skeletal maturity have an increased rate of low back pain relative to normal controls. Weinstein et al (1981) looked at patients with untreated AIS. They found "many curves continued to progress slightly in adult life, particularly thoracic curves that had reached between 50 and 80 degrees at skeletal maturity. Backache was somewhat more common in these patients than in the general population, although it was never disabling. Pulmonary function was affected only in patients with thoracic curves." Weinstein et al (2003) looked at patients with 50-year follow-up of patients with untreated AIS (same cohort as prior study) and compared them with age/sex matched normal controls. They found 61% of patients with AIS reported chronic back pain compared with 35% of controls (P =.003). However, the pain reported was only mild or moderate. There was no statistically significant difference in disability, depression, age at death of patients, and capacity to perform activities of daily living. They conclude untreated AIS causes little physical impairment other than back pain and cosmetic concerns.
3.1
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