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English: Graph showing the incidence of scoliosis progression according to the progression factor, which is calculated by the formula: Cobb Angle - (3 x Risser Sign) Progression Factor = ──────────────────────────────── Chronological Age
The curve is usually S- or C-shaped over three dimensions. [2] [7] In some, the degree of curve is stable, while in others, it increases over time. [3] Mild scoliosis does not typically cause problems, but more severe cases can affect breathing and movement. [3] [8] Pain is usually present in adults, and can worsen with age. [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.
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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[7] Scoliosis cases with Cobb angles between 40 and 50 degrees at skeletal maturity progress at an average of 10 to 15 degrees during a normal lifetime. Cobb angles of more than 50 degrees at skeletal maturity progress at about 1 to 2 degrees per year. [8]
Normal person [left] vs Kyphosis patient [right] Scoliosis [left] vs Normal [right] RSP could be a symptom of some medical conditions, such as kyphosis, scoliosis or ankylosing spondylitis. [23] Kyphosis is a spinal disorder that contributes to excessive curvature of the upper back, [24] leading to a hunched posture and RSP.