Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics^®methods in an adolescent with back pain: a case report

Abstract

To present the structural improvement of an excessive junctional thoracolumbar kyphosis and related biomechanical parameters in an adolescent. [Participant and Methods] A 16 year old female presented with chronic back pains. Radiographic assessment revealed excessive posterior sagittal balance and thoracolumbar kyphosis and reduced lumbar lordosis and sacral inclination. Chiropractic BioPhysics ® technique including mirror image ® , anterior thoracic translation and thoracolumbar hyperextension traction was performed as well as spinal manipulation and postural exercises over an 8-week period. [Results] After 24 in-office treatments and a daily home program the patient reported a minimization of back pains and a better mood. Follow-up X-rays demonstrated a 48 mm reduction of posterior sagittal balance, a 22° reduction of thoracolumbar kyphosis, an 11° increase in lumbar lordosis, and a 10° increase in sacral inclination. [Conclusion] This is the first case documenting the non-surgical reduction of excessive thoracolumbar junctional kyphosis and related biomechanical parameters in an adolescent. Precise analysis of radiologic assessment for adolescents presenting with back pains is advised and are safe for the screening of postural disorders. There is a growing evidence base for the Chiropractic BioPhysics ® technique approach in the correction of lumbar spine disorders; more research is encouraged to further evaluate this unique treatment.

Reduction of thoraco-lumbar kyphosis results in the alleviation of low back pain in an adolescent basketball player: a Chiropractic Biophysics^® (CBP^®) case report

“…Spinal traction was similar to that performed in the Gubbels et al case (Fig. 3) 14) . The patient was standing with a strap placed to hold the patient against a vertical backboard as it was positioned across the anterior portion and at the top of the leg.…”

“…Several reviews have summarized the evidence of clinical trials and case studies spanning over 25 years showing the efficacy of CBP methods of, for example, increasing cervical lordosis [6][7][8] , increasing lumbar lordosis 9,10) reducing thoracic kyphosis 11) , as well as reducing lateral head 12) and lateral thoracic 13) translations. Other spinal deformities, however, have also been shown to be improved including the reduction of thoraco-lumbar kyphosis 14) .…”

“…In the non-surgical treatment of thoraco-lumbar kyphosis, there has only been one case demonstrating its reduction by CBP methods 14) . Gubbels et al 14) showed a 22° reduction in a thoraco-lumbar deformity (T10-L3) in a 16 year old female after 24 treatments over an 8-week period.…”

“…In the non-surgical treatment of thoraco-lumbar kyphosis, there has only been one case demonstrating its reduction by CBP methods 14) . Gubbels et al 14) showed a 22° reduction in a thoraco-lumbar deformity (T10-L3) in a 16 year old female after 24 treatments over an 8-week period. The structural realignment corresponded with the reduction of back pains associated with standing for prolonged periods and the alleviation of pain during sleep.…”

Radiophobic Fear-Mongering, Misappropriation of Medical References and Dismissing Relevant Data Forms the False Stance for Advocating Against the Use of Routine and Repeat Radiography in Chiropractic and Manual Therapy

“…case reports/series) should be viewed as important and considered in guidelines created for the manual therapies, particularly chiropractic. 127 , 128 When considering the chiropractic and manual therapy literature showing improvements in other spine and pelvis deformities/subluxation types, there is evidence showing reduction of anterior whole-spine sagittal balance, 129 , 130 reduction of cervical pseudo-scoliosis, 131 - 133 reduction of lumbar pseudo-scoliosis, 134 , 135 increase in thoracic hypokyphosis (straight back syndrome), 136 - 138 reduction of thoracolumbar kyphosis, 139 increase in lumbar kyphosis (flat back syndrome), 82 reduction of lumbar hyperlordosis and pelvic tilt, 140 reduction of cervical spondylolisthesis, 141 , 142 and reduction of lumbar spondylolisthesis. 143 , 144…”