Natural History of Progressive Adult Scoliosis

Marty-Poumarat, Catherine; Scattin, Luciana; Marpeau, Michèle; Loubresse, C. Garreau de; Aegerter, Philippe

doi:10.1097/01.brs.0000263328.89135.a6

Cited by 106 publications

(83 citation statements)

References 9 publications

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“…In cases of progressive adolescent idiopathic scoliosis, the curvatures continue to increase 1˚ -1.5˚ yearly in adulthood at a nearly linear rate [7]. It would appear that all 3 patients have altered the natural course of their curvatures.…”

Section: Discussionmentioning

confidence: 99%

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Chiropractic Rehabilitation of a Scoliosis Family: Results from a 9-Year Follow-Up

Morningstar¹,

Siddiqui²,

Stitzel³

et al. 2017

OJTR

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Scoliosis bracing is typically prescribed when the curvature reaches to between 30˚ -50˚. Although there has been a vast amount of bracing literature published, the results remain equivocal. Many patients face issues of compliance, comfort, and decreased self-esteem due to social stigmas with bracing. This has caused many patients to seek non-bracing options. Although these treatments are plausible, they lack the research background that bracing has. Therefore, many physicians are reluctant to prescribe exercise-based rehabilitation for their scoliosis patients. This study reports on 3 patients who sought non-bracing, exercise-based chiropractic rehabilitation for their scoliosis. Their results before, after, and at long term follow up are included.

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Section: Discussionmentioning

confidence: 99%

“…Based on the natural history of scoliosis [7], it is unlikely that the observed improvements in these patients were attributed to natural history, but rather due to the prescribed treatment.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic Rehabilitation of a Scoliosis Family: Results from a 9-Year Follow-Up

Morningstar¹,

Siddiqui²,

Stitzel³

et al. 2017

OJTR

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“…De novo adult scoliosis is most commonly due to asymmetric disc degeneration and facet joint degeneration. 10 The latter forms a vicious cycle: the progression of lumbar curvature results in increasing joint stress, and increasing joint stress results in more curvature, thus furthering scoliotic disease. The most common site of the apex of curvature is the L2/3 and L3/4 joint, but most adults will have additional thoracolumbar curvature in addition to lumbar curvature.…”

Section: Discussionmentioning

confidence: 99%

Lumbar plexus block surface landmarks as assessed by computed axial tomography in adult patients with scoliosis: a case series

Robards

Riutort

Thomas

et al. 2015

Can J Anesth/J Can Anesth

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Background and objectives Lumbar plexus (LP) block is a common and useful regional anesthesia technique. Surface landmarks used to identify the LP in patients with healthy spines have been previously described, with the distance from the spinous process (SP) to the skin overlying the LP being approximately two-thirds the distance from the SP to the posterior superior iliac spine (PSIS) (SP-LP:SP-PSIS ratio). In scoliotic patients, rotation of the central neuraxis may make these surface landmarks unreliable, possibly leading to an increased block failure rate and an increased incidence of complications. The objective of the present study was to describe these surface landmarks of the LP in patients with scoliosis. Methods We selected 47 patients with known thoracolumbar scoliotic disease from our institution's radiology archives. We measured bony landmark geometry, Cobb angle, and the LP location and depth. Additionally, we calculated the SP-LP:SP-PSIS ratio for both the concave and convex sides. Results In scoliotic patients (31 females and 16 males), the median (range) Cobb angle was 23 (8-54) degrees. The LP depth was 7.5 (5.7-10.7) cm on the concave side of the scoliotic spine and 7.6 (5.4-10.8) cm on the convex side, while the distance from the SP-LP was 3.4 (1.9-4.7) cm on the concave side and 3.7 (2.4-5.1) cm on the convex side. The SP-LP:SP-PSIS ratio was 0.61 (0.20-0.97) and 0.65 (0.45-0.98) on the concave and convex sides, respectively. None of these distances were significantly different between sides. Conclusions In patients with scoliotic disease of the spine, there is wide variability in the bony surface landmarks. The location of the LP is generally more medial than expected when compared with both modified and traditional landmarks. A review of the imaging studies and the pre-procedural ultrasound assessment of the anatomy should be considered prior to needle puncture. RésuméContexte et objectifs Le bloc du plexus lombaire (PL) est une technique d'anesthésie régionale utile et souvent utilisée. Des repères cutanés servant à identifier le PL chez des patients ayant une colonne vertébrale normale ont été décrits antérieurement: la distance entre l'apophyse épineuse (AÉ ) et la peau recouvrant le PL étant approximativement les deux tiers de la distance séparant l'AÉ de l'épine iliaque postéro-supérieure (EIPS) (rapport AÉ -PL/AÉ -É IPS). Chez les patients scoliotiques, la rotation du névraxe peut rendre ces repères cutanés non fiables, menant possiblement à un plus grand taux d'échec

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“…Krivina se navadno počasi povečuje tudi v odraslosti. Linearno povečevanje za približno eno Cobbovo stopinjo na leto je bilo ugotovljeno pri napredujoči skoliozi odraslih (22). Skolioza se lahko v odraslosti, ko lahko zanjo krivimo le kostno preoblikovanje, pojavi tudi na novo.…”

Section: Rast In Preoblikovanje Kostiunclassified

Vloga reber pri nastanku in napredovanju idiopatske skolioze

Gogala

2017

SlovMedJour

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Vloga reber pri nastanku in napredovanju idiopatske skoliozeRole of the ribs in the onset and progression of idiopathic scoliosis andrej gogala IzvlečekPatogeneza idiopatske skolioze je še vedno predmet razprave, saj skupni vzrok ni bil odkrit. A pri njenem nastanku in napredovanju obstaja nekaj osnovnih načel. Krivino hrbtenice vedno spremlja zasukanost vretenc in prsnega koša. Če želimo razložiti načela, po katerih se ravna nastanek in napredovanje skolioze, moramo odgovoriti na nekaj vprašanj: 1. Zakaj stransko ukrivljenost hrbtenice vedno spremlja sukanje prsnega koša in vretenc, da so najbolj zasukana vretenca pri vrhu krivine; 2. Ali strukturno skoliozo določa primarna rast kosti v rastnih ploskvah vretenc ali kostno preoblikovanje, s katerim se kosti prilagajajo zunanjim obremenitvam; 3. Zakaj je večina prsnih krivin usmerjenih v desno; in 4. Kaj vodi v napredovanje skolioze? V tukaj predstavljeni teoriji je pozornost namenjena vlogi reber. Someren prsni koš drži vretenca v središčni osi telesa in preprečuje obračanje vretenc z dvojnimi sklepnimi površinami na vsaki strani vretenca. Rebra so povezana z medrebrnimi mišicami in se ne morejo razmakniti na izbočeni strani, ko se hrbtenica upogne. Krivina hrbtenice v prsnem predelu ni možna brez obračanja vretenc in deformacije reber. Rebra pri vrhu krivine povleče navznoter proti vretencem, ker so premaknjena dlje od sredine kot druga rebra. Z obračanjem vretenc pri vrhu krivine, ki jih rebra stiskajo, se prsni obseg zmanjša in napetost v steni popusti. Deformacija postane nepovratna, če nova rast ali razgradnja in preoblikovanje kosti spremenijo obliko reber in vretenc ali če vezi niso dovolj čvrste. Pri utrjevanju strukturne skolioze je preoblikovanje kosti verjetno pomembnejše kot primarna rast kosti. Ko prsni koš in vretenca postanejo strukturno zasukani, vretenca izgubijo ravnovesno podporo reber z obeh strani. Strižne sile reber dodatno obračajo vretenca in potiskajo telesa vretenc na izbočeno stran. Neprenehno napredovanje skolioze se začne. AbstractThe pathogenesis of idiopathic scoliosis is still a matter of debate as its common cause has not been found. But some basic principles of its onset and progression do exist. The curvature of the spine is always accompanied by rotation of the vertebrae and rib cage. If we want to explain the principles governing scoliosis onset and progression, we should answer some questions. First, why is side curvature of the spine always accompanied by rotation of the rib cage and vertebrae and vertebral rotation is maximal at the curve apex? Second, is structural scoliosis fixed by primary bone growth in growth plates of the vertebrae or by bone remodeling by which bones adapt to external loads? Third, why most of the curvatures are right thoracic? And fourth, what drives the progression of scoliosis? In the theory presented here, attention is given to the role of the ribs. Symmetrical rib cage fixes vertebrae in the midline of the body and prevents rotation of the vertebrae with dual articulating surfaces on each side ...

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Natural History of Progressive Adult Scoliosis

Cited by 106 publications

References 9 publications

Chiropractic Rehabilitation of a Scoliosis Family: Results from a 9-Year Follow-Up

Chiropractic Rehabilitation of a Scoliosis Family: Results from a 9-Year Follow-Up

Lumbar plexus block surface landmarks as assessed by computed axial tomography in adult patients with scoliosis: a case series

Vloga reber pri nastanku in napredovanju idiopatske skolioze

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