Progression or not progression? How to deal with adolescent idiopathic scoliosis during puberty

Diméglio, Alain; Canavese, Federico

doi:10.1007/s11832-012-0463-6

Cited by 56 publications

(67 citation statements)

References 20 publications

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“…In terms of the latissimus dorsi region during habitual standing, the convex and concave sides have a significant difference ( p = 0.043). This is consistent with the findings of Mannion et al where the concave side of the paraspinal muscles has lower bioelectric activity which caused muscle impairment at the convex side [ 30 ].…”

Section: Discussionsupporting

confidence: 93%

Evaluation of Myoelectric Activity of Paraspinal Muscles in Adolescents with Idiopathic Scoliosis during Habitual Standing and Sitting

Kwok

Yip

Cheung

et al. 2015

BioMed Research International

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There is a number of research work in the literature that have applied sEMG biofeedback as an instrument for muscle rehabilitation. Therefore, sEMG is a good tool for this research work and is used to record the myoelectric activity in the paraspinal muscles of those with AIS during habitual standing and sitting. After the sEMG evaluation, the root-mean-square (RMS) sEMG values of the paraspinal muscles in the habitual postures reflect the spinal curvature situation of the PUMC Type Ia and IIc subjects. Both groups have a stronger average RMS sEMG value on the convex side of the affected muscle regions. Correction to posture as instructed by the physiotherapist has helped the subjects to achieve a more balanced RMS sEMG ratio in the trapezius and latissimus dorsi regions; the erector spinae in the thoracic region and/or erector spinae in the lumbar region. It is, therefore, considered that with regular practice of the suggested positions, those with AIS can use motor learning to achieve a more balanced posture. Consequently, the findings can be used in less intrusive early orthotic intervention and provision of care to those with AIS.

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Section: Discussionsupporting

confidence: 93%

Evaluation of Myoelectric Activity of Paraspinal Muscles in Adolescents with Idiopathic Scoliosis during Habitual Standing and Sitting

Kwok

Yip

Cheung

et al. 2015

BioMed Research International

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“…49,50,52 An early indicator of puberty is ossification of the sesamoid bone of the thumb on anteroposterior (AP) radiographs. 12 As a general rule, during the acceleration phase of puberty, any spinal curve that increases by 1° per month is likely to be progressive, while one increasing by 0.5° can be monitored closely. Any curve increasing by < 0.5° per month is considered mild.…”

Section: Assessment Of Curves and Classificationsmentioning

confidence: 99%

Evaluation and management of adolescent idiopathic scoliosis: a review

Jada

Mackel

Hwang

et al. 2017

Neurosurgical Focus

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Adolescent idiopathic scoliosis (AIS) is a 3D spinal deformity affecting children between the ages of 11 and 18, without an identifiable etiology. The authors here reviewed the available literature to provide spine surgeons with a summary and update on current management options.Smaller thoracic and thoracolumbar curves can be managed conservatively with observation or bracing, but corrective surgery may be indicated for rapidly growing or larger curves. The authors summarize the atypical features to look for in patients who may warrant further investigation with MRI during diagnosis and review the fundamental principles of the surgical management of AIS.Patients with AIS can be managed very well with a combination of conservative and surgical options. Outcomes for these children are excellent with sustained longer-term results.

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“…This, however, does not have any impact clinically in the management of AIS as patients with a Risser sign of 0 can be identified through observation of the Tanner stage, which is a scale depicting the physical development of children, adolescents and adults. Patients in Risser stage 0 are generally in Tanner stage 1 [ 10 ]. In Tanner stage 1, the secondary sexual characteristics have yet to develop.…”

Section: Radiographymentioning

confidence: 99%

Imaging in the Diagnosis and Monitoring of Children with Idiopathic Scoliosis

Ng¹,

Bettany‐Saltikov²

2017

TOORTHJ

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The paper reviews the current imaging methods in the diagnosis and monitoring of patients with adolescent idiopathic scoliosis. Radiography is generally used in the initial diagnosis of the condition. Postero-anterior erect full spine radiograph is generally prescribed, and is supplemented by lateral full spine radiograph when indicated. To reduce the radiation hazard, only the area of interest should be exposed, and follow-up radiographs should be taken with as few projections as possible. When available, EOS® stereoradiography should be used. The radiation of the microdose protocol is 45 times less than that of the conventional radiography. Surface topography offers another approach to monitoring changes of curvatures in AIS patients. Recently, 3D ultrasound has been found to be able to measure the Cobb angle accurately. Yet, it is still in the early developmental stages. The inherent intrinsic and external limitations of the imaging system need to be resolved before it can be widely used clinically. For AIS patients with atypical presentation, computed tomography (CT) and/or magnetic resonance imaging (MRI) may be required to assess for any underlying pathology. As CT is associated with a high radiation dose, it is playing a diminishing role in the management of scoliosis, and is replaced by MRI, which is also used for pre-operative planning of scoliosis.The different imaging methods have their limitations. The EOS® stereoradiography is expensive and is not commonly available. The surface topography does not enable measurement of Cobb angle, particularly when the patient is in-brace. The 3D ultrasound scanning has inherent intrinsic technical limitation and cannot be used in all subjects. Radiography, however, enables diagnosis and monitoring of the adolescent idiopathic scoliosis (AIS). It is thus the gold standard in the evaluation and management of scoliosis curves.

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Progression or not progression? How to deal with adolescent idiopathic scoliosis during puberty

Abstract: Idiopathic scoliosis is a growing spine disorder. Only a perfect knowledge of normal growth parameters such as bone age, stages of puberty, standing and sitting height, arm spam, Tanner stages, and weight allow the surgeon to plan the best treatment at the right moment.

Cited by 56 publications

References 20 publications

Evaluation of Myoelectric Activity of Paraspinal Muscles in Adolescents with Idiopathic Scoliosis during Habitual Standing and Sitting

Evaluation of Myoelectric Activity of Paraspinal Muscles in Adolescents with Idiopathic Scoliosis during Habitual Standing and Sitting

Evaluation and management of adolescent idiopathic scoliosis: a review

Imaging in the Diagnosis and Monitoring of Children with Idiopathic Scoliosis

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