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Wai Weng Yoon Spinal Surgery Unit, University Hospitals of Leicester NHS Trust, Leicester, UK
Centre for Spinal Surgery, Queens Medical Centre, Nottingham University NHS Trust, Nottingham, UK

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Jonathan Koch Centre for Spinal Surgery, Queens Medical Centre, Nottingham University NHS Trust, Nottingham, UK

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patients with non-operative management of cervical radiculopathy. 9 There are no clearly recognized indications for surgery in patients with CDH with radiculopathy. 5 Concerning signs or symptoms that might merit early surgical intervention

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G. Vilà-Canet ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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A. García de Frutos ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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A. Covaro ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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M.T. Ubierna ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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E. Caceres ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain
Universitat Autónoma de Barcelona, Spain

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system with prognostic significance, Vaccaro et al 23 published a new TLICS system based on three domains: injury morphology, integrity of the PLC and neurological status ( Table 1 ). With a score of 3 or less, non-operative management is recommended

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Nick Evans University Hospital of Wales, Cardiff, UK

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Michael McCarthy University Hospital of Wales, Cardiff, UK

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grade of stability. 16 Non-operative management For the majority of patients with low-grade degenerative spondylolisthesis who present with lower back pain without stenotic symptoms, the spondylolisthesis is static and symptoms do not

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Amer Sebaaly School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sarah Farjallah Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Khalil Kharrat Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Gaby Kreichati School of Medicine, Saint Joseph University, Beirut, Lebanon
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon

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Mohammad Daher School of Medicine, Saint Joseph University, Beirut, Lebanon

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Treatment SOSORT has evaluated the use of non-operative techniques along with specific braces and physiotherapy techniques in the treatment of SK. Non-operative management includes exercises and life style modification, pain medication and bracing ( 48

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Emre Acaroglu Ankara ARTES Spine and Spinal Cord Center, Ankara, Turkey

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European Spine Study Group Hospital Universitari Vall d’Hebron, Barcelona, Spain

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, Hostin RA , Schwab F , et al. ; International Spine Study Group . Operative Management of Adult Spinal Deformity Results in Significant Increases in QALYs Gained Compared With Nonoperative Management: Analysis of 479 Patients With Minimum

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Kashif Ansari Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Manjot Singh Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Jake R McDermott Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
SUNY Downstate Medical School, New York City, New York, USA

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Jerzy A Gregorczyk Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mariah Balmaceno-Criss Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mohammad Daher Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Christopher L McDonald Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Bassel G Diebo Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Alan H Daniels Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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evidence, however, indicates that bracing can slow down curve progression, reduce pain, and improve disability scores when worn for just 6 h daily ( 48 , 49 , 50 ). Indications for operative management Chronic back pain Chronic back pain due

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Shu-Hao Du Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Yong-Hui Zhang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu-Chen Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu Fang Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Journal 2018 27 2213 – 2222 . ( https://doi.org/10.1007/s00586-018-5702-1 ) 30039256 48. Cassella MC & Hall JE . Current treatment approaches in the nonoperative and operative management of adolescent idiopathic scoliosis . Physical Therapy 1991

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