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Scoliosis and Spinal Disorders

Rebecca J Crawford, Quentin J Malone, Roger I Price
BACKGROUND: Interspinous spacer/implants like the Device for Intervertebral Assisted Motion (DIAM™) are controversially yet commonly used in the surgical treatment of lumbar degenerative pathologies. Criticism is based on ill-defined indications, lack of superiority over decompression, and a poorly understood mechanical effect. Yet, continued use by surgeons implies their perceived clinical merit. We examined radiographic spinal alignment for 12 months, and pain and function for 24 months, after DIAM-augmented surgery to improve the understanding of the mechanical effect relating to clinical outcomes in patients...
2017: Scoliosis and Spinal Disorders
Dino Samartzis, Theodoros B Grivas
No abstract text is available yet for this article.
2017: Scoliosis and Spinal Disorders
Ziad A Audat, Mahmoud H Hajyousef, Mohammad D Fawareh, Khaldoon M Alawneh, Mohannad A Odat, Mohammad M Barbarawi, Ali A Alomari, Rami A Jahmani, Mohammad A Khatatbeh, Mohammed A Assmairan
BACKGROUND: This was a prospective study to evaluate the effect of multilevel vertebral augmentation in addition to conventional therapy in multiple myeloma patients. METHODS: We treated 27 patients, whom were recently diagnosed to have multiple myeloma by two ways of treatment. Thirteen patients (group I) were treated with conventional therapy and 14 patients (group II) with adding vertebroplasty and kyphoplasty. Patients were evaluated pre-treatment and at half, one, two and 3-years post-treatment by using Oswestry Disability Index (ODI), the Stanford Score (SS) and the Spinal Instability Neoplastic Score (SINS)...
2016: Scoliosis and Spinal Disorders
Steve C N Hui, Jean-Philippe Pialasse, Judy Y H Wong, Tsz-Ping Lam, Bobby K W Ng, Jack C Y Cheng, Winnie C W Chu
BACKGROUND: Patients with adolescent idiopathic scoliosis (AIS) frequently receive x-ray imaging at diagnosis and subsequent follow monitoring. The ionizing radiation exposure has accumulated through their development stage and the effect of radiation to this young vulnerable group of patients is uncertain. To achieve the ALARA (as low as reasonably achievable) concept of radiation dose in medical imaging, a slot-scanning x-ray technique by the EOS system has been adopted and the radiation dose using micro-dose protocol was compared with the standard digital radiography on patients with AIS...
2016: Scoliosis and Spinal Disorders
A Grauers, E Einarsdottir, P Gerdhem
Idiopathic scoliosis (IS), the most common spinal deformity, affects otherwise healthy children and adolescents during growth. The aetiology is still unknown, although genetic factors are believed to be important. The present review corroborates the understanding of IS as a complex disease with a polygenic background. Presumably IS can be due to a spectrum of genetic risk variants, ranging from very rare or even private to very common. The most promising candidate genes are highlighted.
2016: Scoliosis and Spinal Disorders
Christine Wibmer, Petra Groebl, Alexander Nischelwitzer, Beate Salchinger, Matthias Sperl, Helmut Wegmann, Hans-Peter Holzer, Vinay Saraph
BACKGROUND: It is important to monitor how patients with juvenile and adolescent idiopathic scoliosis comply with their physiotherapeutic scoliosis-specific exercises (PSSE). Physiogame, a newly developed video game using the Game-Trak 3D interactive game controller, combines correct PSSE performance with gaming. It tracks the position of the working limb in 3D space during the exercises as participants aim to hit certain targets and avoid others, and gives direct feedback by stopping the game if the working limb leaves the target 3D space, which is chosen to secure the corrective position according to the Schroth method...
2016: Scoliosis and Spinal Disorders
Theodoros B Grivas, Jean Claude de Mauroy, Grant Wood, Manuel Rigo, Michael Timothy Hresko, Tomasz Kotwicki, Stefano Negrini
BACKGROUND: The current increase in types of scoliosis braces defined by a surname or a town makes scientific classification essential. Currently, it is a challenge to compare braces and specify the indications of each brace. A precise definition of the characteristics of current braces is needed. As such, the International Society for Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) mandated the Brace Classification Study Group (BCSG) to address the pertinent terminology and brace classification...
2016: Scoliosis and Spinal Disorders
Sarah Galvis, Douglas Burton, Brandon Barnds, John Anderson, Richard Schwend, Nigel Price, Sara Wilson, Elizabeth Friis
BACKGROUND: While adolescent idiopathic scoliosis (AIS) produces well characterized deformation in spinal form, the effect on spinal function, namely mobility, is not well known. Better understanding of scoliotic spinal mobility could yield better treatment targets and diagnoses. The purpose of this study was to characterize the spinal mobility differences due to AIS. It was hypothesized that the AIS group would exhibit reduced mobility compared to the typical adolescent (TA) group. METHODS: Eleven adolescents with right thoracic AIS, apices T6-T10, and eleven age- and gender-matched TAs moved to their maximum bent position in sagittal and coronal plane bending tasks...
2016: Scoliosis and Spinal Disorders
Andrea Lebel, Victoria Ashley Lebel
BACKGROUND: Scoliosis is a complex three-dimensional (3D) spinal deformity. Acquired scoliosis in early childhood may progress into adulthood and pose an increased risk of health problems and reduction in quality of life. In Canada, patients with scoliosis are not referred for physiotherapeutic scoliosis-specific exercises (PSSE) despite the fact that Schroth physiotherapy, a scoliosis-specific 3D posture training and exercise program, can be effective in reducing pain and improving scoliosis curves, vital capacity, and overall quality of life in scoliosis patients...
2016: Scoliosis and Spinal Disorders
Hagit Berdishevsky
BACKGROUND: No studies examine the efficacy of intensive specific physical therapy (PT) exercises along with brace for the adult with Scheuermann's kyphosis (SK). The aim of this study was to examine the effects of intensive PT based on the Barcelona Scoliosis Physical Therapy School (BSPTS) and SpinoMed brace on a 76-year-old female with SK. CASE DESCRIPTION: A 76-year-old female, diagnosed with SK as an adolescent, presented in October 2014 with thoracic hyperkyphosis T1 to T12 Cobb angle of 85° and lumbar hyper lordosis L1 to L5 Cobb angle of 70°...
2016: Scoliosis and Spinal Disorders
Alessandra Negrini, Sabrina Donzelli, Laura Maserati, Fabio Zaina, Jorge H Villafañe, Stefano Negrini
BACKGROUND: Despite its importance in affecting adult pain, and disability, there is a lack of universal criteria for the diagnosis and evaluation of thoraco-lumbar Junctional Kyphosis (JK) and a gold standard measurement and diagnostic system does not exist. This study aims to verify the sensibility and specificity of clinical, and Formetric surface topography (FST) data in identifying Junctional Kyphosis in respect to the radiographical standard references. METHODS: Design: This is a cross sectional study from a prospective database started in March 2003...
2016: Scoliosis and Spinal Disorders
Krzysztof Korbel, Łukasz Stoliński, Mateusz Kozinoga, Tomasz Kotwicki
BACKGROUND: First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria. A retrospective analysis of medical records of 2705 girls treated from 1989 to 2002 was carried out. METHODS: Age, Cobb, Risser and menarchal status were analyzed for compliance with the Scoliosis Research Society brace studies criteria: a) age ≥10 years, b) Risser 0-2, c) 25-40° Cobb angle, d) no earlier treatment, e) patients before first menses or not more than one year from first menses...
2016: Scoliosis and Spinal Disorders
Karina Zapata, Eric C Parent, Dan Sucato
BACKGROUND: We are unaware of any studies describing the immediate effects of scoliosis-specific exercises on the Cobb angle measured by radiograph. This study aimed to describe the differences between radiographs obtained with and without corrective exercises after initial training and after one year. METHODS: A female with adolescent idiopathic scoliosis was first seen at age 13 years, 0 months with a Risser 0. She had a 43(o) left lumbar, 15(o) right thoracic curve...
2016: Scoliosis and Spinal Disorders
Theodoros B Grivas, R Geoffrey Burwell, Vasileios Kechagias, Christina Mazioti, Apostolos Fountas, Dimitra Kolovou, Evangelos Christodoulou
BACKGROUND: The historical view of scoliosis as a primary rotation deformity led to debate about the pathomechanic role of paravertebral muscles; particularly multifidus, thought by some to be scoliogenic, counteracting, uncertain, or unimportant. Here, we address lateral lumbar curves (LLC) and suggest a pathomechanic role for quadrates lumborum, (QL) in the light of a new finding, namely of 12th rib bilateral length asymmetry associated with idiopathic and small non-scoliosis LLC. METHODS: Group 1: The postero-anterior spinal radiographs of 14 children (girls 9, boys 5) aged 9-18, median age 13 years, with right lumbar idiopathic scoliosis (IS) and right LLC less that 10°, were studied...
2016: Scoliosis and Spinal Disorders
Sabrina Donzelli, Fabio Zaina, Monia Lusini, Salvatore Minnella, Stefano Respizzi, Luca Balzarini, Salvatore Poma, Stefano Negrini
BACKGROUND: Scoliosis is a three dimensional deformity, and brace correction should be 3D too. There is a lack of knowledge of the effect of braces, particularly in the sagittal and transverse plane. The aim of this study is to analyse the Sforzesco Brace correction, through all the parameters provided by Eos 3D imaging system. METHOD: Design: This is a cross sectional study from a prospective database started in March 2003. Participants: 16 AIS girls (mean age 14...
2016: Scoliosis and Spinal Disorders
Angelo G Aulisa, Francesco Falciglia, Marco Giordano, Giuseppe Mastantuoni, Andrea Poscia, Vincenzo Guzzanti
BACKGROUND: Conservative treatment in the Scheuermann's kyphosis obtain, during skeletal growth, remodelling of the deformed vertebras. In a previous paper on Scheuermann's kyphosis, we have studied the geometry variations of all vertebrae included in the curve, before and after the treatment. The purpose of this study was to confirm the effectiveness of conservative treatment in Scheuermann's kyphosis and was to evaluate and compare the variation of the vertebral geometry with the curve trend in Cobb degrees, before and after conservative treatment...
2016: Scoliosis and Spinal Disorders
Patrick Knott, Baron Lonner, Mark Smith, Erin Frommeyer, Yuan Ren
BACKGROUND: Clinicians who assess and treat patients for scoliosis typically use parameters that are all visible from the posterior view. Radiographs assess the internal spinal deformity, but do not directly evaluate body shape, either posterior or anterior. This is problematic, as the patient is most concerned about the way they appear in the mirror. An objective set of anterior measurements is needed to help quantify the anterior asymmetry that is present in scoliosis. METHODS: The design of this system of assessment was developed as a consensus of thinking from four points of view...
2016: Scoliosis and Spinal Disorders
Jakub Michoński, Katarzyna Walesiak, Anna Pakuła, Wojciech Glinkowski, Robert Sitnik
BACKGROUND: Low back and pelvic pain is one of the most frequently reported disorders in pregnancy, however etiology and pathology of this problem have not been fully determined. The relationship between back pain experienced during pregnancy and posture remains unclear. It is challenging to measure reliably postural and spinal changes at the time of pregnancy, since most imaging studies cannot be used due to the radiation burden. 3D shape measurement, or surface topography (ST), systems designed for posture evaluation could potentially fill this void...
2016: Scoliosis and Spinal Disorders
Nikos S Karavidas
BACKGROUND: Most recent publications have provided evidence for brace treatment in spinal deformities. The purpose of this study was to evaluate the rate of overtreatment for AIS and Kyphosis in Greece, according to the Society on Scoliosis Orthopedic Rehabilitation Treatment (SOSORT) and the Scoliosis Research Society (SRS) guidelines for brace treatment. To date, this is the first study to investigate overtreatment percentage in a group of patients with spinal deformities. METHODS: Cross-sectional study design and data analysis were performed in a group of patients that received treatment in a private clinic, in 2014...
2016: Scoliosis and Spinal Disorders
Jean Claude de Mauroy, Cyril Lecante, Frédéric Barral, Sophie Pourret
BACKGROUND: Despite the frequency of adult scoliosis, very few publications concern the conservative orthopaedic treatments. The indications have not been defined to date. The experience of a department specialized in rigid bracing allows us to consolidate and clarify diagnosis and indications as well. METHODS: Individual observational prospective cohort study from a database started in 1998, with selection of all 739 adult scoliosis patients for which conservative orthopaedic treatment has been proposed to, even in case of drop-out...
2016: Scoliosis and Spinal Disorders
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