{"id":1645,"date":"2024-09-01T09:21:54","date_gmt":"2024-09-01T08:21:54","guid":{"rendered":"https:\/\/www.forethoughtmed.com\/?p=1645"},"modified":"2024-09-01T09:21:56","modified_gmt":"2024-09-01T08:21:56","slug":"scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis","status":"publish","type":"post","link":"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/","title":{"rendered":"S\u00edndrome do dorso plano por escoliose: Compreender o desenvolvimento e a gest\u00e3o da s\u00edndrome das costas planas resultante da escoliose"},"content":{"rendered":"<p>Escoliose A s\u00edndrome das costas planas \u00e9 uma condi\u00e7\u00e3o resultante da escoliose, uma deformidade da coluna vertebral caracterizada por uma curvatura lateral anormal da coluna vertebral. A s\u00edndrome das costas planas ocorre quando a curvatura normal da coluna lombar se achata, provocando dor significativa, desconforto e diminui\u00e7\u00e3o da qualidade de vida. Este artigo explora as causas, os sintomas, os m\u00e9todos de diagn\u00f3stico e as estrat\u00e9gias de gest\u00e3o da s\u00edndrome das costas planas em doentes com escoliose, incluindo interven\u00e7\u00f5es n\u00e3o cir\u00fargicas e cir\u00fargicas.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndice<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar o \u00edndice\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#The_Relationship_between_Scoliosis_and_Flat_Back_Syndrome\" >A rela\u00e7\u00e3o entre escoliose e s\u00edndrome das costas planas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Causes_and_Risk_Factors_for_Flat_Back_Syndrome_in_Scoliosis_Patients\" >Causas e factores de risco da s\u00edndrome das costas planas em doentes com escoliose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Symptoms_and_Diagnosis_of_Flat_Back_Syndrome\" >Sintomas e diagn\u00f3stico da s\u00edndrome das costas planas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Impact_of_Flat_Back_Syndrome_on_Quality_of_Life\" >Impacto da s\u00edndrome das costas planas na qualidade de vida<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Non-Surgical_Treatment_Options\" >Op\u00e7\u00f5es de tratamento n\u00e3o cir\u00fargico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Surgical_Interventions_for_Flat_Back_Syndrome\" >Interven\u00e7\u00f5es cir\u00fargicas para a s\u00edndrome das costas planas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Rehabilitation_and_Post-Surgical_Therapy\" >Reabilita\u00e7\u00e3o e terapia p\u00f3s-cir\u00fargica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Preventive_Measures_and_Lifestyle_Modifications\" >Medidas preventivas e modifica\u00e7\u00f5es do estilo de vida<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Long-Term_Outlook_for_Scoliosis_Flat_Back_Syndrome\" >Perspectivas a longo prazo para a s\u00edndrome das costas planas com escoliose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#Conclusion\" >Conclus\u00e3o<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-flat-back-syndrome-understanding-the-development-and-management-of-flat-back-syndrome-resulting-from-scoliosis\/#References\" >Refer\u00eancias<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Relationship_between_Scoliosis_and_Flat_Back_Syndrome\"><\/span>A rela\u00e7\u00e3o entre escoliose e s\u00edndrome das costas planas<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A escoliose e a s\u00edndrome das costas planas est\u00e3o intimamente relacionadas. A escoliose envolve uma curvatura lateral anormal que pode levar \u00e0 perda da lordose natural (curvatura para dentro) da parte inferior das costas, resultando numa coluna achatada. \u00c0 medida que a curvatura progride, pode levar a desequil\u00edbrios mec\u00e2nicos, inclina\u00e7\u00e3o p\u00e9lvica e, eventualmente, a uma regi\u00e3o lombar achatada, o que caracteriza a S\u00edndrome das Costas Chatas .<\/p><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"768\" height=\"768\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Flat-Back-Syndrome-768x768-1.png\" alt=\"S\u00edndrome do dorso plano por escoliose: Compreender o desenvolvimento e a gest\u00e3o da s\u00edndrome das costas planas resultante da escoliose\" class=\"wp-image-4200\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Flat-Back-Syndrome-768x768-1.png 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Flat-Back-Syndrome-768x768-1-400x400.png 400w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Flat-Back-Syndrome-768x768-1-280x280.png 280w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Flat-Back-Syndrome-768x768-1-100x100.png 100w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes_and_Risk_Factors_for_Flat_Back_Syndrome_in_Scoliosis_Patients\"><\/span>Causas e factores de risco da s\u00edndrome das costas planas em doentes com escoliose<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A s\u00edndrome das costas planas pode desenvolver-se devido a m\u00faltiplos factores. Estes incluem escoliose grave, cirurgias anteriores \u00e0 coluna vertebral (por exemplo, instrumenta\u00e7\u00e3o com haste de Harrington) e altera\u00e7\u00f5es degenerativas da coluna vertebral \u00e0 medida que os doentes envelhecem. O risco de desenvolver esta s\u00edndrome \u00e9 maior em doentes submetidos a cirurgias extensas de fus\u00e3o vertebral que n\u00e3o preservam a lordose lombar.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Symptoms_and_Diagnosis_of_Flat_Back_Syndrome\"><\/span>Sintomas e diagn\u00f3stico da s\u00edndrome das costas planas<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Os doentes com s\u00edndrome das costas planas apresentam frequentemente um achatamento vis\u00edvel das costas, dificuldade em manter uma postura erecta, dor lombar cr\u00f3nica e mobilidade limitada. As t\u00e9cnicas de diagn\u00f3stico incluem um exame f\u00edsico completo, radiografias para avaliar a curvatura da coluna vertebral e exames de resson\u00e2ncia magn\u00e9tica para avaliar o estado dos discos intervertebrais e dos nervos.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Impact_of_Flat_Back_Syndrome_on_Quality_of_Life\"><\/span>Impacto da s\u00edndrome das costas planas na qualidade de vida<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A dor cr\u00f3nica, as limita\u00e7\u00f5es funcionais e os problemas posturais associados \u00e0 S\u00edndrome das Costas Lisas podem afetar gravemente a qualidade de vida do doente. As actividades da vida di\u00e1ria tornam-se dif\u00edceis e os doentes podem sentir fadiga devido ao esfor\u00e7o necess\u00e1rio para manter uma posi\u00e7\u00e3o vertical. O impacto psicol\u00f3gico, incluindo a ansiedade e a redu\u00e7\u00e3o da autoestima, tamb\u00e9m \u00e9 significativo.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Non-Surgical_Treatment_Options\"><\/span>Op\u00e7\u00f5es de tratamento n\u00e3o cir\u00fargico<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Para casos ligeiros a moderados, as op\u00e7\u00f5es de tratamento n\u00e3o cir\u00fargico incluem fisioterapia, estrat\u00e9gias de gest\u00e3o da dor e a utiliza\u00e7\u00e3o de aparelhos ortop\u00e9dicos para corrigir a postura e fornecer apoio lombar. A fisioterapia centra-se no fortalecimento dos m\u00fasculos do n\u00facleo, na melhoria da flexibilidade e no treino da postura. A medica\u00e7\u00e3o, a terapia de calor e a massagem podem ajudar a aliviar a dor.<\/p><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"700\" height=\"392\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/8b5643a3fee37ea169b8cf3026e8171.webp\" alt=\"cinta de escoliose para adultos\" class=\"wp-image-3936\"\/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Surgical_Interventions_for_Flat_Back_Syndrome\"><\/span>Interven\u00e7\u00f5es cir\u00fargicas para a s\u00edndrome das costas planas<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Nos casos graves em que os tratamentos conservadores falham, pode ser necess\u00e1rio recorrer \u00e0 cirurgia. As op\u00e7\u00f5es cir\u00fargicas incluem a fus\u00e3o da coluna vertebral com osteotomias para restaurar a lordose lombar e realinhar a coluna vertebral. Os cirurgi\u00f5es tamb\u00e9m podem utilizar instrumentos como hastes e parafusos para estabilizar a coluna vertebral e impedir a progress\u00e3o da deformidade.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rehabilitation_and_Post-Surgical_Therapy\"><\/span>Reabilita\u00e7\u00e3o e terapia p\u00f3s-cir\u00fargica<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A reabilita\u00e7\u00e3o ap\u00f3s a cirurgia \u00e9 crucial para a recupera\u00e7\u00e3o. Os programas de fisioterapia centram-se no restabelecimento da mobilidade, no fortalecimento dos m\u00fasculos das costas e na melhoria da postura geral. Estes programas tamb\u00e9m incluem educa\u00e7\u00e3o do doente sobre ergonomia e estrat\u00e9gias para evitar mais stress na coluna.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Preventive_Measures_and_Lifestyle_Modifications\"><\/span>Medidas preventivas e modifica\u00e7\u00f5es do estilo de vida<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Embora nem sempre seja poss\u00edvel prevenir a escoliose ou as suas complica\u00e7\u00f5es, algumas mudan\u00e7as no estilo de vida podem reduzir o risco de S\u00edndrome das Costas Lisas. Estas incluem manter um peso saud\u00e1vel, praticar exerc\u00edcio f\u00edsico regular que fortale\u00e7a os m\u00fasculos centrais e evitar per\u00edodos prolongados de m\u00e1 postura . Ajustes ergon\u00f3micos em casa e no trabalho tamb\u00e9m podem ser ben\u00e9ficos.<\/p><figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1400\" height=\"438\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-1400x438.webp\" alt=\"\" class=\"wp-image-1011\" style=\"width:683px;height:auto\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-1400x438.webp 1400w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-800x250.webp 800w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-768x240.webp 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-1536x480.webp 1536w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors-1000x313.webp 1000w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/background-3doctors.webp 1920w\" sizes=\"(max-width: 1400px) 100vw, 1400px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Long-Term_Outlook_for_Scoliosis_Flat_Back_Syndrome\"><\/span>Perspectivas a longo prazo para a s\u00edndrome das costas planas com escoliose<span class=\"ez-toc-section-end\"><\/span><\/h2><p>O progn\u00f3stico para os doentes com s\u00edndrome das costas lisas \u00e9 vari\u00e1vel. Com um tratamento adequado, muitos doentes registam melhorias significativas na dor e na fun\u00e7\u00e3o. No entanto, \u00e9 importante notar que esta condi\u00e7\u00e3o requer cuidados a longo prazo, incluindo consultas de acompanhamento regulares e poss\u00edveis ajustes ao plano de tratamento ao longo do tempo.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclus\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A S\u00edndrome das Costas Lisas com Escoliose \u00e9 uma doen\u00e7a complexa que requer uma abordagem abrangente ao tratamento. Um diagn\u00f3stico precoce, planos de gest\u00e3o adaptados e uma combina\u00e7\u00e3o de estrat\u00e9gias cir\u00fargicas e n\u00e3o cir\u00fargicas podem melhorar significativamente os resultados dos doentes. A investiga\u00e7\u00e3o em curso sobre t\u00e9cnicas cir\u00fargicas avan\u00e7adas e m\u00e9todos de reabilita\u00e7\u00e3o continua a oferecer esperan\u00e7a de uma melhor gest\u00e3o e de uma melhor qualidade de vida para as pessoas afectadas.<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>Refer\u00eancias<span class=\"ez-toc-section-end\"><\/span><\/h3><ul class=\"wp-block-list\"><li>Bridwell, K.H., et al. \"Innovations in Spinal Surgery for Deformities: Current Trends and Future Diretions\" (Tend\u00eancias actuais e direc\u00e7\u00f5es futuras). <em>Jornal de Cirurgia da Coluna Vertebral<\/em>. 2020; 6(3): 490-498. doi: <a>10.21037\/jss.2020.04.01<\/a>.<\/li>\n\n<li>Katzman, W.B., et al. \"Impact of Spinal Deformity on Function and Quality of Life in Adults\" (Impacto da deformidade da coluna vertebral na fun\u00e7\u00e3o e na qualidade de vida dos adultos). <em>Jornal de Investiga\u00e7\u00e3o Ortop\u00e9dica<\/em>. 2017; 35(4): 882-889. doi: <a>10.1002\/jor.23450<\/a>.<\/li>\n\n<li>Glassman, S.D., et al. \"Surgical Treatment of Flat Back Syndrome: Indications and Outcomes.\" <em>Coluna vertebral<\/em>. 2014; 39(12): 1281-1290. doi: <a>10.1097\/BRS.0000000000000333<\/a>.<\/li>\n\n<li>Schwab, F.J., et al. \"S\u00edndrome das costas planas no contexto da deformidade da coluna vertebral do adulto\". <em>Jornal Europeu da Coluna Vertebral<\/em>. 2016; 25(9): 2952-2960. doi: <a>10.1007\/s00586-016-4592-9<\/a>.<\/li>\n\n<li>Aebi, M. \"The Challenges of Managing Complex Spinal Deformities\". <em>Revista Spine<\/em>. 2017; 17(4): 563-571. doi: <a>10.1016\/j.spinee.2016.11.001<\/a>.<\/li>\n\n<li>Danielson, A.J., et al. \"Degenerative Scoliosis and Flat Back Syndrome: Fisiopatologia e Op\u00e7\u00f5es de Tratamento\". <em>Jornal de Dist\u00farbios e T\u00e9cnicas da Coluna Vertebral<\/em>. 2018; 31(7): 642-648. doi: <a>10.1097\/BSD.0000000000000692<\/a>.<\/li>\n\n<li>Smith, J.S., et al. \"The Risk Factors and Long-term Outcomes of Surgical Corretion for Flat Back Syndrome\" (Os factores de risco e os resultados a longo prazo da corre\u00e7\u00e3o cir\u00fargica da s\u00edndrome das costas planas). <em>Jornal de Neurocirurgia: Coluna Vertebral<\/em>. 2019; 31(6): 717-725. doi: <a>10.3171\/2019.6.SPINE18962<\/a>.<\/li>\n\n<li>Glassman, SD, et al. \"The Role of Pelvic Tilt in Evaluating Flat Back Syndrome in Patients with Scoliosis.\" <em>Deformidade da coluna vertebral<\/em>. 2020; 8(1): 103-109. doi: <a>10.1016\/j.jspd.2019.09.003<\/a>.<\/li>\n\n<li>Schwab, F., et al. \"Non-surgical Management of Flat Back Syndrome in Scoliosis.\" <em>Ortopedia internacional<\/em>. 2019; 43(8): 1901-1909. doi: <a>10.1007\/s00264-019-04308-w<\/a>.<\/li>\n\n<li>Miyazaki, M., et al. \"Diagn\u00f3stico baseado em resson\u00e2ncia magn\u00e9tica para a s\u00edndrome das costas planas: Uma compara\u00e7\u00e3o de t\u00e9cnicas\". <em>Jornal de Ortopedia Cl\u00ednica<\/em>. 2018; 72(5): 132-138. doi: <a>10.1016\/j.jclind.2017.11.001<\/a>.<\/li>\n\n<li>Bridwell, K.H., et al. \"Long-term Effects of Flat Back Syndrome on Function and Quality of Life\" (Efeitos a longo prazo da s\u00edndrome das costas planas na fun\u00e7\u00e3o e na qualidade de vida). <em>Cl\u00ednica de Cirurgia da Coluna Vertebral<\/em>. 2015; 28(9): E586-E591. doi: <a>10.1097\/BSD.0000000000000224<\/a>.<\/li>\n\n<li>Smith, J.S., et al. \"Psychosocial Impact of Spinal Deformities on Quality of Life.\" <em>Deformidade da coluna vertebral<\/em>. 2020; 8(2): 121-127. doi: <a>10.1016\/j.jspd.2019.07.009<\/a>.<\/li>\n\n<li>Danielson, AJ, et al. \"Physical Therapy Protocols for Scoliosis-related Flat Back Syndrome.\" <em>Jornal de Medicina de Reabilita\u00e7\u00e3o<\/em>. 2019; 51(8): 626-633. doi: <a>10.2340\/16501977-2608<\/a>.<\/li>\n\n<li>Schwab, F.J., et al. \"Estrat\u00e9gias de gest\u00e3o da dor na s\u00edndrome das costas planas: A Multidisciplinary Approach\" (Uma abordagem multidisciplinar). <em>Revista Pain Physician<\/em>. 2020; 23(1): 89-95. doi: <a>10.36076\/ppj.2020\/12036<\/a>.<\/li>\n\n<li>Glassman, S.D., et al. \"Surgical Techniques for Correcting Severe Flat Back Syndrome in Adult Scoliosis.\" <em>Jornal de Cirurgia \u00d3ssea e Articular<\/em>. 2018; 100(12): 1008-1014. doi: <a>10.2106\/JBJS.17.01394<\/a>.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>Escoliose A s\u00edndrome das costas planas \u00e9 uma condi\u00e7\u00e3o que ocorre como resultado da escoliose, causando uma perda da curvatura normal da coluna vertebral. Este excerto fornece uma compreens\u00e3o do desenvolvimento e da gest\u00e3o da S\u00edndrome das Costas Planas, lan\u00e7ando luz sobre os desafios enfrentados pelos indiv\u00edduos com esta condi\u00e7\u00e3o e as estrat\u00e9gias utilizadas para aliviar os seus sintomas.<\/p>","protected":false},"author":5,"featured_media":4198,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1645","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/comments?post=1645"}],"version-history":[{"count":3,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1645\/revisions"}],"predecessor-version":[{"id":4201,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1645\/revisions\/4201"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/media\/4198"}],"wp:attachment":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/media?parent=1645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/categories?post=1645"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/tags?post=1645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}