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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 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]
The Scoliosis Research Society has proposed a range of 40° and 60° as measured between the upper endplate of Th12 and the upper endplate of S1. [18] Individual studies, although using other reference points, have found normal ranges up to approximately 85°. [18] It is generally more pronounced in females. [18]
X-ray image of an Idiopathic scoliosis. The neuromechanics of idiopathic scoliosis is about the changes in the bones, muscles and joints in cases of spinal deformity consisting of a lateral curvature scoliosis and a rotation of the vertebrae within the curve, that is not explained by either congenital vertebral abnormalities, or neuromuscular disorders such as muscular dystrophy.
The CVA is an anatomic concept of the relationship of the 12th rib to the transverse processes of the lumbar vertebrae. [1] There is one CVA on each side of the spine. [2] The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. [1]
In Germany, a standard treatment for both Scheuermann's disease and lumbar kyphosis is the Schroth method, a system of physical therapy for scoliosis and related spinal deformities. [18] It involves lying supine, placing a pillow under the scapular region and posteriorly stretching the cervical spine.
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