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Showing posts with the label thoracic scoliosis

Childhood AIS in an Adult.....

ScoliosisJournal have reported on an unusual case where the reversal of childhood idiopathic scoliosis is now present in the patient as an adult, without surgery: a case report and literature review Authors: William J Brooks, Elizabeth A Krupinski and Martha C Hawes Background Some patients with mild or moderate thoracic scoliosis (Cobb angle Case Presentation A diagnosis of thoracic scoliosis (Cobb angle 45 degrees) with pectus excavatum and thoracic hypokyphosis in a female patient (DOB 9/17/52) was made in June 1964. Immediate spinal fusion was strongly recommended, but the patient elected a daily home exercise program taught during a 6-week period of training by a physical therapist. This regime was carried out through 1992, with daily aerobic exercise added in 1974. The Cobb angle of the primary thoracic curvature remained unchanged. Ongoing clinical symptoms included dyspnea at rest and recurrent respiratory infections. A period of multimodal treatment with clinical monitoring a...

Wedging Vertebral Body | Thoracic & Lumbar Scoliosis

Authors: Hitesh N Modi, Seung Woo Suh, Hae-Ryong Song, Jae-Hyuk Yang, Hak-Jun Kim and Chetna H Modi Differential wedging of vertebral body and intervertebral disc in thoracic and lumbar spine in adolescent idiopathic scoliosis- A cross sectional study in 150 patients. Background Hueter-Volkmann's law regarding growth modulation suggests that increased pressure on the end plate of bone retards the growth (Hueter) and conversely, reduced pressure accelerates the growth (Volkmann). Literature described the same principle in Rat-tail model. Human spine and its deformity i.e. scoliosis has also same kind of pattern during the growth period which causes wedging in disc or vertebral body. Methods This cross sectional study in 150 patients of adolescent idiopathic scoliosis was done to evaluate vertebral body and disc wedging in scoliosis and to compare the extent of differential wedging of body and disc, in thoracic and lumbar area. We measured wedging of vertebral bodies and discs, alon...