Scoliosis - The current concepts

Sengupta, Dilip K.; Webb, John K.

doi:10.4103/0019-5413.58600

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…There is much controversy about the benefits of school screening (12). Some of the risk factors that are considered to favor the development of scoliosis are: genetic, biomechanical and a combination of metabolic and growth factors (13). When we talk about congenital defects, the number of cases can rise to 75%, and the rest is caused by poliomyelitis, cerebral paralysis, juvenile osteoporosis and other diseases.…”

Section: Pathogenesis and Progressionmentioning

confidence: 99%

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Bakula

Šantić

Milinković

2022

Zdravstveni Glasnik

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Scoliosis is the most common orthopedic deformity in children, characterized by a three-dimensional curvature of the spine; lateral inclination in the frontal plane, rotation in the transvesical plane and alteration in the sagittal plane (anterior or posterior). The problem of improper posture in children is one of the significant problems of the modern way of life, and it appears at an increasingly early age. It is estimated that there are around 10.5 million scoliosis sufferers on the planet. About 60% to 80% of all cases are detected in women, and they are five to eight times more likely to progress and require treatment. Progression occurs during the years of growth, from the age of 7 the growth is 36%, and from the age of 10 even 52%. Specific exercises are the main instrument of conservative treatment of scoliosis. They have been used since 500 BC, when Hippocrates, followed by Galen, introduced their use as a means of maintaining the flexibility of the chest wall. Over the years, various methods have been developed, the most famous of which is Schroth (Germany), then Bspts (Spain), Seas (Italy), Dopomed (Poland). The exercise program consists of strengthening certain muscle groups and of performing respiratory exercises and it contains: breathing exercises, stretching exercises for shortened muscles, exercises for strengthening the paravertebral musculature, and posture exercises. A good and effective kinesiotherapy program should be based on a kinesiological analysis of selected kinesiological operators.

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Section: Pathogenesis and Progressionmentioning

confidence: 99%

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Bakula

Šantić

Milinković

2022

Zdravstveni Glasnik

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“…Since the 1900s, the surgical approach to scoliosis has changed as thoughts and possibilities have evolved. 1 2 3 4 5 6 7 8 Nowadays, progressive spinal deformities can be managed with specific orthopedic devices, or vertebral arthrodesis surgery. As known, arthrodesis is not considered the best treatment for younger patients; however, it becomes almost inevitable to cure important deformities of the spine.…”

Section: Introductionmentioning

confidence: 99%

Radiologic and histological observations in experimental T1–T12 dorsal arthrodesis

Canavese

Diméglio

Barbetta

et al. 2016

IJOO

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Background:This experimental study provides a qualitative description and the morpho-structural features of the fusions taking place in the thoracic spine between prepubertal age and skeletal maturity. There is a lack of informations regarding the influence of partial or total dorso-thoracic vertebral arthrodesis on the development of the thoracic cage as well as its potential effects on different intra and extra-thoracic organs. This study admits the hypothesis that vertebral arthrodesis may have influence on other body areas and so, it intends to verify the possible secondary involvement of other body parts, such as intervertebral discs, cervical and thoracic spinal ganglia, sternocostal cartilage, ovaries and lungs.Materials and Methods:Fifty-four female New Zealand white rabbits were submitted to dorsal arthrodesis. The radiologic imaging and light microscopy histological pictures were taken and studied in all. Computed tomography (CT) scan measurements were performed in operated and sham operated rabbits at different time. Similarly, histological specimens of intervertebral discs, cervical and thoracic spinal ganglia, sternocostal cartilage, ovaries and lungs were analyzed at different times. The study ended at the age of 17–18 months.Results:Most rabbits had formed a fusion mass, which was only fibrous at first, then osteofibrous and finally, in the older subjects, structured in lamellar-osteon tissue. Intervertebral foramens were negatively involved in vertebral arthrodesis, as shown by CT scans. Intervertebral discs showed irregular aspects. The increase of atresic follicles and the reduction of primordial follicles in operated rabbits led to the hypothesis of a cause-effect relationship between arthrodesis and modified hormonal status. Dorsal root ganglia showed microscopic alterations in operated rabbits especially.Conclusions:The process of fusion mass and bone formation, associated with the arthrodesis, involves at different degrees of the vertebral bodies, discs and intervertebral foramens, ganglia and spinal nerve roots.

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2013

Ferri's Clinical Advisor 2013

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Scoliosis - The current concepts

Cited by 4 publications

References 27 publications

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Radiologic and histological observations in experimental T1–T12 dorsal arthrodesis

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