Scoliosis
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52 records returned
Tonsillar ectopia in adolescent idiopathic scoliosis: does it play a role in the pathogenesis and prognosis or is it only an incidental finding?
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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)
Source: Scoliosis - November 12, 2009 Category: Orthopaedics Authors: Kasim Abul-KasimAngelica OvergaardMagnus K. KarlssonAcke Ohlin Source Type: journals
Pathogenesis of adolescent idiopathic scoliosis in girls - a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: possible dependency on sympathetic nervous system and hormones with implications for medical therapy
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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/r...
Source: Scoliosis - October 31, 2009 Category: Orthopaedics Authors: R Geoffrey BurwellRanjit AujlaMichael GrevittPeter DangerfieldAlan MoultonTabitha RandellSusan Anderson Source Type: journals
Brace treatment for patients with Scheuermann`s disease - a review of the literature and first experiences with a new brace design
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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 shoul...
Source: Scoliosis - September 28, 2009 Category: Orthopaedics Authors: Hans-Rudolf WeissDeborah TurnbullSilvia Bohr Source Type: journals
Treatment of thoraco-lumbar curves in adolescent females affected by idiopathic scoliosis with a progressive action short brace (PASB): assessment of results according to the SRS committee on bracing and nonoperative management standardization criteria.
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Conclusion:
The PASB, due to its peculiar biomechanical action on vertebral modelling, is highly effective in correcting thoraco-lumbar curves. (Source: Scoliosis)
Source: Scoliosis - September 17, 2009 Category: Orthopaedics Authors: Angelo AulisaVincenzo GuzzantiMarco GalliCarlo PerisanoFrancesco FalcigliaLorenzo Aulisa Source Type: journals
Assessment of angle velocity in girls with adolescent idiopathic scoliosis
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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)
Source: Scoliosis - September 15, 2009 Category: Orthopaedics Authors: Ferran EscaladaEster MarcoRoser BelmonteEsther DuarteJosep MuniesaMarta TejeroRoser BozaEnric Caceres Source Type: journals
Effectiveness of complete conservative treatment for adolescent idiopathic scoliosis (bracing and exercises) based on SOSORT management criteria: results according to the SRS criteria for bracing studies - 2009 SOSORT Award Winner
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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)
Source: Scoliosis - September 3, 2009 Category: Orthopaedics Authors: Stefano NegriniSalvatore AtanasioClaudia FuscoFabio Zaina Source Type: journals
How to improve aesthetics in patients with Adolescent Idiopathic Scoliosis (AIS): a SPoRT brace treatment according to SOSORT management criteria
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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 p...
Source: Scoliosis - August 31, 2009 Category: Orthopaedics Authors: Fabio ZainaStefano NegriniClaudia FuscoSalvatore Atanasio Source Type: journals
Long-term outcome after Boston brace treatment in adolescent idiopathic scoliosis.
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Conclusion:
Long-term results were satisfactory in most patients with AIS treated with the Boston brace. (Source: Scoliosis)
Source: Scoliosis - August 25, 2009 Category: Orthopaedics Authors: Johan Emil LangeHarald SteenJens Ivar Brox Source Type: journals
Adolescent idiopathic scoliosis (AIS) treated with arthrodesis and posterior titanium instrumentation: 8 to 12 years follow up without late infection
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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)
Source: Scoliosis - August 11, 2009 Category: Orthopaedics Authors: Franz MuellerHerbert Gluch Source Type: journals
Scoliosis: Density-equalizing mapping and scientometric analysis
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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)
Source: Scoliosis - July 27, 2009 Category: Orthopaedics Authors: Karin VitzthumStefanie MacheDavid QuarcooCristian ScutaruDavid GronebergNorman Schoffel Source Type: journals
Reliability and validity of the adapted Greek version of Scoliosis Research Society - 22 (SRS-22) questionnaire
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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)
Source: Scoliosis - July 15, 2009 Category: Orthopaedics Authors: Petros AntonarakosLabrini KatranitsaLefteris AngelisAristophanis PaganasErrikos KoenEvangelos ChristodoulouAnastasios Christodoulou Source Type: journals
Relatively lower body mass index is associated with an excess of severe truncal asymmetry in healthy adolescents:
do white adipose tissue, leptin, hypothalamus and sympathetic nervous system influence truncal growth asymmetry?
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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), ...
Source: Scoliosis - June 29, 2009 Category: Orthopaedics Authors: Theodoros GrivasR BurwellConstantinos MihasElias VasiliadisGeorgios TriantafyllopoulosAngelos Kaspiris Source Type: journals
Towards an understanding of the information and support needs of surgical adolescent idiopathic scoliosis patients: a qualitative analysis
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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)
Source: Scoliosis - May 8, 2009 Category: Orthopaedics Authors: Radha MacCulloch, Sandra Donaldson, David Nicholas, Joyce Nyhof-Young, Ross Hetherington, Doina Lupea and James G Wright Source Type: journals
Scoliosis in patients with Prader Willi Syndrome - comparisons of conservative and surgical treatment
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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)
Source: Scoliosis - May 6, 2009 Category: Orthopaedics Authors: Hans-Rudolf Weiss and Deborah Goodall Source Type: journals
Undiagnosed osteoid osteoma of the spine presenting as painful scoliosis from adolescence to adulthood: a case report
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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)
Source: Scoliosis - April 27, 2009 Category: Orthopaedics Authors: George Sapkas, Nicolas Efstathopoulos and Michael Papadakis Source Type: journals
Specific exercises performed in the period of brace weaning can avoid loss of correction in Adolescent Idiopathic Scoliosis (AIS) patients: Winner of SOSORT's 2008 Award for Best Clinical Paper
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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 ...
Source: Scoliosis - April 7, 2009 Category: Orthopaedics Authors: Fabio Zaina, Stefano Negrini, Salvatore Atanasio, Claudia Fusco, Michele Romano and Alessandra Negrini Source Type: journals
Treatment of chronic low back pain in patients with spinal deformities using a sagittal re-alignment brace
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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 ...
Source: Scoliosis - March 9, 2009 Category: Orthopaedics Authors: Hans-Rudolf Weiss and Mario Werkmann Source Type: journals
Historical overview of spinal deformities in ancient Greece
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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 p...
Source: Scoliosis - February 25, 2009 Category: Orthopaedics Authors: Elias S Vasiliadis, Theodoros B Grivas and Angelos Kaspiris Source Type: journals
Real time noninvasive assessment of external trunk geometry during surgical correction of adolescent idiopathic scoliosis
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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 ...
Source: Scoliosis - February 24, 2009 Category: Orthopaedics Authors: Luc Duong, Jean-Marc Mac-Thiong and Hubert Labelle Source Type: journals
TRACE (Trunk Aesthetic Clinical Evaluation), a routine clinical tool to evaluate aesthetics in scoliosis patients: development from the Aesthetic Index (AI) and repeatability
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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)
Source: Scoliosis - January 20, 2009 Category: Orthopaedics Authors: Fabio Zaina, Stefano Negrini and Salvatore Atanasio Source Type: journals
Juvenile idiopathic scoliosis treated with posterior arthrodesis and segmental pedicle screw instrumentation before the age of 9 years: a 5-year follow-up
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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)
Source: Scoliosis - January 6, 2009 Category: Orthopaedics Authors: Ahmet Yilmaz Sarlak, Halil Atmaca, Levent Buluc, Bilgehan Tosun and Resul Musaoglu Source Type: journals
Magnetic resonance imaging of the erector spinae muscles in
Duchenne muscular dystrophy: implication for scoliotic deformities
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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 defi...
Source: Scoliosis - December 29, 2008 Category: Orthopaedics Authors: Gnahoua Zoabli, Pierre A Mathieu and Carl-Eric Aubin Source Type: journals
Trunk asymmetry in juveniles
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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 ...
Source: Scoliosis - September 23, 2008 Category: Orthopaedics Authors: Theodoros B Grivas, Elias S Vasiliadis, Constantinos Mihas, Georgios Triantafyllopoulos and Angelos Kaspiris Source Type: journals
Radiographic outcome of surgical treatment of adolescent idiopathic scoliosis in males versus females
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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)
Source: Scoliosis - September 6, 2008 Category: Orthopaedics Authors: Ebrahim Ameri, Hamid Behtash, Bahram Mobini, Farzad Omidi-Kashani and Behnam Momeni Source Type: journals
Differential wedging of vertebral body and intervertebral disc in thoracic and lumbar spine in adolescent idiopathic scoliosis – A cross sectional study in 150 patients
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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)
Source: Scoliosis - August 13, 2008 Category: Orthopaedics Authors: Hitesh N Modi, Seung Woo Suh, Hae-Ryong Song, Jae-Hyuk Yang, Hak-Jun Kim and Chetna H Modi Source Type: journals
Assessment of the centre of pressure pattern and moments about S2 in scoliotic subjects during normal walking
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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)
Source: Scoliosis - August 12, 2008 Category: Orthopaedics Authors: Nachiappan Chockalingam, Surendra Bandi, Aziz Rahmatalla, Peter H Dangerfield and El-Nasri Ahmed Source Type: journals
Relative shortening and functional tethering of spinal cord in adolescent scoliosis – Result of asynchronous neuro-osseous growth, summary of an electronic focus group debate of the IBSE
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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 r...
Source: Scoliosis - June 27, 2008 Category: Orthopaedics Authors: Winnie CW Chu, Wynnie MW Lam, Bobby KW Ng, Lam Tze-ping, Kwong-man Lee, Xia Guo, Jack CY Cheng, R Geoffrey Burwell, Peter H Dangerfield and Tim Jaspan Source Type: journals
Surgical treatment of scoliosis: a review of techniques currently applied
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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...
Source: Scoliosis - April 18, 2008 Category: Orthopaedics Authors: Toru Maruyama and Katsushi Takeshita Source Type: journals
Using a synthesis of the research literature related to the aetiology of adolescent idiopathic scoliosis to provide ideas on future directions for success
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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 achievem...
Source: Scoliosis - February 2, 2008 Category: Orthopaedics Authors: Keith M Bagnall Source Type: journals
Acupuncture in the treatment of scoliosis - a single blind controlled pilot study
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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)
Source: Scoliosis - January 28, 2008 Category: Orthopaedics Authors: Hans-Rudolf Weiss, Silvia Bohr, Anja Jahnke and Sandra Pleines Source Type: journals
Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review
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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)
Source: Scoliosis - January 22, 2008 Category: Orthopaedics Authors: Michele Romano and Stefano Negrini Source Type: journals
Trunk rotation and hip joint range of rotation
in adolescent girls with idiopathic scoliosis:
does the "dinner plate" turn asymmetrically ?
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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)
Source: Scoliosis - January 19, 2008 Category: Orthopaedics Authors: Tomasz Kotwicki, Agata Walczak and Andrzej Szulc Source Type: journals
SOSORT consensus paper: school screening for scoliosis: Where are we today?
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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) recommen...
Source: Scoliosis - November 26, 2007 Category: Orthopaedics Authors: Theodoros B Grivas, Marian H Wade, Stefano Negrini, Joseph P O'Brien, Toru Maruyama, Martha C Hawes, Manuel Rigo, Hans Rudolf Weiss, Tomasz Kotwicki, Elias S Vasiliadis, Lior Neuhaus Sulam and Tamar Neuhous Source Type: journals
Biomechanical simulations of the scoliotic deformation process in the pinealectomized chicken: a preliminary study
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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)
Source: Scoliosis - November 9, 2007 Category: Orthopaedics Authors: Pierre Lafortune, Carl-Eric Aubin, Hugo Boulanger, Isabelle Villemure, Keith M Bagnall and Alain Moreau Source Type: journals
Rare causes of scoliosis and spine deformity: experience and particular features
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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)
Source: Scoliosis - October 23, 2007 Category: Orthopaedics Authors: Konstantinos C. Soultanis, Alexandros H. Payatakes, Vasilios T. Chouliaras, Georgios C. Mandellos, Nikolaos E. Pyrovolou, Fani M. Pliarchopoulou and Panayotis N. Soucacos Source Type: journals
Further evaluation of the Walter Reed Visual Assessment Scale: correlation with curve pattern and radiological deformity
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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 defin...
Source: Scoliosis - September 23, 2007 Category: Orthopaedics Authors: Juan Bago, Jose M Climent, Sonia Pineda and Carmen Gilperez Source Type: journals
The effect of growth on the correlation between the spinal and rib cage deformity: implications on idiopathic scoliosis pathogenesis
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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)
Source: Scoliosis - September 14, 2007 Category: Orthopaedics Authors: Theodoros B Grivas, Elias S Vasiliadis, Constantinos Mihas and Olga Savvidou Source Type: journals
The direct cost of "Thriasio" school screening program
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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)
Source: Scoliosis - May 14, 2007 Category: Orthopaedics Authors: Theodoros B Grivas, Elias S Vasiliadis, Christina Maziotou and Olga D Savvidou Source Type: journals
Melatonin the "light of night" in human biology and adolescent idiopathic scoliosis
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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 biol...
Source: Scoliosis - April 4, 2007 Category: Orthopaedics Authors: Theodoros B Grivas and Olga D Savvidou Source Type: journals
The three-dimensional easy morphological (3-DEMO) classification of scoliosis - Part III, Correlation with clinical classification and parameters
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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)
Source: Scoliosis - March 19, 2007 Category: Orthopaedics Authors: Stefano Negrini and Alberto Negrini Source Type: journals
High pressures and asymmetrical stresses in the scoliotic disc in the absence of muscle loading.
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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 inte...
Source: Scoliosis - February 24, 2007 Category: Orthopaedics Authors: Adam R Meir, Jeremy C T Fairbank, Deborah A Jones, Donal S McNally and Jill PG Urban Source Type: journals
High pressures and asymmetrical stresses in the scoliotic disc in the absence of muscle loading
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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 inte...
Source: Scoliosis - February 24, 2007 Category: Orthopaedics Authors: Adam R Meir, Jeremy C T Fairbank, Deborah A Jones, Donal S McNally and Jill PG Urban Source Type: journals
Growth rates and the Prevalence and Progression of Scoliosis in short-statured children on Australian Growth Hormone Treatment Programmes
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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)
Source: Scoliosis - February 22, 2007 Category: Orthopaedics Authors: Gregory A Day, Ian Bruce McPhee, Jenny Batch and Francis H Tomlinson Source Type: journals
Correction effects of the ScoliOlogiC(R)Cheneau light" brace in patients with scoliosis
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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)
Source: Scoliosis - January 26, 2007 Category: Orthopaedics Authors: Hans-Rudolf Weiss, Mario Werkmann and Carola Stephan Source Type: journals
Correction effects of the ScoliOlogiC® „Chêneau light" brace in patients with scoliosis
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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)
Source: Scoliosis - January 26, 2007 Category: Orthopaedics Authors: Hans-Rudolf Weiss, Mario Werkmann and Carola Stephan Source Type: journals
The three-dimensional easy morphological (3-DEMO) classification of scoliosis, part II: repeatability
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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)
Source: Scoliosis - December 21, 2006 Category: Orthopaedics Authors: Alberto Negrini and Stefano Negrini Source Type: journals
Evidence of a linkage between matrilin-1 gene (MATN1) and idiopathic scoliosis
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Conclusion:
The results suggest that the familial idiopathic scoliosis is associated to the MATN1 gene. (Source: Scoliosis)
Source: Scoliosis - December 18, 2006 Category: Orthopaedics Authors: Lucio Montanaro, Patrizio Parisini, Tiziana Greggi, Mario Di Silvestre, Davide Campoccia, Simona Rizzi and Carla Renata Arciola Source Type: journals
Three-dimensional easy morphological (3-DEMO) classification of scoliosis, part I
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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)
Source: Scoliosis - December 5, 2006 Category: Orthopaedics Authors: Stefano Negrini, Alberto Negrini, Salvatore Atanasio and Giorgio C Santambrogio Source Type: journals
Study of trunk asymmetry in normal children and adolescents
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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...
Source: Scoliosis - November 30, 2006 Category: Orthopaedics Authors: Theodoros B Grivas, Elias S Vasiliadis, Georgios Koufopoulos, Dimitrios Segos, Georgios Triantafyllopoulos and Vasilios Mouzakis Source Type: journals
Biomechanical spinal growth modulation and progressive adolescent scoliosis – a test of the 'vicious cycle' pathogenetic hypothesis: Summary of an electronic focus group debate of the IBSE
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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" ...
Source: Scoliosis - October 18, 2006 Category: Orthopaedics Authors: Ian AF Stokes, R Geoffrey Burwell and Peter H Dangerfield Source Type: journals
