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The list of top 21 items of most importance when considering scoliosis treatment outcomes by SOSORT highlights a very commonly lost concept.

Scoliosis patients are people. They aren't floating spines that come wandering into doctor's offices. Where is an honest to goodness real live person attached to that spine.

 

The orthopedic community has become so solely focused on cobbs angle as the only unit of measure for scoliosis that it is completely understating the majority of the disease and the most important aspect of the disease......the patient.

 

Cobb's angle is simply put nothing more than measurement of the gross lateral flexion of the curvature. Nothing more, nothing less. It doesn't provide any knowledge in terms of rotation, level arm biomechanics, pain, quality of life, organic health measures such as pulmonary or cardiovascular health; nothing.

 

It is a quick and dirty method of describing when a different treatment method should be applied (observation, bracing, surgery).  Especially since new technology like Scoliscore can provide us with a tremendous amount of more valuable and reliable data than cobb angle every could.  In fact, we could eliminate the need of spinal bracing and spinal fusion surgery almost entirely if we can get the patient genetically tested and into an early stage intervention program when the curvature is still in the range of 0-25 degrees.

 

It understates the complexity of the condition and undermines the importance of the patient. Perhaps this is why SOSORT (Society of Scoliosis Orthopaedic and Rehabilitation Treatment) felt it appropriate to list aesthetics, quality of life, psychological well-being, disability, back pain, rib hump, breathing function, curve progression in adulthood, needs for further treatment in adulthood, knowledge/understanding of scoliosis in general and their specific growth pattern, and balance ahead of Cobb's angle in importance of scoliosis treatment goals.

 

Just one man's opinion (Supported by some of the foremost scoliosis experts in the world).