Comparison of the efficiency of Spiral stabilization and Core Stabilization Exercises in the treatment of Adolescent idiopathic scoliosis

Objective The aim of this retrospective cohort study was to evaluate and compare the effectiveness of Spiral Stabilization (SPS) and core stabilization exercises in adolescents with idiopathic scoliosis (AIS). Design Data from AIS were analyzed, dividing by clinical decision and treatment availability into SPS (n = 24, age 10.75 ± 2.57 years) and core stabilization (n = 24, age 11.71 ± 1.99 years). Baseline characteristics, including sex, BMI, and Risser stage, were comparable (all P > 0.05).Each intervention consisted of supervised, active sessions twice weekly for 5 weeks (30 minutes/session), followed by a 6-month home program.Outcomes included Cobb angle (primary) and pain (VAS), trunk rotation (ATR), clavicle angle, pelvic obliquity, trunk aesthetics(TRACE), quality of life(SRS-22), and joint hypermobility (Beighton Score), all assessed pre- and post-intervention. Results Both groups improved significantly in Cobb angle, trunk aesthetics, and clinical outcomes(All P<0.05). The SPS group demonstrated significantly greater improvements in Cobb angle, trunk rotation, clavicle angle, pelvic obliquity, and self-image(SRS-22) compared to core stabilization(All P<0.05). Beighton Score correlated positively with Cobb angle correction (ρ = 0.31, P = 0.033), indicating flexibility may modestly influence outcomes. Conclusion SPS was more effective than core stabilization in improving spinal alignment, aesthetics, and self-image. Flexibility appears to influence treatment.