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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 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.
Adolescent idiopathic scoliosis (AIS) is a disorder in which the spine starts abnormally curving sideways between the ages of 10–18 years old. [ 1 ] [ 2 ] [ 3 ] Generally, AIS occurs during the growth spurt associated with adolescence.
The earlier the stage of growth, the greater the likelihood of a scoliosis progressing and potentially needing intervention. [2] Note that although Risser first described his findings during a 1948 lecture [ 3 ] and published the eponymous paper in 1958, [ 4 ] formalized staging systems were developed at a later time.
Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.
Scoliosis [4] (abnormal curvature of the spine to the left or right) Urinary irregularities (incontinence or retention) [4] Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory, motor, bowel, and bladder control issues emerge. This delayed presentation of symptoms relates to the degree of strain on the spinal cord over ...
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.
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