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Cobb angle measurement of a scoliosis; concave side on the left; convex side on the right Vertebra and curves of the vertebral column. Cobb angle is a common measure to classify scoliosis. The greater the angle, the more serious is the disease but the smaller is the number of patients.
Scoliosis affects 2–3% of the United States population, or about five to nine million cases. [4] A scoliosis (spinal column curve) of 10° or less affects 1.5–3% of individuals. [100] The age of onset is usually between 10 years and 15 years (but can occur younger) in children and adolescents, making up to 85% of those diagnosed.
The management of scoliosis is complex and is determined primarily by the type of scoliosis encountered: syndromic, congenital, neuromuscular, or idiopathic. [1] Treatment options for idiopathic scoliosis are determined in part by the severity of the curvature and skeletal maturity , which together help predict the likelihood of progression.
The involved group of vertebrae demonstrates a coupled relationship between sidebending and rotation. When the spine is neutral, side bending forces are applied to a group of typical vertebrae and the entire group will rotate toward the opposite side: the side of produced convexity [3] Extreme type I dysfunction is similar to scoliosis.
Kyphoscoliosis describes an abnormal curvature of the spine in both the coronal and sagittal planes. It is a combination of kyphosis and scoliosis.This musculoskeletal disorder often leads to other issues in patients, such as under-ventilation of lungs, pulmonary hypertension, difficulty in performing day-to-day activities, and psychological issues emanating from anxiety about acceptance among ...
The Cobb angle is named after the American orthopedic surgeon John Robert Cobb (1903–1967). It was originally used to measure coronal plane deformity on radiographs with antero-posterior projection for the classification of scoliosis. [9]
A patient's back is completely straight if they do not have scoliosis. The test, named after William Adams, was described in 1865. He discovered "the nature of the rotational element of scoliosis" after performing a postmortem on surgeon and geologist Gideon Mantell, who had suffered from spinal problems for years. [2] [3]
Lateral pelvic tilt describes tilting toward either right or left and is associated with scoliosis or people who have legs of different length. It can also happen when one leg is bent while the other remains straight, in that case the bent side's hip can follow the femur as knee lowers towards the ground.
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