High Satisfaction in Adolescent Idiopathic Scoliosis Patients on Enhanced Discharge Pathway J Pediatr Orthop. 2020 Mar; 40(3):e166-e170. . View in PubMed. Scoliosis-specific exercises: A state of the Art Review Spine Deform. 2020 Feb 24. . View in PubMed. Surgical Outcomes, Complications, and Long-Term Functionality for Free Vascularized Fibula Grafts in the Pediatric Population: A 17-Year Experience and Systematic Review of the Literature J Reconstr Microsurg. 2020 Feb 23. . View in PubMed. Comparison of Ponte Osteotomies and 3-Column Osteotomies in the Treatment of Congenital Spinal Deformity J Pediatr Orthop. 2019 Nov/Dec; 39(10):495-499. . View in PubMed. Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis Patients Glob Adv Health Med. 2019; 8:2164956119887720. . View in PubMed. Stomaching the pain of spinal fusion: gastrointestinal discomfort is as severe as back pain in 50% of adolescent idiopathic scoliosis patients following posterior spinal fusion J Child Orthop. 2018 Oct 01; ...
Email: [email protected]. Scoliosis Research Society Announces the Launch of SRS iExperience. Milwaukee, WI (September 23, 2020) - The Scoliosis Research Society (SRS) announced the launch of SRS iExperience. These interactive online courses are designed to be highly interactive, media rich courses that include direct instruction, animation, surgical techniques, interactive practice with feedback, and self-assessment. This new format hopes to bring personalized learning to spine deformity surgeons around the world, building competency and confidence in performing both surgical and non- surgical procedures.. The first iExperience course, focused on Early Onset Scoliosis (EOS), is now available on the SRS learning platform, BrightSpace. EOS module was created by an international editorial team (Laurel Blakemore, Sumeet Garg, Lawrence Haber, Brice Illharreborde, Ying Li and Muharrem Yazici) with the consultancy of Valugen. Procedures within the EOS course are: casting, growing rods, and hemivertebrae ...
Introduction Adolescent idiopathic scoliosis (AIS) is present in 2% to 4% of children between 10 and 16 years of age.1 It is recognized as a complex three-dimensional (3D) deformation of the spine with lateral deviation in the coronal plane, alternation of the kyphosis/lordosis in the sagittal plane and rotation of the vertebrae in the axial plane.
TY - JOUR. T1 - Comparison of the lowest instrumented, stable, and lower end vertebrae in single overhang thoracic adolescent idiopathic scoliosis. T2 - Anterior versus posterior spinal fusion. AU - Kuklo, Timothy R.. AU - OBrien, Michael F.. AU - Lenke, Lawrence G.. AU - Polly, David W.. AU - Sucato, Daniel S.. AU - Richards, B. Stephens. AU - Lubicky, John. AU - Ibrahim, Kamal. AU - Kawakami, Noriaki. AU - King, Andrew. PY - 2006/9. Y1 - 2006/9. N2 - STUDY DESIGN. A retrospective multicenter study. OBJECTIVE. To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with single overhang thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA. Previous studies have shown saving fusion levels with anterior spinal fusion, as opposed to posterior spinal fusion; however, to our knowledge, none of these studies evaluated the relative position to the lower end vertebra to compare study ...
In the hopes of helping parents whose infant or young children are diagnosed with progressive infantile idiopathic scoliosis, it would be a good idea for us to keep a running list of doctors who are known to treat infant/young children with serial corrective casts. If any of you are aware of more doctors, please add to the list. Many a parent whose infant child has progressed to surgery is painfully aware of the inadequacy of the status quo of watchful waiting/plastic bracing in the
In the hopes of helping parents whose infant or young children are diagnosed with progressive infantile idiopathic scoliosis, it would be a good idea for us to keep a running list of doctors who are known to treat infant/young children with serial corrective casts. If any of you are aware of more doctors, please add to the list. Many a parent whose infant child has progressed to surgery is painfully aware of the inadequacy of the status quo of watchful waiting/plastic bracing in the
TY - JOUR. T1 - Lumbar curve is stable after selective thoracic fusion for adolescent idiopathic scoliosis. T2 - A 20-year follow-up. AU - Larson, A. Noelle. AU - Fletcher, Nicholas D.. AU - Daniel, Cindy. AU - Richards, B. Stephens. PY - 2012/5/1. Y1 - 2012/5/1. N2 - STUDY DESIGN.: A retrospective cohort study comparing long-term clinical and radiographical outcomes using selective thoracic instrumented fusion versus long instrumented fusion for the treatment of adolescent idiopathic scoliosis (AIS). OBJECTIVE.: To evaluate long-term behavior of the lumbar curve in patients with AIS treated with selective thoracic fusion and to assess clinical outcome measures in this patient population compared with those patients treated with fusion in the lumbar spine. SUMMARY OF BACKGROUND DATA.: Selective thoracic fusion for the treatment of AIS preserves motion segments, but leaves residual lumbar deformity. Long-term results of selective fusion using segmental fixation are limited. METHODS.: Nineteen ...
Repeated radiation exposure during adolescence, specifically to the breast and thyroid gland, has been previously reported to be associated with the development of cancers; however, the exact correlation between radiation dose in children and adolescents is poorly understood. Our findings reveal a higher incidence of endometrial and breast cancer in our AIS cohort compared to the age-matched population in Denmark. Although previous studies have shown an increased breast cancer and breast cancer death in patients exposed to radiation for spinal deformities, this is the first study reporting the incidence of endometrial and breast cancer in a relatively healthy population of adolescent females after radiation exposure during the 1980s and 1990s. Looking at the total number of radiographic examinations, the patients who developed cancer had on average more…examinations than the cohort in general, the authors explain.. Further, the study showed that patients who developed endometrial cancers ...
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Classification of the spinal deformity in adolescent idiopathic scoliosis (AIS) remains two-dimensional (2D) as the spinal radiographs remain the mainstay in clinical evaluation of the disease. 3D classification systems are proposed, however are time consuming. We here aim to evaluate the clinical application of a 3D classification system by the use of only posterior-anterior and lateral radiographs in Lenke 1 adolescent idiopathic scoliosis (AIS). Forty Lenke 1 AIS were classified by five observers following a three-step flowchart, developed based on our previous 3D classification system. This 3D classification characterizes the curve in the frontal and sagittal views and infers the third dimension with rules based on prior data to determine the 3D subtypes of the curve. Repeated rating was performed for 20 randomly selected patients in the same cohort. In addition to the classification by the raters, the 3D model of the spines were generated to determine the actual curve subtype based on the algorithm
REFERENCES. 1. Haher TR, Merola A, Zipnick RI, Gorup J, Mannor D, Orchowski J. (1995) Meta-analysis of surgical outcome in adolescent idiopathicscoliosis. A 35-year English literature review of 11,000 patients. Spine (Phila Pa 1976). 1995;20(14):1575-84. [ Links ] 2. Terheyden JH, Wetterkamp M, Gosheger G, Bullmann V, Lijenqvist U, Lange T, et al. Predictors of shoulder level after spinal fusion in adolescente idiopathic scoliosis. Eur Spine J. 2016;27(2):370-80. [ Links ] 3. Qiu XS, Ma WW, Li WG, Wang B, Yu Y, Zhu ZZ, et al. Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathic scoliosis patients with double thoracic curve. Eur Spine J. 2009;18(1):45-51. [ Links ] 4. Andújar ALF, Rocha LEMR, Menezes CM. Surgical Techniques for Adolescent Idiopathic Scoliosis and the Selection of Fusion Levels. Aospine master series. 2017. [ Links ] 5. Zheng CK, Kan WS, Li P, Zhao ZG, Li K. Treatment for severe idiopathic upper thoracic scoliosis in ...
Study design: Case-Control Study Objectives: To analyse global sagittal alignment including the cranial center of mass (CCOM) and proximal junctional kyphosis (PJK) in Adolescent Idiopathic Scoliosis (AIS) patients treated with posterior instrumentation. Summary of background data: PJK plays an important role in the global sagittal alignment in AIS patients. Maintaining the head above the pelvis allows for a minimization of energy expense in ambulation and upright posture. Numerous studies have been performed to understand PJK phenomena in AIS patients. However, to our knowledge, no study performed on AIS patients included the head in the analysis of global sagittal alignment and PJK. Methods: This study included 85 AIS patients and 51 asymptomatic adolescents. Low-dose bi-planar X-rays were acquired for each subject preoperatively and at two years follow up. Two global sagittal alignment parameters were calculated, i.e. the angle between the vertical and the line joining the center of the ...
Adolescent idiopathic scoliosis is the most common form of scoliosis, affecting approximately 2% to 4% of adolescents. The incidence of scoliosis is about the same in males and females; however, females have up to a 10-fold greater risk of curve progression. Although most youths with scoliosis will not develop clinical symptoms, scoliosis can progress to rib deformity and respiratory compromise, and can cause significant cosmetic problems and emotional distress for some patients. For decades, scoliosis screenings were a routine part of school physical examinations in adolescents. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend against routine scoliosis screening in asymptomatic adolescents, concluding that harm from screening outweighs the benefit because screenings expose many low-risk adolescents to unnecessary radiographs and referrals. In contrast, the Scoliosis Research Society, American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, and
The Scoliosis Research Society (SRS) continues to be fully committed to education with great efforts to promote our societys international presence and our members expertise in all we do. There have been significant efforts over the past year and these are highlighted below. As the Education Council Chairman, I have been proud to watch all of the great accomplishments that have taken place in the committees under this council: Awards & Scholarships, CME, Education, E-Text, Global Outreach, IMAST, Patient Education, Program, Website, World Wide Conferences and committees. Separate reports from the Global Outreach and IMAST committees are in the current newsletter.. The Awards Committee, chaired by Stephen J. Lewis, MD, MSc, FRCSC carried on the SRS tradition of recognizing important contributors to the society and to the field of spinal deformity surgery. This years Lifetime Achievement award winners were Vernon T. Tolo, MD and Robert B. Winter MD; two icons in the field of spine deformity. ...
describes the treatment of adult idiopathic scoliosis with acupuncture and cupping at a Veterans Administration (VA) Department of Whole Health in Fargo, North Dakota. [Access requires a subscription.] This research was supported with the resources and the use of facilities at the Fargo VA. To the authors of the article, the results indicate that more research is needed on the efficacy of TCM [Traditional Chinese Medicine] for treating adult idiopathic scoliosis.. My takeaway is different. To me, the article confirms that the ideology of so-called integrative medicine is firmly imbedded in the VA and that veterans are being subjected to unethical, time-consuming, and worthless treatments that pose risks without the possibility of benefit. These treatments are being foisted upon veterans by health care providers who do not have sufficient knowledge of even the most basic medical facts behind their patients presenting condition. All of this, by the way, is being done on the taxpayers ...
The temporary muscular paralysis of the PM leads to radiological changes in the spinal deformity of thoracolumbar AIS. These radiographic changes were a significant improvement (lesser curve) in thoracic and lumbar Cobbs angle and a non-significant thoracic and significant lumbar derotation (changes in Nash and Moes classification), and a non-significant small average change in rib vertebra angles with an improvement on the convex side and a deterioration on the concave side. These changes were as expected better in the lumbar region, since the primary effect is in the lumbar region, thus having subsequent less change in the thoracic region as seen in Fig. 2. This implies that the spine muscles do play a role in maintaining the human adolescent idiopathic scoliosis by the muscle contraction or pull by the PM, which was to be expected if the muscle pull by contraction was released in the lumbar area with subsequent effect in the thoracic area as hypnotized earlier. We prescribed the ...
OBJECTIVE: This report of one case illustrates the potential effect of chiropractic manipulative therapy on back pain and curve progression in the at-risk, skeletally immature patient with adolescent idiopathic scoliosis.. CLINICAL FEATURES: A 15-year-old girl experienced right thoracic scoliosis for 4 years. She received regular (medical) rehabilitation and brace treatment for 4 years, but the curvature of the thoracic spine still progressed. The Cobb angle was 46 degrees and surgical intervention was suggested to prevent significant deformity, which may be accompanied by cardiopulmonary compromise.. INTERVENTION AND OUTCOME: This patient was treated with spinal manipulation two times per week for 6 weeks at the outset, which was gradually decreased in frequency. After 18 months of consecutive treatment, follow-up radiographs and examinations were conducted. The Cobb angle decreased by 16 degrees. Meanwhile, the patients lower backache eased and there was also an improvement in defecation ...
The first aim of this Database Registry is to maintain a prospective multicenter series of patients treated surgically for adolescent idiopathic scoliosis. Patients from multiple scoliosis centers around the U.S., as well as a center in Germany, will be enrolled with comprehensive analysis of the curve pattern being treated, as well as the type of surgery performed. The outcome of each surgical treatment will be analyzed. This will allow the frequency of various curve types to be determined, as well as the frequency of various surgical approaches utilized for each curve pattern ...
The Scoliosis Research Society honored Juergen Harms, MD, and Alberto Ponte, MD, with the 2019 SRS Lifetime Achievement Award on Sept. 19.
13 year old female with thoracic and lumbar pain from Adolescent Idiopathic Scoliosis. The patient had a significant rib hump due to the spinal curvature. Dr Robert Pashman performed posterior spinal fusion.
Adolescent Idiopathic Scoliosis (AIS) is a prevalent condition mainly affecting females with disease onset at early puberty. It can lead to serious health problems and is associated with low bone mass which can persist with growth. Osteopenia is found to be an important prognostic factor for curve progression in AIS. Nutritional studies indicated AIS subjects had low dietary calcium intake. Evidences suggested that Vit D insufficiency could be present in AIS. Calcium and vitamin D supplementation can therefore be a viable treatment option for low bone mass in AIS subjects. The primary objective of this prospective randomized double-blinded placebo-controlled trial is to find out whether calcium and vitamin D supplementation can improve bone mineral density (BMD) in osteopenic AIS subjects. The secondary objective of this study is to evaluate whether the supplementation is effective in controlling curve progression in AIS ...
Abstract: Adolescent Idiopathic Scoliosis (AIS) is defined as curvature of spine in the coronal plane with a Cobb angle of more than 10°. AIS affects 1-3% of children younger than 16 years of age. Less than 20% of those children will progress to severe deformity requiring interventions. Screening with clinical examination and selective radiographic assessment seems to be a cost-effective approach to filter specialist referrals but current literature is controversial. Evidence supports brace management of AIS for skeletally immature patients with primary scoliosis measuring 25°-40. The risk reduction for progression to the surgical range (deformity greater than 50 degrees) is 56%. Timely diagnosis and evidence-based brace management of AIS seem likely to reduce the surgical burden. The implementation of screening guidelines at the primary care level is a critical step ...
14-year-old female adolescent idiopathic scoliosis. Patient had a severe thoracic scoliosis and huge right thoracic hump. Normal neurological examination.
Synonyms and related keywords: abnormal curvature, bends, lateral curvature, curved spinal, spinal curvature, postural scoliosis, structural scoliosis, Dickson classification, Heuter-Volkman law, infantile idiopathic scoliosis, juvenile idiopathic scoliosis, adolescent idiopathic scoliosis, lordosis, kyphosis, angle of trunk rotation, ATR, Ponseti-Friedman classification, King-Moe classification, Lenke classification, Cobb-Webb technique, Cobb angle, Cobb-Webb angle, Nash-Moe ...
Isolated involvement of the posterior elements in spinal tuberculosis a review of twenty-four cases | Fibromyalgia trigger points massage adolescent idiopathic scoliosis|article link|instrumentation|Scoliosis|segment|six years Best UK Spinal Clinic Surgeons Revolutionary treatments
Experts in the diagnosis and treatment of adolescent idiopathic scoliosis comment on the positive effects of compliance counseling that motivated kids to wear their braces.
Founded by Patients, for Patients The National Scoliosis Foundation (NSF) is a patient-led nonprofit organization dedicated since 1976 to helping children, parents, adults, and health-care providers to understand the complexities of spinal deformities such as scoliosis. Cervical or Lumbar Kyphosis is not Scoliosis. These scoliosis cases fall into two groups: Nonstructural Scoliosis and Structural Scoliosis. On the other hand, structural scoliosis involves both a lateral curvature and rotation of the vertebrae.Unlike functional scoliosis, structural scoliosis does alter the spines structure. [4] Patient-reported side effects immediately after chiropractic scoliosis treatment: a cross-sectional survey utilizing a practice-based research network, Your email address will not be published. Structural Scoliosis is determined by your genetics and/or as a result of fused joints. Scoliosis Specific Exercise are designed to balance scoliosis curves. Non-structural scoliosis (functional or postural ...
This 18-year-olds lateral x-ray shows a 102-degree kyhpotic curve related to severe adolescent idiopathic scoliosis. The actual degree of the kyphotic curvature is probably underestimated, because the rotation of the spine (scoliosis-related) makes it difficult to see the vertebral bodies.
Cheng, H.H.Y., Huang, Z.W., Cheung, J.C.C., Zheng, Y.P., Chow, D.H.K. (2013, February). The application of asymmetric loading for spine curvature correction in subjects with adolescent idiopathic scoliosis. ISPO World Congress 2013, Hyderabad, India ...
In a case-control study a statistically significant association was recorded between the introduction of infants to heated indoor swimming pools and the development of adolescent idiopathic scoliosis (AIS). In this paper, a neurogenic hypothesis is formulated to explain how toxins produced by chlorine in such pools may act deleteriously on the infants immature central nervous system, comprising brain and spinal cord, to produce the deformity of AIS. Through vulnerability of the developing central nervous system to circulating toxins, and because of delayed epigenetic effects, the trunk deformity of AIS does not become evident until adolescence. In mature healthy swimmers using such pools, the circulating neurotoxins detected are chloroform, bromodichloromethane, dibromochloromethane, and bromoform. Cyanogen chloride and dichloroacetonitrile have also been detected. In infants, the putative portals of entry to the blood could be dermal, oral, or respiratory; and entry of such circulating small molecules
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.
Adolescent idiopathic scoliosis is an abnormal curvature of the spine that appears in late childhood or adolescence. Explore symptoms, inheritance, genetics of this condition.
The descriptor idiopathic provides ample evidence that risk factors or prevention strategies for developing adolescent idiopathic scoliosis (AIS) are limited.
TY - JOUR. T1 - Incidence, risk factors, and natural course of proximal junctional kyphosis. T2 - Surgical outcomes review of adult idiopathic scoliosis. minimum 5 years of follow-up. AU - Yagi, Mitsuru. AU - King, Akilah B.. AU - Boachie-Adjei, Oheneba. PY - 2012/8/1. Y1 - 2012/8/1. N2 - STUDY DESIGN. A retrospective case series of surgically treated patients with adult scoliosis. OBJECTIVE. The purpose of this study was to evaluate the incidence, risk factors, and natural course of proximal junctional kyphosis (PJK) in a long-term follow-up of patients with adult idiopathic scoliosis undergoing long instrumented spinal fusion. SUMMARY OF BACKGROUND DATA. Although recent reports have showed the prevalence, clinical outcomes, and the possible risk factors of PJK, quite a few reports have showed long-term follow-up outcome. MATERIALS AND METHODS. This is a retrospective review of the charts and radiographs of 76 consecutive patients with adult scoliosis treated with long instrumented spinal ...
Description of disease Structural scoliosis. Treatment Structural scoliosis. Symptoms and causes Structural scoliosis Prophylaxis Structural scoliosis
Diagnosis Code M41.02 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Summary: The SAQ is a valid measure of self‐image in patients with adolescent idiopathic scoliosis. It has higher correlation coefficient to curve magnitude than the SRS Appearance domain and total score. It also discriminates between patients who require surgery from those who do not.. Introduction: The Scoliosis Appearance Questionnaire (SAQ) was originally developed from the Walter Reed Visual Assessment Scale. Although the SAQ has been administered to a large sample of patients with adolescent idiopathic scoliosis (AIS) treated surgically, its psychometric properties have only been studied in a small sample of patients. The purpose of this study is to evaluate the validity of the SAQ.. Methods: The SAQ was administered to patients seen in the clinic for evaluation of AIS. This included patients who were being observed, braced or scheduled for surgical treatment of their curves. The SAQ was administered concurrently with the Scoliosis Research Society‐22 (SRS‐22) questionnaire. Standard ...
BACKGROUND: The feasibility of conducting a definitive randomised controlled trial (RCT) evaluating the clinical effectiveness and cost-effectiveness of scoliosis-specific exercises (SSEs) for adolescent idiopathic scoliosis (AIS) is uncertain. OBJECTIVES: The aim of this study was to assess the feasibility of conducting a large, multicentre trial of SSE treatment for patients with AIS, in comparison with standard care, and to refine elements of the study design. The objectives were to (1) update a systematic review of controlled trials evaluating the efficacy of SSE in AIS; (2) survey UK orthopaedic surgeons and physiotherapists to determine current practice, patient populations and equipoise; (3) randomise 50 adolescents to a feasibility trial of either usual care or SSE interventions across a range of sites; (4) develop, document and assess acceptability and adherence of interventions; (5) assess and describe training requirements of physiotherapists; and (6) gain user input in all relevant stages of
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Tracey P. Bastrom, Carrie E. Bartley, Peter O. Newton, Harms Study GroupAbstractStudy DesignObservational.ObjectiveTo examine changes in patient-reported two-year postoperative outcomes via the Scoliosis Research Society (SRS)-24 Outcomes Instrument from 2001 through 2015.Summary of Background DataTechniques f...
Ahmad, T.S. (2011) Mahmood Merican Award for Masters in Orthopaedic Surgery Trainees in Malaysia. Malaysian Orthopaedic Journal, 5 (3). pp. 35-37.. Boo, L.; Sofiah, S.; Selvaratnam, L.; Tai, C.C.; Belinda, P.M.; Kamarul , T. (2009) A preliminary study of human amniotic membrane as a potential chondrocyte carrier. Malaysian Orthopaedic Journal, 3 (2). pp. 16-23.. Chan, C.K.; Goh, J.H.; Ng, W.M.; Kwan, M.K.; Merican, A.M.; Soong, K.L. (2010) Staged surgery for severe soft tissue and bone loss of the knee. Malaysian Orthopaedic Journal, 4 (2). pp. 40-43. ISSN 1985-2533. Chan, C.K.; Merican, A.M.; Nawar, A.M.; Hanifah, Y.A.; Thong, K.L. (2010) Necrotising Fasciitis of the Lower Limb caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus. Malaysian Orthopaedic Journal, 4 (3). pp. 36-38. ISSN 1985-2533. Chan, C.Y.; Saw, L.B.; Kwan, M.K. (2009) Comparison of Srs-24 and Srs-22 Scores in thirty eight adolescent idiopathic scoliosis patients who had undergone surgical correction. ...
TY - JOUR. T1 - Pulmonary function after thoracoplasty in adolescent idiopathic scoliosis. AU - Chen, Shih Hao. AU - Huang, Tsung Jen. AU - Lee, Yan Yaw. AU - Hsu, Robert Wen Wei. PY - 2002. Y1 - 2002. N2 - The current study evaluated sequential pulmonary function tests prospectively at a minimum of 2 years after thoracoplasty in adolescent patients with idiopathic scoliosis. Twenty patients were divided into two groups: Group I (n=12) was comprised of patients who had posterior instrumented fusion with external thoracoplasty, and Group II (n=8) was comprised of patients who in addition to a posterior instrumented fusion, had an anterior release and fusion via video-assisted thoracoscopic surgery (n=4) or open thoracotomy (n=4) because of rigid severity. Forced vital capacity and forced expiratory volume in 1 second of percent predicted values in Group I declined 9% at 3 months postoperatively and returned to the preoperative baseline at 1 year. However, forced vital capacity and forced ...
Conservative Treatment:. The main goal of conservative treatment of adolescent idiopathic scoliosis is to halt the progression of the scoliotic curve. There is much debate over which type of treatment is most effective in the conservative management of AIS. In the United States, the general course of care in patients with growth remaining is; watchful waiting, followed by bracing if there is a curve progression to greater than 25 degrees7. The main goal of bracing is to halt the progression of the curve until the patient reaches skeletal maturity7. There are many different types of braces used for treatment of scoliosis. These include but are not limited to: TriaC brace, SpineCor, Wilmington brace, Rosenberg brace, Boston brace, Charleston bending brace, and the Cheneau brace (click on names to be redirected to pictures). There are a few studies that show the longer the brace is worn, the more effective they are7.Physical therapy is the main treatment in European countries7. Physical therapy ...
Infantile idiopathic scoliosis is a compensatory result of cranial and sacral intraosseous dysfunction associated with asymmetric developmental deformation of the occiput, leading to dysfunction of the sphenobasilar synchondrosis. A female infant with progressive infantile idiopathic scoliosis diagnosed at age 12 months (46.9° left scoliotic curve) initially received standard orthopedic care, including casting. The patient presented for osteopathic evaluation at age 14 months, at which time her scoliotic curve was 52°. The patient wore a Risser cast extending from T1-L5 at her first osteopathic manipulative treatment (OMT) visit, which included osteopathic cranial manipulative medicine. Her parents chose to have the cast removed at age 17 months, with a 23° curve remaining. For approximately 12 months, OMT was the only continued, consistent treatment, which occurred once per month. By 28 months of age, radiographs measured 0° of scoliosis. This case demonstrates that OMT can dramatically ...
Progressive idiopathic scoliosis can negatively influence the development and functioning of 2-3% of adolescents, with health consequences and economic costs, placing the disease in the centre of interest of the developmental medicine. The aim of this study was to evaluate the effectiveness of Chêneau brace in the management of idiopathic scoliosis. A prospective observational study according to SOSORT and SRS recommendations comprised 79 patients (58 girls and 21 boys) with progressive idiopathic scoliosis, treated with Chêneau brace and physiotherapy, with initial Cobb angle between 20 and 45 degrees, no previous brace treatment, Risser 4 or more at the final evaluation and minimum one year follow-up after weaning the brace. Achieving 50° of Cobb angle was considered surgical recommendation. At follow-up 20 patients (25.3%) improved, 18 patients (22.8%) were stable, 31 patients (39.2%) progressed below 50 degrees and 10 patients (12.7%) progressed beyond 50 degrees (2 of these 10 patients
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Retrospective study. To evaluate the radiological results of fusion with segmental pedicle screw fixation in juvenile idiopathic scoliosis with a minimum 5-year follow-up. Progression of spinal deformity after posterior instrumentation an
As the worlds population ages, adult spinal deformity (ASD) is fast becoming a global spinal epidemic. Although accurate estimates are difficult, the prevalence is reported to be as high as 60% in individuals older than 60 years [1]. Adult deformity can be of two types. Adult idiopathic scoliosis represents patients who have a history of idiopathic scoliosis in childhood that present with symptoms related to degenerative arthritis within the curve. Degenerative or De novo scoliosis represents patients without preexisting spinal deformity who present with spinal deformity secondary to degenerative spinal changes [2]. It is hypothesized that asymmetric disc degeneration and facet arthritis with lateral and/or rotatory listhesis is responsible for the development of de novo scoliosis in adults. Usually, the age of presentation of patients with degenerative scoliosis is in the 6th decade. The typical presentation is either axial back pain or radiculopathy (radicular or neurogenic claudication). ...
TY - JOUR. T1 - Improvement in Back and Leg Pain and Disability Following Adult Spinal Deformity Surgery. T2 - Study of 324 Patients With 2-year Follow-up and the Impact of Surgery on Patient-reported Outcomes. AU - International Spine Study Group. AU - Verma, Ravi. AU - Lafage, Renaud. AU - Scheer, Justin. AU - Smith, Justin. AU - Passias, Peter. AU - Hostin, Richard. AU - Ames, Christopher. AU - Mundis, Gregory. AU - Burton, Douglas. AU - Kim, Han Jo. AU - Bess, Shay. AU - Klineberg, Eric Otto. AU - Schwab, Frank. AU - Lafage, Virginie. PY - 2019/2/15. Y1 - 2019/2/15. N2 - STUDY DESIGN: A retrospective review of a prospective, multicenter adult spinal deformity (ASD) database. OBJECTIVE: Our objective was to quantify the change in disability reported for patients with radiculopathy as compared with patients with back pain only following ASD realignment surgery. SUMMARY OF BACKGROUND DATA: Studies utilizing patient-reported outcomes (PROs) have shown that ASD patients suffer from significant ...
If a curve on the x-ray exceeds a Cobb angle of 20 degrees and the child is still growing, brace treatment is applied. Braces for scoliosis correction have been used since ancient times and are an irreplaceable part of the conservative treatment of scoliosis. The goal is to halt curve progression and to attempt to achieve a full or partial curve correction.. Currently different types and forms of bracing are being used in the world. Braces are custom crafted for each individual and must correspond to the patients spinal curve pattern in order to implement correction during a childs growth period. Bracing traditions in various countries differ . The first successes where achieved in the USA in the 1920s by the Milwaukee brace using a high frame construction and a halo ring under the chin. The form of this brace is however very uncomfortable for the patient, and the results of such brace treatment , from a current standpoint, are not sufficient. Nevertheless, in the USA , Milwaukee-type braces ...
Osteoblastoma is a rare and benign tumor which requires early diagnosis and surgical excision. Scoliosis is a common presentation following osteoblastoma. It is considered due to pain-provoked muscle spasm on the side of the lesion. Few researches about osteoblastoma combined with severe scoliosis have been reported. A 14-year-old girl presents with progressive scoliosis deformity for 3 years, with gradually appeared low back pain and numbness of left leg. Radiographic results showed osteoblastic mass at the left side of L3-L4 with severe scoliosis deformity, pelvic obliquity and spinal imbalance. The patient underwent posterior tumor excision, spinal decompression, scoliosis correction, spinal fusion with auto-graft and instrumentation from T8-S1. The mass was found to be osteoblastoma. The patient had a full neurological recovery with no aggravate of scoliosis or spinal imbalance during the follow-up. This case emphasizes the importance of early diagnosis and surgical treatment of osteoblastoma. Early
Scoliosis screening has been practiced worldwide for several decades and has offered dependable data about the prevalence, etiology and natural course of idiopathic scoliosis [1]. Adolescent idiopathic scoliosis (AIS), in which abnormal structural curvature of the spine is the exclusive diagnosis, is reported only when other causes of scoliosis have been ruled out [2]. The gold standard to diagnose scoliosis is through radiographic examination, although several studies have indicated a relationship with surface back deformities measured by topography [3], a scoliometer, an integrated shape imaging system [4], and other methods. In terms of school screening, not only is radiographic examination expensive, but parents also worry about their children being exposed to too much radiation.. Vertebral rotations with subsequent rib deformity will cause trunk asymmetry. Adams bending test will display more prominent back hump. The Nash-Moe method [5] is one of the methods used to assess the extent of ...
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UNiD is the first patient-specific device cleared to treat degenerative spine conditions including scoliosis and other type of deformities, which represent a $2 billion market opportunity in the U.S. alone. According to the National Scoliosis Foundation, an estimated six million people in the U.S. have scoliosis. Each year scoliosis patients make more than 600,000 visits to private physician offices, and an estimated 38,000 patients undergo spinal fusion surgery. Adult spinal deformity surgery is likely to increase in frequency with as much as 32 percent of the adult population suffering from scoliosis and a prevalence of 60 percent among the elderly. Hospital costs of adult spinal deformity surgery can exceed $100,000 per patient. Revisions and reoperations place a large financial burden on the health care system - increasing the average cost of adult spinal deformity surgery by more than 70 percent. The market for revision surgeries is growing at a significant rate because of the number of ...
TY - JOUR. T1 - Treatment for frailty does not improve complication rates in corrective surgery for adult spinal deformity. AU - Yagi, Mitsuru. AU - Michikawa, Takehiro. AU - Hosogane, Naobumi. AU - Fujita, Nobuyuki. AU - Okada, Eijiro. AU - Suzuki, Satoshi. AU - Tsuji, Osahiko. AU - Nagoshi, Narihito. AU - Asazuma, Takashi. AU - Tsuji, Takashi. AU - Nakamura, Masaya. AU - Matsumoto, Morio. AU - Watanabe, Kota. PY - 2019/5/15. Y1 - 2019/5/15. N2 - Study Design.A retrospective multicenter database review of 240 consecutive patients at least 21 years of age (mean 58±17, range 22-79) who underwent surgery for adult spinal deformity (ASD) and were followed at least 2 years.Objective.To investigate how treatment for frailty affects complications in surgery for ASD.Summary of Background Data.Several recent studies have focused on associations between frailty and surgical complications. However, it is not clear whether treating frailty affects complication rates in surgery for ASD.Methods.Patients ...
In adolescent idiopathic … The purpose of this study was to investigate the effects of a 4 week physiotherapy programme on patients who were given a spinal orthosis for neuromuscular scoliosis. Intraoperative traction has shown improved curve correction in neuromuscular scoliosis surgery. , It is found to be superior to anterior release in terms of correction of both main curve and pelvic obliquity. This group was matched with 25 patients with AIS scoliosis. Scoliosis is a common deformity in neuromuscular disorders. Preliminary Safety and Tolerability of a Novel Subcutaneous Intrathecal Catheter System for Repeated Outpatient Dosing of Nusinersen to Children and Adults With Spinal Muscular Atrophy. Scoliosis is a type of spinal deformity where the the vertebrae of the spine have an excessive curve to one side (laterally when looking from the back). Chong HS, Moon ES, Park JO, Kim DY, Kho PA, Lee HM, Moon SH, Kim YS, Kim HS. Epub 2014 Dec 18. Results: Cerebral palsy; Idiopathic scoliosis; Pain ...
MAYET, Z; LUKHELE, M and MOHAMMED, N. Risser sign: trends in a South African population. SA orthop. j. [online]. 2010, vol.9, n.4, pp.20-25. ISSN 2309-8309.. INTRODUCTION: In scoliosis management the five stages of the Risser sign on the iliac crest have been widely used as a tool to assess skeletal age and remaining spinal growth. However, as with other markers of skeletal age, it is under the influence of genetic and environmental factors. Proof of this was given by Risser, who observed that children in warmer climates developed earlier. Numerous other authors have also shown differences for other measures of maturity between different race groups. OBJECTIVE: This study was aimed at determining the trends of Iliac crest apophyseal ossification as represented by the Risser sign in the South African population and how it compares with that published by Scoles et al in their population group. METHOD: Radiographs of patients between the ages of 8 to 20 years undergoing abdominal X-rays for ...
Cotrel-Dubousset Instrumentation for Scoliosis. Stehling L. ed. Common problems in pediatric anesthesia. 2nd ed. Chicago, Illinois: Year Book Medical Publishers, Inc. 1992; 505-12 ...
BACKGROUND CONTEXT Scoli-RISK-1 is a multicenter prospective cohort designed to study neurologic outcomes following complex adult spinal deformity (ASD). The effect of unilateral versus bilateral postoperative motor deficits on the likelihood of long-term recovery has not been previously studied in this population. PURPOSE To evaluate whether bilateral postoperative neurologic deficits have a worse recovery than unilateral deficits. STUDY DESIGN Secondary analysis of a prospective, multicenter, international cohort study. METHODS In a cohort of 272 patients, neurologic decline was defined as deterioration of the American Spinal Injury Association Lower Extremity Motor Scores (LEMS) following surgery. Patients with lower extremity neurologic decline were grouped into unilateral and bilateral cohorts. Differences in demographics, surgical variables, and patient outcome measures between the two cohorts were analyzed. RESULTS A total of 265 patients had LEMS completed at discharge. Unilateral ...
Several signs of scoliosis in an adult are the same as those in an adolescent. Patients with scoliosis might notice that one shoulder appears to be higher than another. They might have an uneven waist and notice that their hips are not in line. One side of the body may show a prominence in the rib cage, and one shoulder blade may be more prominent than another. Scoliosis can make the torso tilt to one side and can even result in the legs seeming to be of unequal lengths.. Since scoliosis is a sideways curve, it is not usually obvious when viewing a patients profile. However, adults with scoliosis may lean forwards in order to try to stretch out the back, especially if a nerve in the spine is being pinched.. Patients with Adult Degenerative Scoliosis often experience back pain. The pain is usually located in the lower back (ie the lumbar region). In some cases, adults with scoliosis may also notice shooting pain in their legs.. While adult degenerative scoliosis may cause modest problems in many ...
Advances in pre-operative optimization, operative techniques and perioperative management have made surgical intervention a reasonable alternative for an increasing number of patients. Multiple investigators have reported substantial benefit of surgery with respect to pain, self-image, function, and ability to perform physical activities [10,15]. These benefits have been demonstrated despite the complexity of spinal realignment procedures and a substantial perioperative complication rate. There is a large body of evidence demonstrating positive mid- to long-term outcomes following surgical intervention for adult spinal deformity [16]. Yadla et al [10] found that operative intervention for adult spinal deformity is associated with improvement in both radiographic and clinical outcomes at a minimum 2-year follow-up. Similarly we have also found in our study that there was significant improvement in clinical as well as radiological parameters in our patient groups which has proven the benefits of ...
Institutional Review Board approval was obtained before initiating the study. A 73-year-old woman reported an improvement in pain in her back and buttocks following a cracking sound in her back. The patient described to have had back and buttock pain for several years as a result of her lumbar degenerative flat-back (Fig. 1A), for which she underwent deformity correction surgery (anterior lumbar interbody fusion of L2-L3-L4-L5-S1, pedicle subtraction osteotomy [PSO] at L4, and posterior screw fixation from T10 to pelvis) 33 months ago (Fig. 1B). Her pelvic parameters described in Table 1, were measured before deformity correction, 7 days postoperatively, and 1 year postoperatively, following RF and reoperation. Following the operation, the patient experienced back and buttock pain for which she regularly took medications. She described the pain that frequently felt heavy and stretched in her back and buttock, and also felt like being bulled her back posteriorly, which made her regret getting ...
TY - JOUR. T1 - Paraspinal muscle size as an independent risk factor for proximal junctional kyphosis in patients undergoing thoracolumbar fusion. AU - Pennington, Zach. AU - Cottrill, Ethan. AU - Ahmed, A. Karim. AU - Passias, Peter. AU - Protopsaltis, Themistocles. AU - Neuman, Brian J. AU - Kebaish, Khaled M. AU - Ehresman, Jeff. AU - Westbroek, Erick M.. AU - Goodwin, Matthew L.. AU - Sciubba, Daniel. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Objective: Proximal junctional kyphosis (PJK) is a structural complication of spinal fusion in 5%.61% of patients treated for adult spinal deformity. In nearly one-third of these cases, PJK is progressive and requires costly surgical revision. Previous studies have suggested that patient body habitus may predict risk for PJK. Here, the authors sought to investigate abdominal girth and paraspinal muscle size as risk factors for PJK. Methods: All patients undergoing thoracolumbosacral fusion greater than 2 levels at a single institution over a 5-year period with ...
STUDY DESIGN: Retrospective comparative study. OBJECTIVE: To evaluate the outcome of bracing in patients with juvenile idiopathic scoliosis (JIS) at either skeletal maturity or time of scoliosis surgery. SUMMARY OF BACKGROUND DATA: JIS is generally thought to have poor outcomes with high rates of surgical fusion. METHODS: All patients with JIS between the ages of 4 and 10 years treated with a brace at the Hospital for Sick Children (SickKids) between 1989 and 2011 were eligible. Data were collected from patient health records until either 2 years after skeletal maturity or date of surgery. RESULTS: The average age at diagnosis of 88 patients with JIS was 8.4 ± 1.4 years, with a female to male ratio of approximately 8:1. Pretreatment, Risser score was zero for 80 patients (91%); 72 (92%) of the females were premenarche; and primary Cobb angles ranged from 20° to 71°. Of the 88 patients, 60 (68%) had used a thoracolumbosacral orthosis exclusively; 28 (32%) patients used other braces (Milwaukee,
Existence of a proper jaw line in individuals is one of the most desired attributes for personality judgement since ages. Some may be blessed with attractive jaw lines and some may not be that lucky. Some may have lost their proper jaw formation due to injuries, accidents etc. For those unfortunate individuals, jaw correction surgery or orthognathic surgery (medical term) is a boon that is brought about by advancements in the dental field. It is a surgical procedure done to realign the deformed jaw structure to acquire facial symmetry and to treat deformations. Corrective jaw surgery helps to treat wide range of conditions as explained below in this blog.. Asymmetry of jaws - It is a condition in which there are non uniformities within the upper and lower jaws or left and right side of jaws causing discomfort. This may happen due to un-uniform growth by age or due to injuries. This condition can be corrected by treatments that may include wearing an orthopaedic dental appliance, conditioning of ...
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Idiopathic scoliosis occurs when there is no known cause of the spinal curve; it is the most common type of scoliosis. If left untreated, can cause heart, lung, and other back problems. While some patients benefit from wearing a brace, patients with a curve around 50 degress must undergo a surgery called called posterior spinal fusion with instrumentation to stop the progression of the curve and stabilize the spine. It is important to understand the risks related to surgery as well as what happens before, during, and after the procedure is performed.
0132]This figure illustrates the shifts of curve pattern of the values of Percentage of Oxygen Saturation when the program is modified from [A] to [E]. Reference [A] shows a curve pattern obtained by measuring DO concentrations of clean water under Program A, which indicates the capacity of an aeration device. Reference [B] shows a curve pattern obtained by measuring DO concentrations of the suspension mixture under Program B, which indicates the treatment capacity of activated sludge. Reference [C] shows a curve pattern obtained by measuring DO concentrations of the suspension mixture under Program C, which indicates the adaptability of activated sludge to the pollutants. Reference [D] shows a curve pattern obtained by measuring DO concentrations of the suspension mixture under Program D, which indicates the acclimatisation level of nitrifying micro-organisms. Reference [E] shows a curve pattern obtained by measuring DO concentrations in the suspension mixture under Program E, which indicates ...
Detailed step by step desription of Posterior Screws - With direct vertebral body derotation for Lenke 3 located in our module on Adolescent idiopathic scoliosis
SAN DIEGO, CA - July 10, 2017 - NuVasive, Inc. (NASDAQ: NUVA), a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, today announced the Company is a leading sponsor of the Scoliosis Research Societys (SRS) International Meeting On Advanced Spine Techniques (IMAST) being held July 12-15, 2017 in Cape Town, South Africa. NuVasive will host hands-on workshops featuring the latest advanced technologies in treating scoliosis.. NuVasive workshops at the event will include the MAGEC® system, which utilizes innovative magnetic technology within adjustable growing rods to treat early-onset scoliosis (EOS); the Companys flagship XLIF® procedure, the only lateral approach procedure proven by over 10 years of clinical evidence; and the Integrated Global Alignment® (iGA) platform.. NuVasive will showcase spines fastest growing spinal deformity portfolio on the show floor at IMAST 2017, including the iGA platform. The ...
Dr. Heary is active in many professional societies including the American Association of Neurological Surgeons (AANS), Congress of Neurological Surgeons (CNS), AANS/CNS Joint Section on Disorders of the Spine & Peripheral Nerves, the Academy of Neurological Surgeons, Scoliosis Research Society, Lumbar Spine Research Society, Neurosurgical Society of America and the Society of Neurological Surgeons. He has held numerous leadership posts within those organizations including serving as Chairman of the AANS/CNS Joint Section on Disorders of the Spine & Peripheral Nerves. Dr. Heary has also served as the President of both the New Jersey Neurosurgical Society and the New Jersey Spine Society for three years each. He is currently a Director-at-Large on the Board of Directors of the American Association of Neurological Surgeons (AANS) and is the President-elect of the Lumbar Spine Research Society (term begins in 2017 ...
Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because of its location between the stiff kyphotic thoracic spine and the mobile lordotic lumbar region. To compare between short-segment fixation with screws into index level and long-segment fixation in maintaining angle of correction and pain. A prospective study included 91 patients, who had single-level thoracolumbar fracture with Cobbs angle ≤ 25° and underwent posterior fixation. Forty-four patients underwent short-segment fixation with screws into the index level, and 47 patients underwent long-segment fixation with skipped index level. The angle of correction, pain, and neurological state were regularly assessed. Forty-four patients (48.35%) had short segment and 47 (51.65%) had long-segment fixation. In the short segment group, the pre-operative mean Cobbs angle was 19.34° ± 3.63° and the angle of correction was 8.14° ± 1.9° after 1 year, while in the long
With the arrival of summer, June also heralds the start of Scoliosis Awareness Month. The Scoliosis Research Society declared this month a key time to focus on detection and early treatment for this condition, which affects nearly 3% of Americans. Typically detected between the ages of 10 and 15, scoliosis is characterized by an abnormal lateral (sideways) curvature of the spine. Curvature can range from mild to severe, and may cause pain, low self-esteem, and in severe cases, issues with movement or breathing. In children, bones are still growing and developing, which presents an opportunity to prevent further progression of scoliosis with a back brace. For teens and adults, however, the adult bone structure has set, and braces are not common interventions.. Early detection of scoliosis is the very best way to minimize progression of spinal curvature or the need for surgery later on. Methods of detection can include in-school screenings, regular pediatric physical exams, and evaluations by a DC ...
With the arrival of summer, June also heralds the start of Scoliosis Awareness Month. The Scoliosis Research Society declared this month a key time to focus on detection and early treatment for this condition, which affects nearly 3% of Americans. Typically detected between the ages of 10 and 15, scoliosis is characterized by an abnormal lateral (sideways) curvature of the spine. Curvature can range from mild to severe, and may cause pain, low self-esteem, and in severe cases, issues with movement or breathing. In children, bones are still growing and developing, which presents an opportunity to prevent further progression of scoliosis with a back brace. For teens and adults, however, the adult bone structure has set, and braces are not common interventions.. Early detection of scoliosis is the very best way to minimize progression of spinal curvature or the need for surgery later on. Methods of detection can include in-school screenings, regular pediatric physical exams, and evaluations by a DC ...
With the arrival of summer, June also heralds the start of Scoliosis Awareness Month. The Scoliosis Research Society declared this month a key time to focus on detection and early treatment for this condition, which affects nearly 3% of Americans. Typically detected between the ages of 10 and 15, scoliosis is characterized by an abnormal lateral (sideways) curvature of the spine. Curvature can range from mild to severe, and may cause pain, low self-esteem, and in severe cases, issues with movement or breathing. In children, bones are still growing and developing, which presents an opportunity to prevent further progression of scoliosis with a back brace. For teens and adults, however, the adult bone structure has set, and braces are not common interventions.. Early detection of scoliosis is the very best way to minimize progression of spinal curvature or the need for surgery later on. Methods of detection can include in-school screenings, regular pediatric physical exams, and evaluations by a DC ...
With the arrival of summer, June also heralds the start of Scoliosis Awareness Month. The Scoliosis Research Society declared this month a key time to focus on detection and early treatment for this condition, which affects nearly 3% of Americans. Typically detected between the ages of 10 and 15, scoliosis is characterized by an abnormal lateral (sideways) curvature of the spine. Curvature can range from mild to severe, and may cause pain, low self-esteem, and in severe cases, issues with movement or breathing. In children, bones are still growing and developing, which presents an opportunity to prevent further progression of scoliosis with a back brace. For teens and adults, however, the adult bone structure has set, and braces are not common interventions.. Early detection of scoliosis is the very best way to minimize progression of spinal curvature or the need for surgery later on. Methods of detection can include in-school screenings, regular pediatric physical exams, and evaluations by a DC ...
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Children’s National has a team of highly-specialized experts that work together to correct idiopathic scoliosis in adolescents using posterior spinal fusion surgery.
Robert Rover, MD a San Francisco Bay Area spine surgeon is performing a surgical technique to bring better outcomes in scoliosis surgery, as reported by Beckers Spine Review.. Dr. Robert Rovner: 3 Points on a New Technique for Better Outcomes in Scoliosis Surgery. Written by Laura Dyrda. Robert Rovner, MD, MBA, a spine surgeon, has developed a new technique for scoliosis correction. He discusses some ways in which the traditional surgery fails and how this new technique could create better outcomes in the future.. How current techniques can still fail patients. When a patient presents a case with severe scoliosis, surgery may be necessary to correct the problem. Early correction techniques involved fusions, but those procedures didnt correct the curve; they only prevented it from worsening. Technology has evolved so surgeons can perform instrumentation for curve correction as well. Surgeons insert rods and attach them to the spine to bring the spine segments to the rods. For a more natural ...