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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] As the condition progresses, it may alter a person's life, and hence can also be considered a disability. [10]
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.
The Risser sign is an indirect measure of skeletal maturity, whereby the degree of ossification of the iliac apophysis by x-ray evaluation is used to judge overall skeletal development. Mineralization of the iliac apophyses begins at the anterolateral crest and progresses medially towards the spine. Fusion of the calcified apophyses to the ...
The patient's age at presentation of scoliosis, the remaining growth, the menarche status and the magnitude of the curve are used to foresee the idiopathic scoliosis curve progression. However, the relative importance of each factor and how they may interact is not clearly defined. [ 7 ]
AIS is the most common form of idiopathic scoliosis, accounting for around 90% of all cases. [51][44] Adolescent Idiopathic Scoliosis affects between 1-4% of teenagers, [52][53] with treatment being required for only 0.25% of teenagers with the condition. An even smaller portion of individuals may die due to the severe curvature as well as the ...
Providence brace. The Providence brace is a nighttime spinal orthosis for the treatment of adolescent idiopathic scoliosis (AIS). The brace is used to curb the natural progression of scoliosis and prevent further curvature of the AIS patient's spine. The Providence brace was developed by Charles d'Amato and Barry McCoy, and is manufactured by ...
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] It has subsequently been adapted to classify sagittal plane deformity, especially in the setting of ...
Spinal disease also includes cervical spine diseases, which are diseases in the vertebrae of the neck. A lot of flexibility exists within the cervical spine and because of that, it is common for an individual to damage that area, especially over a long period of time. Some of the common cervical spine diseases include degenerative disc disease ...