University of Iowa orthopaedic specialists followed a group of 117 patients with scoliosis who were first seen between 1932 and 1948. What they found could lead to changes in how children with scoliosis are treated.

Late-onset idiopathic scoliosis affects about three percent of children between 8 and 16. But new research in the Journal of the American Medical Association indicates not all children with this condition need extensive treatment.

Most scoliosis patients see a primary care physician. Researchers with University of Iowa Children's Hospital hope their findings provide those doctors with information about the natural history of scoliosis, so they are better informed about the condition and how to treat it.

"Whether the decision involves using a brace or it involves surgery for scoliosis, this should provide the benchmark for outcomes," says Stuart Weinstein, M.D., UI orthopaedics professor.

The study also gives a clear picture of the long-term health outcomes for untreated patients, which will allow physicians to judge the success of ‘modern’ treatment options.

"It’s certainly broadened my horizons and given me better insight into scoliosis. So it’s been very rewarding. Plus, the individuals were so helpful. They’re just a wonderful group of patients who’ve really done a great service to children with scoliosis today," says Weinstein.

Weinstein says some patients came to Iowa from as far away as Hawaii to participate in this research.

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Stuart Weinstein, M.D.