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Scoliosis (pl.: scolioses) is a condition in which a person's spine has an irregular curve [2] in the coronal plane. 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]
The upper cervical spine has a curve, convex forward, that begins at the axis (second cervical vertebra) at the apex of the odontoid process or dens and ends at the middle of the second thoracic vertebra; it is the least marked of all the curves. This inward curve is known as a lordotic curve. A thoracic spine X-ray of a 57-year-old male.
Together the lumbar and thoracic curves bring the body's center of gravity directly over the feet. [7] Specifically, the S-shaped curve in the spine brings the center of gravity closer to the hips by bringing the torso back. Balance of the whole vertebral column over the hip joints is a major contribution for efficient bipedalism. [17]
The vertebral column, also known as the spinal column, spine or backbone, is the core part of the axial skeleton in vertebrate animals.The vertebral column is the defining and eponymous characteristic of the vertebrate endoskeleton, where the notochord (an elastic collagen-wrapped glycoprotein rod) found in all chordates has been replaced by a segmented series of mineralized irregular bones ...
Lordosis is historically defined as an abnormal inward curvature of the lumbar spine. [1] [2] However, the terms lordosis and lordotic are also used to refer to the normal inward curvature of the lumbar and cervical regions of the human spine. [3] [4] Similarly, kyphosis historically refers to abnormal convex curvature of the spine
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.
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Those with Cobb angle of more than 60° usually have respiratory complications. [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.