MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Scoliosis' source. Mon, 15 Mar 2010 15:15:20 +0100 http://www.medworm.com/index.php?rid=3300292&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F5%2F1%2F4 Conclusions: This study has shown that measurements of vertebral rotation in prone position were more reliable on axial CT images than on CT scanogram. The measurement of vertebral rotation on CT (corrected to the pelvic tilt) in prone position imposes lower impact of the recumbent position on the vertebral rotation than did MRI in supine position. However, the magnitude of differences is of doubtful clinical significance. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=3300292 Tue, 23 Feb 2010 00:00:00 +0100 3300292 http://www.medworm.com/index.php?rid=3296645&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F5%2F1%2F3 Conclusions: Our findings suggest that cross scalp stimulation resulted in MEPs obtained ipsilaterally and contralaterally which may be contributed to by summation of ipsilateral and simultaneous transcallosally or deep white matter conducted stimulation of the opposite motor cortex. Use of this stimulating position is advocated to elicit MEPs under operative circumstances where anesthetic agents may cause suppression of cortical and spinal excitability. Although less focal in nature, cross scalp stimulation would be most suitable for infratentorial or spinal surgery, in contrast to supratentorial neurosurgical procedures. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=3296645 Tue, 23 Feb 2010 00:00:00 +0100 3296645 http://www.medworm.com/index.php?rid=3214609&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F5%2F1%2F2 Bracing is the main non-surgical intervention in the treatment of idiopathic scoliosis during growth, in hyperkyphosis (and Scheuermann disease) and occasionally for spondylolisthesis; it can be used in adult scoliosis, in the elderly when pathological curves lead to a forward leaning posture or in adults after traumatic injuries. Bracing can be defined as the application of external corrective forces to the trunk; rigid supports or elastic bands can be used and braces can be custom-made or prefabricated.The state of research in the field of conservative treatment is insufficient and while it can be stated that there is some evidence to support bracing, we must also acknowledge that today we do not have a common and generally accepted knowledge base, and that instead, individual expertise ... Scoliosis journals http://www.medworm.com/rss/comments.php?id=3214609 Thu, 28 Jan 2010 00:00:00 +0100 3214609 http://www.medworm.com/index.php?rid=3214610&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F5%2F1%2F1 Conclusions: A specific scoliosis classification which correlates with brace treatment has been proposed with an acceptable intra-and inter-observer reliability. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=3214610 Wed, 27 Jan 2010 00:00:00 +0100 3214610 http://www.medworm.com/index.php?rid=3184089&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F28 From the time of its initial, informal meetings starting in 1980 to its formal creation in 1990, the IRSSD has met on a bi-annual basis to discuss all aspects of the spine and associated deformities. It has encouraged open discussion on all topics and, in particular, has tried to be the seed-bed for new ideas. The members are spread around the world and include people from all areas of academia as well as the most important people, the patients themselves. Most notably, application of the ideas and results of the research has always been at the forefront of the discussions. This paper was conceived with the idea of evaluating the impact made by the IRSSD over the last 30 years in the various areas and is intended to create discussion for the upcoming meeting in Montreal regarding future fo... Scoliosis journals http://www.medworm.com/rss/comments.php?id=3184089 Tue, 22 Dec 2009 00:00:00 +0100 3184089 http://www.medworm.com/index.php?rid=3109767&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F28 From the time of its initial, informal meetings starting in 1980 to its formal creation in 1990, the IRSSD has met on a bi-annual basis to discuss all aspects of the spine and associated deformities. It has encouraged open discussion on all topics and, in particular, has tried to be the seed-bed for new ideas. The members are spread around the world and include people from all areas of academia as well as the most important people, the patients themselves. Most notably, application of the ideas and results of the research has always been at the forefront of the discussions. This paper was conceived with the idea of evaluating the impact made by the IRSSD over the last 30 years in the various areas and is intended to create discussion for the upcoming meeting in Montreal regarding future fo... Scoliosis journals http://www.medworm.com/rss/comments.php?id=3109767 Tue, 22 Dec 2009 00:00:00 +0100 3109767 http://www.medworm.com/index.php?rid=3091193&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F27 Conclusion: This report documents improved chest wall function and resolution of respiratory symptoms in response to nonsurgical approaches in an adult female, diagnosed at age eleven years with idiopathic scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=3091193 Tue, 15 Dec 2009 00:00:00 +0100 3091193 http://www.medworm.com/index.php?rid=3032444&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F26 Conclusion: The consensus was reached on evaluation of the morphology of the patient with idio-pathic scoliosis, comprising clinical, radiological and, to less extend, surface topography assessment. Considering the variety of parameters indicated by the panellists, the Cobb angle, yet the gold standard, can be seen neither as the unique nor the only decisive parameter in the management of patients with idiopathic scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=3032444 Thu, 26 Nov 2009 00:00:00 +0100 3032444 http://www.medworm.com/index.php?rid=2987157&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F25 Conclusion: As tonsillar ectopia is significantly more frequent among patients with AIS and may exhibit some prognostic utility in patients with neurological deficit, we conclude that tonsillar ectopia may play a role in the development of the deformity in some patients with AIS. However, occurrence of tonsillar ectopia among 13 % of controls precludes stating a definitive role of ectopia in the pathogenesis of AIS. Some patients with AIS, tonsillar ectopia and neurological deficit showed neurological improvement following the surgical correction of scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2987157 Thu, 12 Nov 2009 00:00:00 +0100 2987157 http://www.medworm.com/index.php?rid=2945754&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F24 Anthropometric data from three groups of adolescent girls - preoperative adolescent idiopathic scoliosis (AIS), screened for scoliosis and normals were analysed by comparing skeletal data between higher and lower body mass index subsets. Unexpected findings for each of skeletal maturation, asymmetries and overgrowth are not explained by prevailing theories of AIS pathogenesis. A speculative pathogenetic theory for girls is formulated after surveying evidence including: (1) the thoracospinal concept for right thoracic AIS in girls; (2) the new neuroskeletal biology relating the sympathetic nervous system to bone formation/resorption and bone growth; (3) white adipose tissue storing triglycerides and the adiposity hormone leptin which functions as satiety hormone and sentinel of energy balan... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2945754 Sat, 31 Oct 2009 00:00:00 +0100 2945754 http://www.medworm.com/index.php?rid=2840800&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F22 Conclusions: Conservative treatment of Scheuermann's hyperkyphosis in international literature is generally regarded as an effective treatment approach. Physiotherapy and bracing are the first-line treatments for this condition.An average in-brace correction of > 15 degrees as was achieved using the kyphologicTM brace predicts a favourable outcome.The kyphologicTM brace leads to in-brace corrections comparable to those of the Milwaukee brace, which has previously been shown to provide beneficial outcome in the long-term.A prospective follow-up study seems desirable before final conclusions can be drawn.Future studies should focus more on thoracolumbar and lumbar curve patterns, because these patterns may predict chronic low back pain in adulthood with reduced quality of life of the patient... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2840800 Mon, 28 Sep 2009 23:00:00 +0100 2840800 http://www.medworm.com/index.php?rid=2806050&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F21 Conclusion: The PASB, due to its peculiar biomechanical action on vertebral modelling, is highly effective in correcting thoraco-lumbar curves. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2806050 Thu, 17 Sep 2009 23:00:00 +0100 2806050 http://www.medworm.com/index.php?rid=2798842&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F20 Conclusions: As from 6 months post-menarche, there is an inverse relationship between height velocity and curve progression in the group of AIS girls with progressive curves managed with a brace. Because height velocity is decreasing from 1 year before menarche, this finding corroborates that at the end of puberty, there is still a risk of progression in this group of girls despite bracing. The assessment of both height and angle velocity might be useful in clinical practice at the time of assessing brace effectiveness and how long bracing has to be indicated. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2798842 Tue, 15 Sep 2009 23:00:00 +0100 2798842 http://www.medworm.com/index.php?rid=2764499&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F19 Conclusions: Respecting also SOSORT management criteria and thus increasing compliance, the results of conservative treatment were much better than what had previously been reported in the literature using SRS criteria only. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2764499 Thu, 03 Sep 2009 23:00:00 +0100 2764499 http://www.medworm.com/index.php?rid=2755326&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F18 Background: Aesthetics is a main goal of both conservative and surgical treatments in adolescent idiopathic scoliosis (AIS). Previously, we developed and validated a clinical scale - the Aesthetic Index (AI)--in order to measure aesthetic impairment and changes during treatment.Aim: To verify the efficacy of bracing on aesthetics in AIS.Study Design: Prospective Cohort Study.Population: Thirty-four consecutive patients, age 13.2+/-3.7, initial Cobb Angle 32+/-12degrees, ATR 10+/-4degrees Bunnel, 11 males. Methods: Patients with AI scores of at least 5/6 were included. Each of them had a brace prescription (18 to 23 hours per day), according to the SPoRT concept. AI was measured again after six months and at the end of treatment, and then the pre- and post-treatment scores compared. The Wil... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2755326 Mon, 31 Aug 2009 23:00:00 +0100 2755326 http://www.medworm.com/index.php?rid=2736243&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F17 Conclusion: Long-term results were satisfactory in most patients with AIS treated with the Boston brace. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2736243 Tue, 25 Aug 2009 23:00:00 +0100 2736243 http://www.medworm.com/index.php?rid=2693762&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F16 Conclusion: Posterior titanium instrumentation is a safe and effective procedure in the surgical correction of AIS. In this retrospective study with small patient number, it shows favourable long-term results; in particular, the loss of correction is low, no late infection occurred and there was a very high survival rate of the implant itself. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2693762 Tue, 11 Aug 2009 23:00:00 +0100 2693762 http://www.medworm.com/index.php?rid=2647492&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F15 Conclusions: Our results suggest that currently established measures of research output (i.e. impact factor, h-index) should be evaluated critically because phenomena, such as self-citation and co-authorship, distort the results and limit the value of the conclusions that may be drawn from these measures. Qualitative statements are just tractable by the comparison of the parameters with respect to multiple linkages. In order to obtain more objective evaluation tools, new measurements need to be developed. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2647492 Mon, 27 Jul 2009 23:00:00 +0100 2647492 http://www.medworm.com/index.php?rid=2608458&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F14 Conclusions: The adapted Greek version of the SRS-22 questionnaire is valid and reliable and can be used for the assessment of the outcome of the treatment of the Greek speaking patients with idiopathic scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2608458 Wed, 15 Jul 2009 23:00:00 +0100 2608458 http://www.medworm.com/index.php?rid=2554687&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F13 DiscussionBMI is a surrogate measure for body fat and circulating leptin levels. The finding that girls with relatively lower BMI have significantly later menarche, and a significant excess of TAs, suggests a relation to energy homeostasis through the hypothalamus. The hypothesis we suggest for the pathogenesis of severe TA in girls and boys has the same mechanism as that proposed recently for AIS girls, namely: severe TAs are initiated by a genetically-determined selectively increased hypothalamic sensitivity (up-regulation, i.e. increased sensitivity) to leptin with asymmetry as an adverse response to stress (hormesis), mediated bilaterally mainly to the growing trunk via the sympathetic nervous system (leptin-hypothalamic-sympathetic nervous system (LHS) concept). The putative autonomic... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2554687 Mon, 29 Jun 2009 23:00:00 +0100 2554687 http://www.medworm.com/index.php?rid=2401112&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F12 Conclusions: In conclusion, adolescents welcomed the possibility of an accessible, youth-focused website with comprehensive and accurate information that would include the opportunity for health professional-moderated, online peer support. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2401112 Fri, 08 May 2009 04:00:00 +0100 2401112 http://www.medworm.com/index.php?rid=2394191&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F10 Conclusions: There is lack of the long-term follow-up studies in post-surgical cases in patients with PWS and scoliosis. The rate of complications of spinal fusion in patients with PWS and scoliosis is very high and the death rates have been found to be higher than in patients with Adolescent Idiopathic Scoliosis (AIS). The long-term side-effects of the intervention are detrimental, so that the risk-benefit ratio favours the conservative approaches over spinal fusion surgery. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2394191 Wed, 06 May 2009 04:00:00 +0100 2394191 http://www.medworm.com/index.php?rid=2371882&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F9 Presented here is a case of a young woman, with an undiagnosed osteoid osteoma of the spine, which presented with painful scoliosis in adolescence and was treated by bracing until her accession to adulthood. A more thorough investigation, years after the initial one, revealed the tumor. Surgical excision and stabilization offered the long- awaited cure. Misdiagnosis resulted in intractable pain for years, deformity, the discomfort of brace therapy, and the frustration of a prolonged yet ineffective treatment. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2371882 Mon, 27 Apr 2009 04:00:00 +0100 2371882 http://www.medworm.com/index.php?rid=2315311&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F8 Background: Exercises are frequently performed in order to improve the efficacy of bracing and avoid its collateral effects. Very frequently there is a loss of correction during brace weaning in AIS treatment. Aim: To verify the efficacy of exercises in reducing correction loss during brace weaning. Study Design: Retrospective controlled study. Population: Sixty-eight consecutive patients (eight males), age 15+/-1 and Cobb angle 22+/-2degrees at start of brace weaning. Methods: The start of brace weaning was defined as the first visit in which the wearing of brace for less than 18/24 hours was prescribed (according to our protocol, at Risser 3). Patients were divided into two groups according to whether or not exercises were performed: (1) EX (exercises), included 39 patients and was furth... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2315311 Tue, 07 Apr 2009 04:00:00 +0100 2315311 http://www.medworm.com/index.php?rid=2253411&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F7 Conclusions: The effect of the sagittal re-alignment brace leads to promising short-term improvements in patients with chronic low back pain and spinal deformities. Contrary to unspecific orthoses, which after a short period without persistent pain reduction are omitted by the patients, the sagittal re-alignment brace (physio-logicTM brace) leads to an effective reduction of pain intensity in mid-term even in patients who have stopped brace treatment after the initial 6 months of treatment. In conservative treatment of chronic low back pain specific approaches such as the sagittal re-alignment brace are indicated prior to considering the surgical options. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2253411 Mon, 09 Mar 2009 04:00:00 +0100 2253411 http://www.medworm.com/index.php?rid=2222044&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F6 Little is known about the history of spinal deformities in ancient Greece. The present study summarizes what we know today for diagnosis and management of spinal deformities in ancient Greece, mainly from the medical treatises of Hippocrates and Galen. Hippocrates, through accurate observation and logical reasoning was led to accurate conclusions firstly for the structure of the spine and secondly for its diseases. He introduced the terms kyphosis and scoliosis and wrote in depth about diagnosis and treatment of kyphosis and less about scoliosis. The innovation of the board, the application of axial traction and even the principle of trans-abdominal correction for correction of spinal deformities have their origin in Hippocrates. Galen, who lived nearly five centuries later impressively de... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2222044 Wed, 25 Feb 2009 05:00:00 +0100 2222044 http://www.medworm.com/index.php?rid=2222045&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F5 Conclusions: Tracking of the external geometry of the trunk during surgical correction is useful to monitor changes occurring under the sterile draping sheets. Moreover, this technique can used be used to reach the optimal configuration on the operating frame before proceeding to surgery. The current tracking technique was able to detect significant changes in trunk geometry caused by posterior instrumentation of the spine despite significant correction of the spinal curvature. It could therefore become relevant for computer-assisted guidance of surgical maneuvers when performing posterior instrumentation of the scoliotic spine, provide important insights during positioning of patients. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2222045 Tue, 24 Feb 2009 05:00:00 +0100 2222045 http://www.medworm.com/index.php?rid=2120912&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F3 Conclusions: Widening the scale from 7 (AI) to 12 points (TRACE) increased the clinical sensitivity to changes of the aesthetic scale, even if TRACE has only a fair repeatability. TRACE is a no-cost tool for routine clinical practice in AIS patients. Due to the absence of other comparable validated tools, once the inherent measurement error is known and understood, its routine clinical use by physicians is advised. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2120912 Tue, 20 Jan 2009 05:00:00 +0100 2120912 http://www.medworm.com/index.php?rid=2083683&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F4%2F1%2F1 Conclusion: In juvenile idiopathic curves of Risser 0 patients with open triradiate cartilages, routine combined anterior fusion to prevent crankshaft may not be warranted by posterior segmental pedicle screw instrumentation. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=2083683 Tue, 06 Jan 2009 05:00:00 +0100 2083683 http://www.medworm.com/index.php?rid=2073346&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F21 Background: In Duchenne muscular dystrophy (DMD), the muscular degeneration often leads to the development of scoliosis. Our objective was to investigate how anatomical changes in back muscles can lead to scoliosis. Muscular volume and the level of fat infiltration in those muscles were thus evaluated, in non-scoliotic, pre-scoliotic and scoliotic patients. The overlying skin thickness over the apex level of scoliotic deformations was also measured to facilitate the interpretation of electromyographic signals when recorded on the skin surface. Methods: In 8 DMD patients and two healthy controls with no known muscular deficiencies, magnetic resonance imaging (MRI) was used to measure continuously at 3 mm intervals the distribution of the erector spinae (ES) muscle in the T8-L4 region as we... Scoliosis journals http://www.medworm.com/rss/comments.php?id=2073346 Mon, 29 Dec 2008 05:00:00 +0100 2073346 http://www.medworm.com/index.php?rid=1824407&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F13 Conclusions: Juveniles were found more symmetric than adolescents, who were studied previously in a different study. Furthermore, juvenile girls were found more symmetric than boys. Juvenile TA pattern seems to be in accordance with the higher incidence of juvenile idiopathic scoliosis in boys. Furthermore, severe TA, which could be correlated with a scoliotic curve, was found to be more common to the left side. The present report provides information about the variability of back morphology in normal juveniles. The amount of TA in children is the indicator for referral and further orthopaedic assessment if a spinal curve is detected, but can also be used as a baseline for further research on idiopathic scoliosis aetiology. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1824407 Tue, 23 Sep 2008 04:00:00 +0100 1824407 http://www.medworm.com/index.php?rid=1797598&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F12 Conclusion: There was similar distribution curve pattern between male and female patients with AIS. Males had more rigid primary curves compared to females but a similar degree of postoperative scoliosis correction. Male AIS patients were older at the time of surgery. These preoperative gender differences, however; did not compromise the radiological outcomes of surgical treatment and the results were comparable between the genders. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1797598 Sat, 06 Sep 2008 04:00:00 +0100 1797598 http://www.medworm.com/index.php?rid=1749959&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F11 Conclusion: From our study, we can conclude that wedging in disc and body are increasing with progression on scoliosis and maximum at apex; however there is differential wedging of body and disc, in thoracic and lumbar area, that is vertebral body wedging is more profound in thoracic area while disc wedging is more profound in lumbar area which possibly form 'vicious cycle' by asymmetric loading to spine for the progression of curve. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1749959 Wed, 13 Aug 2008 04:00:00 +0100 1749959 http://www.medworm.com/index.php?rid=1700248&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F10 Conclusion: Although further longitudinal studies are needed, results indicate that the variables identified in this study are applicable to initial screening and surgical evaluation of scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1700248 Tue, 12 Aug 2008 04:00:00 +0100 1700248 http://www.medworm.com/index.php?rid=1630681&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F8 There is no generally accepted scientific theory for the causes of adolescent idiopathic scoliosis (AIS). As part of its mission to widen understanding of scoliosis etiology, the International Federated Body on Scoliosis Etiology (IBSE) introduced the electronic focus group (EFG) as a means of increasing debate on knowledge of important topics. This has been designated as an on-line Delphi discussion. The Statement for this debate was written by Dr WCW Chu and colleagues who examine the spinal cord to vertebral growth interaction during adolescence in scoliosis. Using the multi-planar reconstruction technique of magnetic resonance imaging they investigated the relative length of spinal cord to vertebral column including ratios in 28 girls with AIS (mainly thoracic or double major curves) a... Scoliosis journals http://www.medworm.com/rss/comments.php?id=1630681 Fri, 27 Jun 2008 04:00:00 +0100 1630681 http://www.medworm.com/index.php?rid=1382196&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F6 In this review, basic knowledge and recent innovation of surgical treatment for scoliosis will be described. Surgical treatment for scoliosis is indicated, in general, for the curve exceeding 45 or 50 degrees by the Cobbas method on the ground that: 1) Curves larger than 50 degrees progress even after skeletal maturity. 2) Curves of greater magnitude cause loss of pulmonary function, and much larger curves cause respiratory failure. 3) Larger the curve progress, more difficult to treat with surgery. Posterior fusion with instrumentation has been a standard of the surgical treatment for scoliosis. In modern instrumentation systems, more anchors are used to connect the rod and the spine, resulting in better correction and less frequent implant failures. Segmental pedicle screw constructs or... Scoliosis journals http://www.medworm.com/rss/comments.php?id=1382196 Fri, 18 Apr 2008 04:00:00 +0100 1382196 http://www.medworm.com/index.php?rid=1196578&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F5 This review is atypical by design. It has used a synthesis of the available literature relating to the aetiology of AIS to draw attention to the lack of progress in this area despite intensive research for more than 100 years. The review has argued that if progress is to be made in this area then significant changes in approach to the problem must be made. Such changes have been outlined and major areas of potential focus identified with the intention of creating debate and discussion. There is no doubt that people are working hard in this area of research but this review has deliberately attempted to question its achievements and future directions. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1196578 Sat, 02 Feb 2008 05:00:00 +0100 1196578 http://www.medworm.com/index.php?rid=1182671&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F4 Conclusions: One session with real (verum) acupuncture seems to have an influence on the deformity of scoliosis patients with no more than 35 degrees. The findings during verum acupuncture clearly are different to sham acupuncture or just lying, while in the whole group of patients also including patients with curvatures of more than 35 degrees no obvious changes have been found. The results of this study justify further investigation of the effect of acupuncture in the treatment of patients with scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1182671 Mon, 28 Jan 2008 05:00:00 +0100 1182671 http://www.medworm.com/index.php?rid=1169261&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F2 Conclusions: The lack of any kind of serious scientific data does not allow us to draw any conclusion on the efficacy of manual therapy as an efficacious technique for the treatment of Adolescent idiopathic scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1169261 Tue, 22 Jan 2008 05:00:00 +0100 1169261 http://www.medworm.com/index.php?rid=1162404&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F3%2F1%2F1 Conclusions: Numerous asymmetries around the hip were detected, most of them were expressed equally in scoliotics and in controls. Pathogenic implications concern producing a "torsional offset" of muscles patterns of activation around the spine in adolescent girls with structural idiopathic scoliosis during gait. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1162404 Sat, 19 Jan 2008 05:00:00 +0100 1162404 http://www.medworm.com/index.php?rid=1051082&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F17 This report is the SOSORT Consensus Paper on School Screening for Scoliosis discussed at the 4th International Conference on Conservative Management of Spinal Deformities, presented by SOSORT, on May 2007. The objectives were numerous, 1) the inclusion of the existing information on the issue, 2) the analysis and discussion of the responses by the meeting attendees to the twenty six questions of the questionnaire, 3) the impact of screening on frequency of surgical treatment and of its discontinuation, 4) the reasons why these programs must be continued, 5) the evolving aim of School Screening for Scoliosis and 6) recommendations for improvement of the procedure. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1051082 Mon, 26 Nov 2007 05:00:00 +0100 1051082 http://www.medworm.com/index.php?rid=1015648&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F16 Conclusions: The proposed biomechanical model presents a novel approach to realistically simulate the scoliotic deformation process in pinealectomized chickens and investigate different parameters influencing the progression of scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=1015648 Fri, 09 Nov 2007 05:00:00 +0100 1015648 http://www.medworm.com/index.php?rid=972325&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F15 Conclusions: This study illustrates the fact that different disorders are related with curves with different characteristics, different accompanying problems and possible complications. Investigation and understanding of the underlying pathology is an essential part of the clinical evaluation and preoperative work-up, as clinical experience at any specific center is limited. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=972325 Tue, 23 Oct 2007 04:00:00 +0100 972325 http://www.medworm.com/index.php?rid=893385&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F12 This study included 101 patients (86 women and 15 men; mean age 19.4 years) with idiopathic scoliosis. In a single visit, patients underwent standing PA radiography of the spine and completed the WRVAS. X-ray measurements included: 1) magnitude (Cobb angle) of the proximal thoracic curve (PT), main thoracic curve (MT), and thoracolumbar/lumbar curve (TL/L); 2) difference in shoulder level; 3) T1 offset from the central sacral line (T1-CSL); 4) apical vertebra (apV) rotation at the MT and TL/L curves and 5) apical vertebra offset of the MT and TL/L curves from the central sacral line. A variable designated Cobbmax was defined as the largest angle of the three curves (PT, MT or TL/L). Patients were grouped onto three patterns: Thoracic (TH Group)(n=30, mean MT 42.1 deg, TL/L 20.9 deg); doubl... Scoliosis journals http://www.medworm.com/rss/comments.php?id=893385 Sun, 23 Sep 2007 04:00:00 +0100 893385 http://www.medworm.com/index.php?rid=871636&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F11 Conclusions: Growth has a significant effect in the correlation between the thoracic and the spinal deformity in girls with idiopathic scoliosis. Therefore it should be taken into consideration when trying to assess the spinal deformity from surface measurements. The findings of the present study implicate the role of the thorax, as it shows that the rib cage deformity precedes the spinal deformity in the pathogenesis of idiopathic scoliosis. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=871636 Fri, 14 Sep 2007 04:00:00 +0100 871636 http://www.medworm.com/index.php?rid=619665&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F7 Conclusions: The cost of our school-screening program is low. The present study provides a strong evidence for the continuation of the program when looking from a financial point of view. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=619665 Mon, 14 May 2007 04:00:00 +0100 619665 http://www.medworm.com/index.php?rid=521878&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F6 Melatonin the "light of night" is secreted from the pineal gland principally at night. The hormone is involved in sleep regulation, as well as in a number of other cyclical bodily activities and circadian rhythm in humans. Melatonin is exclusively involved in signalling the time of day and time of year (hence considered to help both clock and calendar functions) to all tissues and is thus considered to be the bodys chronological pacemaker or Zeitgeber. The last decades melatonin has been used as a therapeutic chemical in a large spectrum of diseases, mainly in sleep disturbances and tumours and may play a role in the biologic regulation of mood, affective disorders, cardiovascular system, reproduction and aging. There are few papers regarding melatonin and its role in adolescent idiopathi... Scoliosis journals http://www.medworm.com/rss/comments.php?id=521878 Wed, 04 Apr 2007 04:00:00 +0100 521878 http://www.medworm.com/index.php?rid=482919&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F5 DiscussionThese results support the hypothesis of a possible clinical significance of the 3-DEMO classification, even if follow-up studies are needed to better understand these possible correlations and ultimately the classification usefulness. The most interesting 3D parameters appear to be Direction and mainly Phase, the latter being not at all correlated with currently existing classifications. Nevertheless, Shift cannot be easily appreciated on classical frontal and sagittal radiographs, even if it could presumably be calculated. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=482919 Mon, 19 Mar 2007 04:00:00 +0100 482919 http://www.medworm.com/index.php?rid=434526&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F4 Background: Loads acting on scoliotic spines are thought to be asymmetric and involved in progression of the scoliotic deformity; abnormal loading patterns lead to changes in bone and disc cell activity and hence to vertebral body and disc wedging. At present however there are no direct measurements of intradiscal stresses or pressures in scoliotic spines. The aim of this study was to obtain quantitative measurements of the intradiscal stress environment in scoliotic intervertebral discs and to determine if loads acting across the scoliotic spine are asymmetric. We performed in vivo measurements of stresses across the intervertebral disc in patients with scoliosis, both parallel (termed horizontal) and perpendicular (termed vertical) to the end plate, using a side mounted pressure transduc... Scoliosis journals http://www.medworm.com/rss/comments.php?id=434526 Sat, 24 Feb 2007 07:00:00 +0100 434526 http://www.medworm.com/index.php?rid=440493&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F4 Background: Loads acting on scoliotic spines are thought to be asymmetric and involved in progression of the scoliotic deformity; abnormal loading patterns lead to changes in bone and disc cell activity and hence to vertebral body and disc wedging. At present however there are no direct measurements of intradiscal stresses or pressures in scoliotic spines. The aim of this study was to obtain quantitative measurements of the intradiscal stress environment in scoliotic intervertebral discs and to determine if loads acting across the scoliotic spine are asymmetric. We performed in vivo measurements of stresses across the intervertebral disc in patients with scoliosis, both parallel (termed horizontal) and perpendicular (termed vertical) to the end plate, using a side mounted pressure transduc... Scoliosis journals http://www.medworm.com/rss/comments.php?id=440493 Sat, 24 Feb 2007 05:00:00 +0100 440493 http://www.medworm.com/index.php?rid=432835&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F3 Conclusions: In this study, there was no evidence of HGH treatment being responsible for progression of scoliosis in a small number of non-syndromic patients (four). An incidental finding was that scoliosis, similar to the idiopathic type, appears to be more prevalent in Turner syndrome than previously believed. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=432835 Thu, 22 Feb 2007 07:00:00 +0100 432835 http://www.medworm.com/index.php?rid=386479&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F2 Conclusions: The use of the Cheneau light brace leads to correction effects above average when compared to the correction effects of other braces described in literature. The reduction of material seems to affect the desired correction in a positive way. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=386479 Fri, 26 Jan 2007 07:00:00 +0100 386479 http://www.medworm.com/index.php?rid=440494&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F2%2F1%2F2 Conclusion: The use of the „Chêneau light" brace leads to correction effects above average when compared to the correction effects of other braces described in literature. The reduction of material seems to affect the desired correction in a positive way. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=440494 Fri, 26 Jan 2007 05:00:00 +0100 440494 http://www.medworm.com/index.php?rid=362785&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F23 DiscussionThe 3-DEMO classification has a high repeatability when evaluated with an optoelectronic system such as the AUSCAN System, whose systematic error is very low. This means that the implied physiological phenomenon is consistent and overcomes the postural variability inherent in the measured object (normal or pathological subject). (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=362785 Thu, 21 Dec 2006 07:00:00 +0100 362785 http://www.medworm.com/index.php?rid=362786&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F21 Conclusion: The results suggest that the familial idiopathic scoliosis is associated to the MATN1 gene. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=362786 Mon, 18 Dec 2006 07:00:00 +0100 362786 http://www.medworm.com/index.php?rid=362787&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F20 Conclusion: The 3-DEMO classification offers a new and simple way of viewing the spine through an auxiliary plane using a spinal reference system. Further studies are currently under way to compare this new system with the existing 3-D classifications, to obtain it using everyday clinical and x-rays data, and to develop a triage for clinical use. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=362787 Tue, 05 Dec 2006 07:00:00 +0100 362787 http://www.medworm.com/index.php?rid=362788&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F19 The scoliometer readings in both standing and sitting position of 2071 children and adolescents (1099 boys and 972 girls) aged from 5 to 18 years old were studied. The angle of trunk rotation (ATR) was measured, in order to quantify the existing trunk asymmetry. Children and adolescents were divided in two groups according to the severity of trunk asymmetry. In the first group asymmetry was 1 to 6 degrees and in the second group was 7 or more degrees. Radiographic and leg length inequality evaluation were also performed in a number of children. The mean frequency of symmetric (ATR = 0 degrees) boys and girls was 67.06% and 65.01% for the standing screening position and 76.5% and 75.1% for the sitting position, respectively. The mean difference of frequency of asymmetry (ATR > 0 degrees) at... Scoliosis journals http://www.medworm.com/rss/comments.php?id=362788 Thu, 30 Nov 2006 07:00:00 +0100 362788 http://www.medworm.com/index.php?rid=362790&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F16 There is no generally accepted scientific theory for the causes of adolescent idiopathic scoliosis (AIS). As part of its mission to widen understanding of scoliosis etiology, the International Federated Body on Scoliosis Etiology (IBSE) introduced the electronic focus group (EFG) as a means of increasing debate on knowledge of important topics. This has been designated as an on-line Delphi discussion. The text for this debate was written by Dr Ian A Stokes. It evaluates the hypothesis that in progressive scoliosis vertebral body wedging during adolescent growth results from asymmetric muscular loading in a "vicious cycle" (vicious cycle hypothesis of pathogenesis) by affecting vertebral body growth plates (endplate physes). A frontal plane mathematical simulation tested whether the calcula... Scoliosis journals http://www.medworm.com/rss/comments.php?id=362790 Wed, 18 Oct 2006 06:00:00 +0100 362790 http://www.medworm.com/index.php?rid=362789&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F17 Conclusion: The IIS thorax is narrower than that of the controls, the upper chest is funnel-shaped and there is a predictive value of vertebral rotation at the upper limit of the thoracic curve of IIS, which reflects, impaired rib control of spinal rotation possibly due to neuromuscular factors, which contribute also to the funnel-shaped chest. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=362789 Wed, 18 Oct 2006 06:00:00 +0100 362789 http://www.medworm.com/index.php?rid=362791&cid=s_34094_31_f&fid=34094&url=http%3A%2F%2Fwww.scoliosisjournal.com%2Fcontent%2F1%2F1%2F15 We report a 15-year-old girl who presented with spinal malsegmentation, associated with other skeletal anomalies. The spinal malsegmentation was subsequently discovered to be part of the spondylocarpotarsal synostosis syndrome. In addition, a distinctive craniocervical malformation was identified, which included atlanto-axial rotatory fixation. The clinical and the radiographic findings are described, and we emphasise the importance of computerised tomography to characterize the craniocervical malformation complex. To the best of our knowledge, this is the first clinical report of a child with spondylocarpotarsal synostosis associated with atlanto-axial rotatory fixation. (Source: Scoliosis) Scoliosis journals http://www.medworm.com/rss/comments.php?id=362791 Mon, 16 Oct 2006 06:00:00 +0100 362791