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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.
One study conducted on 20 patients with either scoliosis, kyphosis, or kyphoscoliosis found that the most improvement occurred within the first 3 weeks of treatment. According to this study, the spinal curve had improved by 63.7% during the first two weeks, which decreased to 24.3% at 3 weeks, and to 15.9% at 4 weeks. [ 38 ]
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.
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Introduced in 1983, Cotrel–Dubousset Instrumentation is a treatment approach to scoliosis. Unlike Harrington rods , this treatment is more than just an osteodistraction mechanism and allows correction of some of the features of scoliosis untreatable by Harrington rods, such as rib hump.
Adolescent idiopathic scoliosis (AIS) is a disorder in which the spine starts abnormally curving sideways between the ages of 10 and 18 years old. [ 1 ] [ 2 ] [ 3 ] Generally, AIS occurs during the growth spurt associated with adolescence.
Published by BioMed Central, Scoliosis and Spinal Disorders is the official journal of the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) and is also affiliated with the International Research Society of Spinal Deformities (IRSSD), Hellenic Spine Society (HSS), Italian Scoliosis and Spine Study Group (GSS), Italian ...
Flatback syndrome is a problem that develops in some patients treated with Harrington rod instrumentation, where the rod extends down into lower part of the lumbar spine. Because the Harrington cannot follow the natural lordosis of the lower back (i.e. the backwaist curve), the spine is straightened out into an unnatural position. At first, the ...