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Scoliosis

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996:(2003) asserted the lifelong physical health, including cardiopulmonary and neurological functions, and mental health of people with idiopathic scoliosis are comparable to those of the general population. Scoliosis that interferes with normal systemic functions is "exceptional" and "rare", and "untreated people had similar death rates and were just as functional and likely to lead productive lives 50 years after diagnosis as people with normal spines." In an earlier University of Iowa follow-up study, 91% of people with idiopathic scoliosis displayed normal pulmonary function, and their life expectancy was found to be 2% more than that of the general population. Later (2006–) studies corroborate these findings, adding that they are "reassuring for the adult patient who has adolescent onset idiopathic scoliosis in approximately the 50–70° range." These modern landmark studies supersede earlier studies (e.g. Mankin-Graham-Schauk 1964) that did implicate moderate idiopathic scoliosis in impaired pulmonary function. 1220:, which allows for better balance and support of an upright trunk. Selection for bipedality was likely strong enough to justify the maintenance of such a disorder. Bipedality is hypothesized to have emerged for a variety of different reasons, many of which would have certainly conferred fitness advantages. It may increase viewing distance, which can be beneficial in hunting and foraging as well as protection from predators or other humans; it makes long-distance travel more efficient for foraging or hunting; and it facilitates terrestrial feeding from grasses, trees, and bushes. Given the many benefits of bipedality which depends on a particularly formed spine, it is likely that selection for bipedalism played a large role in the development of the spine as we see it today, in spite of the potential for "scoliotic deviations". According to the fossil record, scoliosis may have been more prevalent among earlier hominids such as 822: 1046: 1134:, attached by hooks to the spine at the top and bottom of the curvature that when cranked would distract—or straighten—the curve. The Harrington rod obviates the need for prolonged casting, allowing patients greater mobility in the postoperative period and significantly reducing the quality of life burden of fusion surgery. The Harrington rod was the precursor to most modern spinal instrumentation systems. A major shortcoming was that it failed to produce a posture wherein the skull would be in proper alignment with the pelvis, and it did not address rotational deformity. As the person aged, there would be increased wear and tear, early onset 834: 1054: 441: 1103:, or the "cancer of orthopaedic surgery". These patients were treated with questionable remedies. A theory at the time—now discredited—was that the condition needed to be detected early to halt its progression, and so some schools made screening for scoliosis mandatory. Measurements of shoulder height, leg length and spinal curvature were made, and the ability to bend forwards, along with body posture, was tested, but students were sometimes misdiagnosed because of their poor posture. 41: 1171: 593: 900: 313: 891: 219:. The curve is usually S- or C-shaped over three dimensions. In some, the degree of curve is stable, while in others, it increases over time. Mild scoliosis does not typically cause problems, but more severe cases can affect breathing and movement. Pain is usually present in adults, and can worsen with age. As the condition progresses, it may alter a person's life, and hence can also be considered a 982:(also known as general analgesia). Epidural analgesia medication are often used surgically including combinations of local anesthetics and pain medications injected via an epidural injection. Evidence comparing different approaches for analgesia, side effects or benefits, and which approach results in greater pain relief and for how long after this type of surgery is of low to moderate quality. 405:, has been associated with the idiopathic form of scoliosis. Several candidate gene studies have found associations between idiopathic scoliosis and genes mediating bone formation, bone metabolism, and connective tissue structure. Several genome-wide studies have identified a number of loci as significantly linked to idiopathic scoliosis. In 2006, idiopathic scoliosis was linked with three 4853:
are plausible: First, the treatment of an underlying neurologic lesion could help alleviate progressive neurologic deterioration and lead to improvement or stabilization of scoliosis; second, surgery performed to correct scoliosis in the presence of an underlying neurologic disorder that has not been identified and treated could result in new or additional neurologic deficits.
711:, which is the angle between two lines, drawn perpendicular to the upper endplate of the uppermost vertebra involved and the lower endplate of the lowest vertebra involved. For people with two curves, Cobb angles are followed for both curves. In some people, lateral-bending X-rays are obtained to assess the flexibility of the curves or the primary and compensatory curves. 278:, specific exercises, posture checking, and surgery. The brace must be fitted to the person and used daily until growing stops. Specific exercises, such as exercises that focus on the core, may be used to try to decrease the risk of worsening. They may be done alone or along with other treatments such as bracing. Evidence that 813:
trunk asymmetries have been recorded following the implementation of Schroth method in terms of conservative management of scoliosis. Some other forms of exercises interventions have been lately used in the clinical practice for therapeutic management of scoliosis such as global postural reeducation and the Klapp method.
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effectiveness of the brace is as good as conventional braces. The UK government have funded a large clinical trial (called the BASIS study) to resolve this uncertainty. The BASIS study is ongoing throughout the UK in all of the leading UK children's hospitals that treat scoliosis, with families encouraged to take part.
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idiopathic scoliosis. Such procedures can result in a return to physical activity in about 6 months, which is very promising, although minimal back pain is still to be expected in the most severe cases. The prevalence of scoliosis is 1–2% among adolescents, but the likelihood of progression among adolescents with a
1209:, which are the muscles which hold the spine steady. These factors make the lumbar spine of most primates less flexible and far less likely to deviate than those of humans. While this may explicitly relate only to lumbar scolioses, small imbalances in the lumbar spine could precipitate thoracic problems as well. 2488:
It was once assumed, on the basis of studies in heterogeneous patient populations, that patients with untreated adolescent scoliosis would necessarily become wheelchair-dependent in old age and were likely to die of cardiopulmonary arrest for reasons related to scoliosis. This is no longer held to be
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Surgery is indicated by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) at 45–50° and by the Scoliosis Research Society (SRS) at a Cobb angle of 45°. SOSORT uses the 45–50° threshold as a result of the well-documented, plus or minus 5° measurement error that can occur while
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could be considered for nighttime bracing. On the opposite end of the growth spectrum, a 29° Cobb angle and a Risser sign three or four might not need to be braced because the potential for progression is reduced. The Scoliosis Research Society's recommendations for bracing include curves progressing
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skill, but also people's compliance and amount of wear per day. An alternative form of brace is a nighttime only brace, that is worn only at night whilst the child sleeps, and which overcorrects the deformity. Whilst nighttime braces are more convenient for children and families, it is unknown if the
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Treatment for idiopathic scoliosis also depends upon the severity of the curvature, the spine's potential for further growth, and the risk that the curvature will progress. Mild scoliosis (less than 30° deviation) and moderate scoliosis (30–45°) can typically be treated conservatively with bracing in
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The main purpose of performing CT or MR imaging in a patient with scoliosis is to identify an underlying cause. MR imaging is used with increasing frequency to evaluate patients with an unusual curve pattern or alarming clinical manifestations. Nevertheless, two reasons for performing such screening
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and the insertion of rods into the spine were employed during the 1900s. In the mid-20th century, new treatments and improved screening methods have been developed to reduce the progression of scoliosis in patients and alleviate their associated pain. School children were during this period believed
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while standing and stride execution in children. The impact of carrying backpacks on these three side effects have been broadly researched. Incidence of idiopathic scoliosis (IS) stops after puberty when skeletal maturity is attained, however further curvature may occur during late adulthood due to
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levoscoliosis: The X-ray is usually projected anteroposterior, such that the right side of the subject is on the right side of the image; i.e., the subject is viewed from the rear (see left image; the right image is seen from the front). This projection is typically used by spine surgeons, as it is
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may be useful. Evidence to support its use, however, is weak. Low quality evidence suggests scoliosis-specific exercises (SSE) may be more effective than electrostimulation. Evidence for the Schroth method is insufficient to support its use. Significant improvement in function, vertebral angles and
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Indications for bracing: people who are still growing who present with Cobb angles less than 20° should be closely monitored. People who are still growing who present with Cobb angles of 20 to 29° should be braced according to the risk of progression by considering age, Cobb angle increase over a
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Scoliosis curves do not straighten out on their own. Many children have slight curves that do not need treatment. In these cases, the children grow up to lead normal body posture by itself, even though their small curves never go away. If the patient is still growing and has a larger curve, it is
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Another form of secondary scoliosis is degenerative scoliosis, also known as de novo scoliosis, which develops later in life secondary to degenerative (may or may not be associated with aging) changes. This is a type of deformity that starts and progresses because of the collapse of the vertebral
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Generally, the prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are larger curves carry a higher risk of progression than smaller curves, and thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar
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Adolescent idiopathic scoliosis has no clear causal agent, and is generally believed to be multifactorial; leading to "progressive functional limitations" for individuals. Research suggests that Posterior Spinal Fusion (PSF) can be used to correct the more severe deformities caused by adolescent
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About 38% of variance in scoliosis risk is due to genetic factors, and 62% is due to the environment. The genetics are likely complex, however, given the inconsistent inheritance and discordance among monozygotic twins. The specific genes that contribute to development of scoliosis have not been
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Bracing is normally done when the person has bone growth remaining and is, in general, implemented to hold the curve and prevent it from progressing to the point where surgery is recommended. In some cases with juveniles, bracing has reduced curves significantly, going from a 40° (of the curve,
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have revealed that the most common form of the condition, late-onset idiopathic scoliosis, causes little physical impairment other than back pain and cosmetic concerns, even when untreated, with mortality rates similar to the general population. Older beliefs that untreated idiopathic scoliosis
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due to a failure of formation, a failure of segmentation, or a combination of stimuli. Incomplete and abnormal segmentation results in an abnormally shaped vertebra, at times fused to a normal vertebra or unilaterally fused vertebrae, leading to the abnormal lateral curvature of the spine.
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The cost of scoliosis involves both monetary loss and lifestyle limitations that increase with severity. Respiratory deficiencies may arise from thoracic deformities and cause abnormal breathing. This directly affects capacity for exercise and work, decreasing the overall quality of life.
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Congenital and idiopathic scoliosis that develops before the age of 10 is referred to as early-onset scoliosis. Progressive idiopathic early-onset scoliosis can be a life-threatening condition with negative effects on pulmonary function. Scoliosis that develops after 10 is referred to as
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mentioned in length above) out of the brace to 18°. Braces are sometimes prescribed for adults to relieve pain related to scoliosis. Bracing involves fitting the person with a device that covers the torso; in some cases, it extends to the neck (example being the Milwaukee Brace).
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are the standard method for evaluating the severity and progression of scoliosis, and whether it is congenital or idiopathic in nature. In growing individuals, serial radiographs are obtained at 3- to 12-month intervals to follow curve progression, and, in some instances,
1110:, a rigid contraption of metal rods attached to a plastic or leather girdle, designed to straighten the spine. Because of the constant pressure applied to the spine, the brace was uncomfortable. It caused jaw and muscle pain, skin irritation, as well as low self-esteem. 853:-like appliance that fits from armpits to hips and is custom-made from fiberglass or plastic. It is typically recommended to be worn 22–23 hours a day, and applies pressure on the curves in the spine. The effectiveness of the brace depends on not only brace design and 444:
Opposite rotational asymmetries as viewed from below. Left: the Yakovlevian torque in the healthy cerebrum (exaggerated). Redrawn from Toga & Thompson. Right: the opposite, rightward asymmetry of the thoracal spine in healthy subjects. Source: figure 4 of
1232:, when bipedality was first emerging. Their fossils indicate that there may have been selected over time for a slight reduction in lumbar length to what we see today, favoring a spine that could efficiently support bipedality with a lower risk of scoliosis. 273:
Treatment depends on the degree of curve, location, and cause. The age of the patient is also important, since some treatments are ineffective in adults, who are no longer growing. Minor curves may simply be watched periodically. Treatments may include
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Tarrant RC, O'Loughlin PF, Lynch S, Queally JM, Sheeran P, Moore DP, Kiely PJ (August 2014). "Timing and predictors of return to short-term functional activity in adolescent idiopathic scoliosis after posterior spinal fusion: a prospective study".
419:(encoding for matrilin 1, cartilage matrix protein). Fifty-three single nucleotide polymorphism markers in the DNA that are significantly associated with adolescent idiopathic scoliosis were identified through a genome-wide association study. 6864: 603:
People who initially present with scoliosis undergo a physical examination to determine whether the deformity has an underlying cause and to exclude the possibility of the underlying condition more serious than simple scoliosis.
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six-month period, Risser sign, and clinical presentation. People who are still growing who present with Cobb angles greater than 30° should be braced. However, these are guidelines and not every person will fit into this table.
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imbalance and rotational defects unresolved by the Harrington rod system. This technique used multiple hooks with rods to give stronger fixation in three dimensions, usually eliminating the need for postoperative bracing.
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People who have reached skeletal maturity are less likely to have a worsening case. Some severe cases of scoliosis can lead to diminishing lung capacity, pressure exerted on the heart, and restricted physical activities.
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Surgery is usually recommended by orthopedists for curves with a high likelihood of progression (i.e., greater than 45–50° of magnitude), curves that would be cosmetically unacceptable as an adult, curves in people with
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is the abnormal, side-to-side curve of the spine in children under five years old, often including children with congenital scoliosis (present at birth, with spine abnormalities) and infantile scoliosis (birth to three
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Rapp van Roden EA, Richardson RT, Russo SA, Rose WC, Nicholson KF, Chafetz RS, et al. (January 2019). "Analysis of Shoulder Complex Function After Posterior Spinal Fusion in Adolescents With Idiopathic Scoliosis".
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analysis for diagnosis, scoliosis remains significant, appearing in otherwise healthy children. Despite the fact that scoliosis is a disfigurement of the spine, it has been shown to influence the pneumonic function,
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In the 1960s, the gold standard for idiopathic scoliosis was a posterior approach using a single Harrington rod. Post-operative recovery involved bed rest, casts, and braces. Poor results became apparent over time.
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Celebioglu E., Yataganbaba A., Bekmez S., et al Growing-rod Graduates with Idiopathic Early-onset Scoliosis Have Comparable Exercise Tolerance to Patients with Surgically Treated Adolescent Idiopathic Scoliosis.
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important to monitor the curve for change by periodic examination and standing x-rays as needed. The rise in spinal abnormalities require examination by a neurosurgeon to determine if active treatment is needed.
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conjunction with scoliosis-specific exercises. Severe curvatures that rapidly progress may require surgery with spinal rod placement and spinal fusion. In all cases, early intervention offers the best results.
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Negrini S, Fusco C, Minozzi S, Atanasio S, Zaina F, Romano M (2008). "Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature".
1189:. Thus, it has been hypothesized that scoliosis may actually be related to humans' morphological differences from these apes. Other apes have a shorter and less mobile lower spine than humans. Some of the 1149:
In the 1970s, an improved technique was developed using two rods and wires attached at each level of the spine. This segmented instrumentation system allowed patients to become mobile soon after surgery.
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Scoliosis occurs in about 3% of people. It most commonly develops between the ages of ten and twenty. Females typically are more severely affected than males with a ratio of 4:1. The term is from
1248:, the average hospital cost for cases involving surgical procedures was $ 30,000 to $ 60,000 per person in 2010. As of 2006, the cost of bracing was up to $ 5,000 during rapid growth periods, when 453:. A strong asymmetry of the vertebrae and their musculature, may lead to mechanical instability of the column, especially during phases of rapid growth. The asymmetry is thought to be caused by an 6336:
Kamerlink JR, Quirno M, Auerbach JD, Milby AH, Windsor L, Dean L, et al. (May 2010). "Hospital cost analysis of adolescent idiopathic scoliosis correction surgery in 125 consecutive cases".
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who are specialized in spine surgery perform surgery for scoliosis. To completely straighten a scoliotic spine is usually impossible, but for the most part, significant corrections are achieved.
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investigation is warranted to look at the spinal cord. An average scoliosis patient has been in contact with around 50–300 mGy of radiation due to these radiographs during this time period.
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conditions can lead to a loss of muscular support for the spinal column so that the spinal column is pulled in abnormal directions. Some conditions which may cause secondary scoliosis include
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column in an asymmetrical manner. As bones start to become weaker and the ligaments and discs located in the spine become worn as a result of age-related changes, the spine begins to curve.
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Landman Z, Oswald T, Sanders J, Diab M, et al. (Spinal Deformity Study Group) (May 2011). "Prevalence and predictors of pain in surgical treatment of adolescent idiopathic scoliosis".
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Spine surgery can be painful and may also be associated with post-surgical pain. Different approaches for pain management are used in surgery including epidural administration and systemic
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Black, James H.; Bowdin, Sarah; Dietz, Harry C.; El-Hamamsy, Ismail; Frischmeyer-Guerrerio, Pamela A.; Guerrerio, Anthony L.; Loeys, Bart; MacCarrick, Gretchen; Sponseller, Paul D (2014).
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Chung AS, Renfree S, Lockwood DB, Karlen J, Belthur M (November 2019). "Syndromic Scoliosis: National Trends in Surgical Management and Inpatient Hospital Outcomes: A 12-Year Analysis".
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curves. In addition, people not having yet reached skeletal maturity have a higher likelihood of progression (i.e., if the person has not yet completed the adolescent growth spurt).
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Chen Z, Rong L (February 2016). "Comparison of combined anterior-posterior approach versus posterior-only approach in treating adolescent idiopathic scoliosis: a meta-analysis".
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Scoliosis affects 2–3% of the United States population, or about five to nine million cases. A scoliosis (spinal column curve) of 10° or less affects 1.5–3% of individuals. The
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Vertebrae of the spine, especially in the thoracic region, are, on average, asymmetric. The mid-axis of these vertebral bodies tends to point systematically to the right of the
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is usually between 10 years and 15 years (but can occur younger) in children and adolescents, making up to 85% of those diagnosed. This is due to rapid growth spurts during
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Sponseller PD, Yazici M, Demetracopoulos C, et al. Evidence basisfor management of spine and chest wall deformities in children.Spine(Phila Pa 1976). 2007;32(suppl):S81–S90
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Physical therapy. Evidence suggests use of scoliosis specific exercises might prevent the progression of the curve along with possible bracing and surgery avoidance.
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Agabegi SS, Kazemi N, Sturm PF, Mehlman CT (December 2015). "Natural History of Adolescent Idiopathic Scoliosis in Skeletally Mature Patients: A Critical Review".
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There are links between human spinal morphology, bipedality, and scoliosis which suggest an evolutionary basis for the condition. Scoliosis has not been found in
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Kouwenhoven, Jan-Willem; Vincken, Koen L.; Bartels, Lambertus W.; Castelein, Rene M. (2006). "Analysis of preexistent vertebral rotation in the normal spine".
282:, dietary supplements, or exercises can prevent the condition from worsening is weak. However, exercise is still recommended due to its other health benefits. 5362:
The influence of elastic orthotic belt on sagittal profile in adolescent idiopathic thoracic scoliosis: A comparative radiographic study with Milwaukee brace.
3395: 5043: 5698:"Anterior versus Posterior Selective Fusion in Treating Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis of Radiologic Parameters" 665:
and is often performed on school students. If a prominence is noted, then scoliosis is a possibility and an X-ray may be done to confirm the diagnosis.
266:. Scoliosis is typically classified as either structural in which the curve is fixed, or functional in which the underlying spine is normal. Left-right 5908: 1016:
when spinal development is most susceptible to genetic and environmental influences. Because female adolescents undergo growth spurts before postural
1138:, disc degeneration, muscular stiffness, and acute pain. "Flatback" became the medical name for a related complication, especially for those who had 1058: 6842: 4522: 3560: 6175: 1216:. For a bipedal stance, a highly mobile, elongated lower spine is very beneficial. For instance, the human spine takes on an S-shaped curve with 968:
One or both of these surgical procedures may be needed. The surgery may be done in one or two stages and, on average, takes four to eight hours.
5142: 3373: 929:, where the image is posteroanterior, i.e. projected as if looking at the patient from the front. The surgery was a fusion with instrumentation. 4317: 3939:
Fuente-Mora, Cristina; Kauffman, Horacio; Mendoza-Santiesteban, Carlos; Norcliffe-Kauffman, Lucy; Palma, Jose-Alberto; Percival, Leila (2014).
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Posterior fusion: This surgical approach is through an incision on the back and involves the use of metal instrumentation to correct the curve.
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to develop poor posture as a result of working at their desks, and many were diagnosed with scoliosis. It was also considered to be caused by
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Thometz JG, Simon SR (October 1988). "Progression of scoliosis after skeletal maturity in institutionalized adults who have cerebral palsy".
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The Complete Scoliosis Surgery Handbook for Patients: An In-Depth and Unbiased Look Into What to Expect Before and During Scoliosis Surgery
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Evidence supports that bracing prevents worsening of disease, but whether it changes quality of life, appearance, or back pain is unclear.
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Scoliosis has been described as a biomechanical deformity, the progression of which depends on asymmetric forces otherwise known as the
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Wood G (2013). "To Brace or Not to Brace: The Three-Dimensional Nature and Growth Considerations for Adolescent Idiopathic Scoliosis".
493:. Scoliosis often presents itself, or worsens, during an adolescent's growth spurt and is more often diagnosed in females than males. 6371: 4826:
Kim H, Kim HS, Moon ES, Yoon CS, Chung TS, Song HT, et al. (November 2010). "Scoliosis imaging: what radiologists should know".
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Cheng JC, Castelein RM, Chu WC, Danielsson AJ, Dobbs MB, Grivas TB, et al. (September 2015). "Adolescent idiopathic scoliosis".
3630: 270:, of the vertebrae and their musculature, especially in the thoracic region, may cause mechanical instability of the spinal column. 6587: 1274:
scoliosis, which became available in 2009 and is still under investigation, attempts to gauge the likelihood of curve progression.
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Adzick, N Scott; Melchionne, Jeanne; Mitchell, Laura E; Pasquariello, Patrick S; Sutton, Leslie N; Whitehead, Alexander S (2004).
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Rubery PT, Bradford DS (February 2002). "Athletic activity after spine surgery in children and adolescents: results of a survey".
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Weinstein SL, Zavala DC, Ponseti IV (June 1981). "Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients".
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Shakil H, Iqbal ZA, Al-Ghadir AH (2014). "Scoliosis: review of types of curves, etiological theories and conservative treatment".
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introduced a metal spinal system of instrumentation that assisted with straightening the spine, as well as holding it rigid while
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Kouwenhoven JW, Castelein RM (December 2008). "The pathogenesis of adolescent idiopathic scoliosis: review of the literature".
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had severe scoliosis, which appears to have been idiopathic (rather than congenital or neuromuscular) and of adolescent onset.
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Scoliosis associated with known syndromes is often subclassified as "syndromic scoliosis". Scoliosis can be associated with
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Chandraekharan, Praveen Kumar; Lakshminrusimha, Satyan; Madappa, Rajeshwari; Rawat, Munmun; Rothstein, David H. (2017).
2000: 768:, which together help predict the likelihood of progression. The conventional options for children and adolescents are: 5027: 874:
0, 1, or 2 (an X-ray measurement of a pelvic growth area), and less than six months from the onset of menses in girls.
6397: 5378:"Compliance with night-time overcorrection bracing in adolescent idiopathic scoliosis: Result from a cohort follow-up" 6872: 4003: 3945: 1588: 972: 2593:
Ogilvie JW, Braun J, Argyle V, Nelson L, Meade M, Ward K (March 2006). "The search for idiopathic scoliosis genes".
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Park JH, Jeon HS, Park HW (June 2018). "Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis".
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Female adolescent (14 years old) patient wearing a Milwaukee brace – with neck ring and mandible (chin) pad showing
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The traditional medical management of scoliosis is complex and is determined by the severity of the curvature and
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to highlight and spread awareness of scoliosis. It emphasizes its wide impact and the need for early detection.
3920: 3469:"Opposite asymmetries of face and trunk and of kissing and hugging, as predicted by the axial twist hypothesis" 1759: 501: 925:
see their patients when they are on the operating table (in the prone position). This is the opposite of many
7174: 6877: 6580: 4969:"Screening for Adolescent Idiopathic Scoliosis: US Preventive Services Task Force Recommendation Statement" 5486:
Negrini S, Minozzi S, Bettany-Saltikov J, Chockalingam N, Grivas TB, Kotwicki T, et al. (June 2015).
2821:"Paraspinal muscle morphology and composition in adolescent idiopathic scoliosis: A histological analysis" 1099:
Alfred Shands Jr. discovered that two percent of patients had non-disease related scoliosis, later termed
7344: 7063: 6893: 6881: 5582:"Postoperative epidural analgesia versus systemic analgesia for thoraco-lumbar spine surgery in children" 5260:
Romano M, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Kotwicki T, et al. (August 2012).
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Coillard, Christine; Leroux, Michel A.; Prince, François; Rivard, Charles H.; Zabjek, Karl Franc (2008).
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When a person can cooperate, he or she is asked to bend forward as far as possible. This is known as the
246:. Risk factors include other affected family members. It can also occur due to another condition such as 1501:"2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth" 944:
that interfere with sitting and care, and curves that affect physiological functions such as breathing.
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Aartsma-Ra, Annemieke; Duan, Dongsheng; Goemans, Nathalie; Mercuri, Eugenio; Takeda, Shin'ichi (2021).
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Lovejoy CO (January 2005). "The natural history of human gait and posture. Part 1. Spine and pelvis".
2363:"Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study" 865:
For example, a person who is still growing with a 17° Cobb angle and significant thoracic rotation or
7429: 7349: 6821: 6452: 6054:"The scoliosis of Richard III, last Plantagenet King of England: diagnosis and clinical significance" 5933:
Edery P, Margaritte-Jeannin P, Biot B, Labalme A, Bernard JC, Chastang J, et al. (August 2011).
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Montanaro L, Parisini P, Greggi T, Di Silvestre M, Campoccia D, Rizzi S, Arciola CR (December 2006).
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Hawes MC (May 2003). "Health and Function of Patients With Untreated Idiopathic Scoliosis—Reply".
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Merola AA, Haher TR, Brkaric M, Panagopoulos G, Mathur S, Kohani O, et al. (September 2002).
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Grossman DC, Curry SJ, Owens DK, Barry MJ, Davidson KW, Doubeni CA, et al. (January 2018).
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Congenital scoliosis can be attributed to a malformation of the spine during weeks three to six
6826: 6684: 5311:"Review of scoliosis-specific exercise methods used to correct adolescent idiopathic scoliosis" 4173: 2510: 1499:
Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. (2018).
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A 14–15th-century woman who had severe scoliosis, and died at about 35 years, Limburgs Museum,
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Hunt KD (March 1994). "The evolution of human bipedality: ecology and functional morphology".
5644: 5068: 2966:"Selective fusion for adolescent idiopathic scoliosis: a review of current operative strategy" 375:
necessarily progressed into severe (cardiopulmonary) disability by old age have been refuted.
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of more than 10° to the right or left as the examiner faces the person, i.e. in the
7501: 7496: 7417: 7409: 7329: 7293: 7101: 7053: 7010: 6701: 6611: 6345: 6300: 6269: 6219: 6115: 6107: 6068: 5991: 5954: 5946: 5872: 5862: 5801: 5756: 5709: 5609: 5597: 5593: 5517: 5507: 5503: 5499: 5389: 5332: 5322: 5281: 5277: 5273: 5226: 5110: 4980: 4886: 4878: 4835: 4762: 4754: 4698: 4646: 4592: 4536: 4488: 4436: 4380: 4334: 4326: 4276: 4268: 4222: 4214: 4137: 4129: 4085: 4022: 4012: 3962: 3954: 3873: 3822: 3812: 3710: 3595: 3531: 3490: 3480: 3430: 3341: 3333: 3281: 3237: 3194: 3157: 3110: 3083: 3063: 3026: 2985: 2977: 2936: 2926: 2879: 2842: 2832: 2785: 2742: 2719: 2699: 2659: 2649: 2602: 2562: 2554: 2469: 2461: 2414: 2374: 2332: 2297: 2260: 2252: 2198: 2186: 2096: 2039: 1942: 1896: 1892: 1855: 1845: 1818: 1798: 1745: 1725: 1680: 1639: 1629: 1562: 1522: 1512: 1222: 1202: 1190: 1131: 926: 917: 809: 728: 577: 565: 330:
Constipation due to curvature causing "tightening" of the stomach, intestines, etc.
238:
The cause of most cases is unknown, but it is believed to involve a combination of
212: 179: 56: 6096:"A dangerous curve: the role of history in America's scoliosis screening programs" 5935:"New disease gene location and high genetic heterogeneity in idiopathic scoliosis" 5851:"Adolescent idiopathic scoliosis: natural history and long term treatment effects" 3730: 3536: 3519: 2690:
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Scoliosis is defined as a three-dimensional deviation in the axis of a person's
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The standard method for assessing the curvature quantitatively is measuring the
7380: 7311: 7275: 7247: 7169: 7073: 6947: 6749: 6737: 6596: 6529: 5805: 5713: 4867:"The Scoliosis Quandary: Are Radiation Exposures From Repeated X-Rays Harmful?" 4330: 2336: 1981: 1634: 1617: 1127: 941: 486: 406: 342: 251: 232: 149: 5327: 5230: 5115: 5098: 4758: 3817: 3337: 3067: 2981: 2558: 2465: 2241:"Ectopic calcification: gathering hard facts about soft tissue mineralization" 2100: 2043: 1976: 1850: 1517: 719:. Screening adolescents without symptoms for scoliosis is of unclear benefit. 7540: 7390: 7334: 7301: 7184: 7005: 6798: 6781: 6727: 6664: 6428: 6111: 5721: 5605: 4882: 2509:. Step-Up Series. Hagerstwon, MD: Lippincott Williams & Wilkins. p.  1996: 1729: 1123: 1089: 736: 676: 608: 573: 482: 247: 216: 6492: 4985: 4968: 687:(side view) X-rays are usually taken to assess the scoliosis curves and the 40: 7472: 7365: 7207: 7179: 6965: 6960: 6691: 6357: 6314: 6273: 6231: 6129: 6080: 6003: 5968: 5886: 5813: 5770: 5729: 5623: 5531: 5403: 5346: 5295: 5238: 5124: 4994: 4900: 4847: 4776: 4739:
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Pain in the back at the site of the curve, which may radiate to the legs
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A ChĂȘneau brace achieving correction from 56° to 27° Cobb angle
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For adults, treatment usually focuses on relieving any pain:
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are "captured", meaning that they are held fast between the
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When scoliosis is suspected, weight-bearing, full-spine AP/
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must be consistently replaced across multiple follow-ups.
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to larger than 25°, curves presenting between 30 and 45°,
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Scoliosis may be a byproduct of strong selection for
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Compared to humans, 654:, abdominal reflexes and muscle tone for 6437:) is being considered for deletion. See 6173: 4577:Lunn, Mitchell R; Wang, Ching H (2008). 4576: 4053:. Department for Work and Pensions, UK. 3414: 3053: 2395: 1919: 1611: 1609: 1548: 1546: 1169: 1052: 1044: 975:) may be appropriate for some patients. 832: 820: 591: 439: 383:An estimated 65% of scoliosis cases are 345:, caused by rotation of the rib cage in 311: 6245:Harcourt-Smith WE (2007). "Chapter 5". 6209: 5981: 5456: 3758: 2775: 2689: 2680: 672:may be used to diagnose the condition. 355:Heart and lung problems in severe cases 7539: 6286: 6093: 5635: 5633: 5575: 5573: 5571: 5569: 5567: 5353: 4815:from the original on 21 November 2014. 3854: 3843: 2175: 2163:. 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Spine Institute of North America 1803:10.1097/01.brs.0000219938.14686.b3 841:The most commonly used brace is a 14: 7568: 6441:to help reach a consensus. â€ș 6420: 6100:American Journal of Public Health 5800:(20): 2644, author reply 2644–5. 5641:"Adolescent Idiopathic Scoliosis" 5382:Medical Engineering & Physics 5141:. NHS Choices. 19 February 2013. 5139:"Scoliosis – Treatment in adults" 5071:. NHS Choices. 19 February 2013. 4925:from the original on 21 June 2016 4811:. 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Disease Primers 2501:Agabegi ED, Agabegi SS (2008). 2441: 2316: 2281: 2232: 2149: 2122: 2016: 1969: 1876: 1825: 1752: 1003: 717:adolescent idiopathic scoliosis 510:congenital diaphragmatic hernia 461:Resulting from other conditions 455:embryological twist of the body 427:less than 20° is about 10–20%. 387:(cause unknown), about 15% are 6174:Bridwell K (8 February 2013). 5598:10.1002/14651858.CD012819.pub2 5504:10.1002/14651858.CD006850.pub3 5278:10.1002/14651858.cd007837.pub2 3921:Nature Reviews Disease Primers 2325:Paediatric Respiratory Reviews 2089:Acta Orthopaedica Scandinavica 1897:10.23736/S1973-9087.17.04461-6 1838:Scoliosis and Spinal Disorders 1709: 1660: 1581: 1505:Scoliosis and Spinal Disorders 1333: 615:of other abnormalities (e.g., 341:Rib prominence or a prominent 262:. Diagnosis is confirmed with 215:has an irregular curve in the 1: 7547:Bones of the vertebral column 6426: 6396:Stenning M, Nelson I (2011). 6247:Handbook of Paleoanthropology 6224:10.1016/s0966-6362(04)00014-1 6073:10.1016/S0140-6736(14)60762-5 5219:Disability and Rehabilitation 4691:Current Opinion in Pediatrics 4597:10.1016/S0140-6736(08)60921-6 4541:10.1016/S0140-6736(04)17445-X 4385:10.1016/S0140-6736(04)16051-0 3916:"Duchenne muscular dystrophy" 3761:"Cerebral Palsy: An Overview" 3715:10.1016/S1474-4422(09)70110-3 3537:10.1302/0301-620x.61b3.479254 2692:Current Opinion in Pediatrics 2257:10.1016/S0002-9440(10)65313-8 1326: 1126:took place. The now obsolete 749: 722: 6809:Intervertebral disc disorder 5996:10.1080/13638490310001642757 5545:Alli RA (19 December 2020). 4809:"Scoliometer (Inclinometer)" 4703:10.1097/MOP.0b013e3283604088 4633:Vandertop, W. Peter (2014). 4442:10.1038/gim.0b013e31822bead0 3959:10.1517/14656566.2014.970530 3600:10.1097/BRS.0000000000003134 3467:de Lussanet, M.H.E. (2019). 3286:10.1097/brs.0000000000000452 3199:10.1097/brs.0b013e3181de8c2b 3163:10.1097/brs.0b013e3182a4aa97 3115:10.1097/BPO.0000000000001267 2884:10.1097/BRS.0b013e3181891751 2790:10.1080/13638490310001642757 2704:10.1097/MOP.0b013e32833419ac 2203:10.1097/BPO.0b013e3181651bdc 1947:10.1016/j.physio.2018.10.004 1165: 1113: 985: 587: 7: 7345:Oto-palato-digital syndrome 7340:Hallermann–Streiff syndrome 7064:Congenital knee dislocation 6882:musculoskeletal abnormality 6031:. Nova Science Publishers. 4260:Journal of Medical Genetics 4121:Journal of Medical Genetics 3855:Hresko, M. Timothy (2013). 2239:Giachelli CM (March 1999). 1277: 1262: 1106:An early treatment was the 1059:remains of King Richard III 971:A new tethering procedure ( 572:, spinal muscular atrophy, 514:connective tissue disorders 506:Charcot–Marie–Tooth disease 465:Secondary scoliosis due to 10: 7573: 7376:Craniodiaphyseal dysplasia 6262:Journal of Human Evolution 5806:10.1001/jama.289.20.2644-a 5714:10.1016/j.wneu.2017.12.161 4331:10.1016/j.jaad.2008.12.051 4313:"Neurofibromatosis type 1" 3759:Krigger, Karen W. (2006). 2337:10.1016/j.prrv.2006.04.009 1635:10.1016/j.otsr.2018.10.021 1320:Scoliosis Research Society 1040: 1037:and weakened musculature. 880: 816: 753: 599:measurement of a scoliosis 502:Arnold–Chiari malformation 489:, spinal cord trauma, and 122:Sideways curve in the back 18: 7510: 7486: 7462: 7453: 7408: 7358: 7350:Treacher Collins syndrome 7320: 7292: 7283: 7274: 7240: 7201:reduction deficits / limb 7200: 7144: 7137: 7072: 7029: 6992: 6983: 6946: 6914: 6905: 6888: 6822:Degenerative disc disease 6807: 6762: 6715: 6672: 6663: 6638: 6610: 6603: 6539: 6469: 5675:. CRC Press. p. 27. 5328:10.1186/s40945-019-0060-9 5315:Archives of Physiotherapy 5231:10.1080/09638280801889568 5116:10.5546/aap.2018.eng.e582 4759:10.1007/s11420-011-9204-5 4579:"Spinal muscular atrophy" 4364:"Osteogenesis imperfecta" 3818:10.1186/s40748-017-0045-1 3766:American Family Physician 3338:10.3238/arztebl.2010.0875 3068:10.1007/s00586-015-3968-0 2982:10.1007/s00586-011-1730-9 2559:10.1007/s00586-012-2389-6 2466:10.3238/arztebl.2010.0875 2101:10.3109/17453676808989664 2044:10.1007/s00586-005-1053-9 1982:Dictionary.com Unabridged 1851:10.1186/s13013-016-0076-9 1518:10.1186/s13013-017-0145-8 1257:Scoliosis Awareness Month 378: 362: 280:chiropractic manipulation 190: 175: 163: 142: 134: 126: 116: 104: 47: 38: 33: 7175:Cenani–Lenz syndactylism 6928:Cleidocranial dysostosis 6439:templates for discussion 6287:Larson N (August 2011). 6112:10.2105/AJPH.2011.300531 5984:Pediatric Rehabilitation 5441:Academy Today (The Edge) 4883:10.1177/1559325819852810 3631:"Amniotic Band Syndrome" 3332:(49): 875–83, quiz 884. 2778:Pediatric Rehabilitation 2460:(49): 875–83, quiz 884. 1730:10.5435/jaaos-d-14-00037 633:neurological examination 223:. It can be compared to 19:Not to be confused with 7322:Craniofacial dysostosis 6094:Linker B (April 2012). 4986:10.1001/jama.2017.19342 4877:(2): 1559325819852810. 4423:"Prader-Willi syndrome" 2083:Nachemson, Alf (1968). 1455:Genetics Home Reference 948:measuring Cobb angles. 756:Management of scoliosis 663:Adams forward bend test 635:is also performed, the 558:osteogenesis imperfecta 479:spinal muscular atrophy 7557:Deforming dorsopathies 6878:musculoskeletal system 6827:Spinal disc herniation 6685:Ankylosing spondylitis 6274:10.1006/jhev.1994.1011 4652:10.1055/s-0033-1361921 4018:10.1186/1750-1172-1-34 3396:"Congenital Scoliosis" 3322:"Idiopathic scoliosis" 3056:European Spine Journal 2970:European Spine Journal 2655:10.1186/1748-7161-1-21 2547:European Spine Journal 2450:"Idiopathic scoliosis" 2380:10.1001/jama.289.5.559 2032:European Spine Journal 1686:10.1542/peds.2015-0709 1207:erector spinae muscles 1178: 1066: 1050: 838: 826: 679:(front-back view) and 600: 526:Ehlers–Danlos syndrome 516:, muscular dystrophy, 498:amniotic band syndrome 446: 317: 7430:Klippel–Feil syndrome 6832:Facet joint arthrosis 6646:Scheuermann's disease 6453:Early Onset Scoliosis 5868:10.1186/1748-7161-1-2 5547:"Scoliosis Treatment" 4172:Sheth, Ujash (2021). 3878:10.1056/NEJMcp1209063 3664:"Chiari malformation" 2932:10.1186/1748-7161-3-9 2025:"The Adult Scoliosis" 1310:Scheuermann's disease 1173: 1056: 1048: 836: 824: 668:As an alternative, a 595: 562:Prader–Willi syndrome 550:nail–patella syndrome 518:familial dysautonomia 443: 393:neuromuscular disease 315: 258:, and tumors such as 244:environmental factors 7440:Spina bifida occulta 6956:Madelung's deformity 6933:Sprengel's deformity 6350:10.2106/JBJS.I.00879 5951:10.1038/ejhg.2011.31 5762:10.4081/pmc.2022.291 4955:J. Pediatr. Orthop.. 4840:10.1148/rg.307105061 4493:10.1148/rg.244035726 4428:Genetics in Medicine 4273:10.1136/jmg.40.3.153 4206:Genetics in Medicine 4178:www.orthobullets.com 4051:"Fragile X syndrome" 3702:The Lancet Neurology 3638:Acta Medica Medianae 2747:10.1038/nrdp.2015.30 2161:www.scoliosissos.com 1101:idiopathic scoliosis 916:dextroscoliosis and 542:Loeys–Dietz syndrome 372:Longitudinal studies 186:, exercises, surgery 7258:RAPADILINO syndrome 6144:"Scoliosis Surgery" 5832:stopgettingsick.com 5457:Herring JA (2002). 4591:(9630): 2120–2133. 4535:(9448): 1885–1895. 4379:(9418): 1377–1385. 4219:10.1038/gim.2014.11 2505:Step-Up to Medicine 1236:Society and culture 1097:orthopaedic surgeon 808:A specific type of 744:Hueter–Volkmann Law 652:cavovarus deformity 611:, with an exam for 534:Friedreich's ataxia 304: 'a bending'. 7120:Rocker bottom foot 6540:External resources 6212:Gait & Posture 6150:. 22 November 2009 5838:on 20 August 2008. 5702:World Neurosurgery 5647:on 16 January 2014 4684:"Pectus carinatum" 4134:10.1136/jmg.37.1.1 3895:on 29 January 2023 3740:on 4 February 2023 3486:10.7717/peerj.7096 3423:Nat. Rev. Neurosci 2023:Aebi, Max (2005). 1567:10.3233/bmr-130438 1457:. September 2013. 1179: 1067: 1051: 839: 827: 619:as evidenced by a 601: 530:fragile X syndrome 508:, cerebral palsy, 475:muscular dystrophy 447: 318: 308:Signs and symptoms 111:Orthopedic surgery 7534: 7533: 7530: 7529: 7526: 7525: 7455:Thoracic skeleton 7435:Spondylolisthesis 7404: 7403: 7270: 7269: 7266: 7265: 7133: 7132: 6979: 6978: 6840: 6839: 6758: 6757: 6733:Spondylolisthesis 6659: 6658: 6563: 6562: 6038:978-1-62081-007-1 5682:978-1-4398-7174-4 5472:978-0-7216-5684-7 4174:"Hemihypertrophy" 3999:"CHARGE syndrome" 3953:(18): 2653–2671. 3594:(22): 1564–1570. 3280:(18): 1471–1478. 3156:(21): 1848–1852. 3025:(18): 2046–2051. 2878:(26): 2898–2908. 2838:10.1002/jsp2.1169 2553:(10): 1905–1919. 2520:978-0-7817-7153-5 1797:(13): 1467–1472. 1416:. December 2015. 1203:Old World monkeys 927:Chest radiographs 912:of a person with 766:skeletal maturity 648:neurofibromatosis 554:neurofibromatosis 451:median body plane 260:neurofibromatosis 198: 197: 165:Diagnostic method 158:neurofibromatosis 156:, tumors such as 28:Medical condition 7564: 7502:Pectus carinatum 7497:Pectus excavatum 7460: 7459: 7418:Spinal curvature 7410:Vertebral column 7330:Crouzon syndrome 7294:Craniosynostosis 7290: 7289: 7281: 7280: 7146:fingers and toes 7142: 7141: 7054:Discoid meniscus 7011:Upington disease 6990: 6989: 6912: 6911: 6903: 6902: 6867: 6860: 6853: 6844: 6843: 6716:non inflammatory 6702:Spondylodiscitis 6670: 6669: 6612:Spinal curvature 6608: 6607: 6590: 6583: 6576: 6567: 6566: 6467: 6466: 6414: 6413: 6411: 6409: 6393: 6387: 6386: 6384: 6382: 6368: 6362: 6361: 6344:(5): 1097–1104. 6333: 6327: 6326: 6308: 6284: 6278: 6277: 6257: 6251: 6250: 6242: 6236: 6235: 6207: 6188: 6187: 6185: 6183: 6171: 6160: 6159: 6157: 6155: 6148:News-medical.net 6140: 6134: 6133: 6123: 6091: 6085: 6084: 6058: 6049: 6043: 6042: 6022: 6016: 6015: 5979: 5973: 5972: 5962: 5930: 5924: 5923: 5921: 5919: 5905: 5899: 5898: 5880: 5870: 5846: 5840: 5839: 5834:. Archived from 5824: 5818: 5817: 5789: 5783: 5782: 5764: 5740: 5734: 5733: 5693: 5687: 5686: 5664: 5658: 5656: 5654: 5652: 5637: 5628: 5627: 5617: 5577: 5562: 5561: 5559: 5557: 5542: 5536: 5535: 5525: 5515: 5483: 5477: 5476: 5464: 5454: 5445: 5444: 5436: 5430: 5429: 5422: 5416: 5415: 5397: 5373: 5367: 5366: 5357: 5351: 5350: 5340: 5330: 5306: 5300: 5299: 5289: 5257: 5251: 5250: 5213: 5207: 5206: 5204: 5202: 5187: 5181: 5180: 5178: 5176: 5161: 5155: 5154: 5152: 5150: 5135: 5129: 5128: 5118: 5109:(4): e582–e589. 5094: 5085: 5084: 5082: 5080: 5065: 5059: 5058: 5056: 5054: 5040: 5034: 5033: 5013: 5007: 5006: 4988: 4964: 4958: 4950: 4944: 4941: 4935: 4934: 4932: 4930: 4911: 4905: 4904: 4894: 4862: 4856: 4855: 4834:(7): 1823–1842. 4823: 4817: 4816: 4805: 4799: 4798: 4787: 4781: 4780: 4770: 4736: 4730: 4729: 4727: 4725: 4688: 4679: 4673: 4672: 4654: 4630: 4624: 4623: 4621: 4619: 4574: 4568: 4567: 4565: 4563: 4518: 4512: 4511: 4509: 4507: 4487:(4): 1051–1068. 4478: 4469: 4463: 4462: 4444: 4418: 4412: 4411: 4409: 4407: 4368: 4359: 4353: 4352: 4342: 4308: 4302: 4301: 4299: 4297: 4284: 4256: 4247: 4241: 4240: 4230: 4196: 4190: 4189: 4187: 4185: 4169: 4163: 4162: 4160: 4158: 4145: 4117: 4108: 4102: 4101: 4073: 4067: 4066: 4064: 4062: 4047: 4041: 4040: 4030: 4020: 3994: 3988: 3987: 3985: 3983: 3970: 3936: 3930: 3929: 3911: 3905: 3904: 3902: 3900: 3894: 3888:. Archived from 3861: 3852: 3841: 3840: 3830: 3820: 3796: 3790: 3789: 3787: 3785: 3756: 3750: 3749: 3747: 3745: 3739: 3733:. Archived from 3698: 3689: 3683: 3682: 3680: 3678: 3660: 3654: 3653: 3651: 3649: 3635: 3626: 3620: 3619: 3583: 3577: 3576: 3574: 3572: 3563:. Archived from 3556: 3550: 3549: 3539: 3515: 3509: 3508: 3498: 3488: 3464: 3455: 3454: 3418: 3412: 3411: 3409: 3407: 3392: 3386: 3385: 3383: 3381: 3366: 3360: 3359: 3349: 3317: 3306: 3305: 3268: 3262: 3261: 3225: 3219: 3218: 3182: 3176: 3175: 3165: 3141: 3135: 3134: 3097: 3088: 3087: 3051: 3045: 3044: 3034: 3010: 3004: 3003: 2993: 2976:(7): 1048–1057. 2961: 2955: 2954: 2944: 2934: 2910: 2904: 2903: 2867: 2861: 2860: 2850: 2840: 2816: 2810: 2809: 2784:(3–4): 137–170. 2773: 2767: 2766: 2730: 2724: 2723: 2687: 2678: 2677: 2667: 2657: 2633: 2627: 2626: 2590: 2581: 2580: 2570: 2538: 2525: 2524: 2508: 2498: 2492: 2491: 2477: 2445: 2439: 2438: 2402: 2393: 2392: 2382: 2358: 2349: 2348: 2320: 2314: 2313: 2296:(9): 1290–1296. 2285: 2279: 2278: 2268: 2236: 2230: 2229: 2227: 2225: 2182: 2173: 2172: 2170: 2168: 2153: 2147: 2146: 2144: 2142: 2126: 2120: 2119: 2117: 2115: 2080: 2071: 2070: 2068: 2066: 2029: 2020: 2014: 2012: 2010: 2008: 1994: 1992: 1990: 1973: 1967: 1966: 1926: 1917: 1916: 1880: 1874: 1873: 1863: 1853: 1829: 1823: 1822: 1786: 1775: 1774: 1772: 1770: 1764:brossfrankel.com 1756: 1750: 1749: 1713: 1707: 1706: 1688: 1679:(1): e20150709. 1664: 1658: 1657: 1647: 1637: 1613: 1604: 1603: 1601: 1599: 1585: 1579: 1578: 1550: 1541: 1540: 1530: 1520: 1496: 1471: 1470: 1468: 1466: 1447: 1430: 1429: 1427: 1425: 1406: 1361: 1360: 1358: 1356: 1337: 1223:Australopithecus 1205:have far larger 1191:lumbar vertebrae 902: 893: 810:physical therapy 794:Posture checking 646:, indicative of 609:gait is assessed 578:pectus carinatum 566:proteus syndrome 301: 206: 180:Watchful waiting 148:Family history, 96: 95: 92: 91: 88: 85: 82: 79: 76: 73: 70: 67: 64: 61: 43: 31: 30: 7572: 7571: 7567: 7566: 7565: 7563: 7562: 7561: 7537: 7536: 7535: 7522: 7518:Poland syndrome 7506: 7482: 7449: 7400: 7354: 7316: 7262: 7253:Larsen syndrome 7241:multiple joints 7236: 7196: 7129: 7068: 7049:Genu recurvatum 7025: 7002:Hip dislocation 6975: 6942: 6892: 6884: 6871: 6841: 6836: 6817:Schmorl's nodes 6803: 6777:Upper back pain 6754: 6745:Spinal stenosis 6711: 6655: 6634: 6599: 6594: 6564: 6559: 6558: 6535: 6534: 6478: 6442: 6423: 6418: 6417: 6407: 6405: 6394: 6390: 6380: 6378: 6370: 6369: 6365: 6334: 6330: 6285: 6281: 6258: 6254: 6243: 6239: 6208: 6191: 6181: 6179: 6178:. SpineUniverse 6172: 6163: 6153: 6151: 6142: 6141: 6137: 6092: 6088: 6056: 6050: 6046: 6039: 6023: 6019: 5990:(3–4): 137–70. 5980: 5976: 5931: 5927: 5917: 5915: 5907: 5906: 5902: 5847: 5843: 5826: 5825: 5821: 5790: 5786: 5741: 5737: 5694: 5690: 5683: 5665: 5661: 5650: 5648: 5639: 5638: 5631: 5592:(1): CD012819. 5578: 5565: 5555: 5553: 5543: 5539: 5498:(6): CD006850. 5484: 5480: 5473: 5455: 5448: 5437: 5433: 5424: 5423: 5419: 5374: 5370: 5359: 5358: 5354: 5307: 5303: 5272:(8): CD007837. 5258: 5254: 5225:(10): 772–785. 5214: 5210: 5200: 5198: 5189: 5188: 5184: 5174: 5172: 5163: 5162: 5158: 5148: 5146: 5137: 5136: 5132: 5095: 5088: 5078: 5076: 5067: 5066: 5062: 5052: 5050: 5042: 5041: 5037: 5030: 5014: 5010: 4965: 4961: 4951: 4947: 4942: 4938: 4928: 4926: 4913: 4912: 4908: 4863: 4859: 4824: 4820: 4807: 4806: 4802: 4789: 4788: 4784: 4737: 4733: 4723: 4721: 4686: 4680: 4676: 4639:Neuropediatrics 4635:"Syringomyelia" 4631: 4627: 4617: 4615: 4575: 4571: 4561: 4559: 4519: 4515: 4505: 4503: 4476: 4470: 4466: 4419: 4415: 4405: 4403: 4366: 4360: 4356: 4309: 4305: 4295: 4293: 4254: 4248: 4244: 4197: 4193: 4183: 4181: 4170: 4166: 4156: 4154: 4115: 4109: 4105: 4074: 4070: 4060: 4058: 4049: 4048: 4044: 3995: 3991: 3981: 3979: 3937: 3933: 3912: 3908: 3898: 3896: 3892: 3859: 3853: 3844: 3797: 3793: 3783: 3781: 3757: 3753: 3743: 3741: 3737: 3696: 3690: 3686: 3676: 3674: 3662: 3661: 3657: 3647: 3645: 3633: 3627: 3623: 3584: 3580: 3570: 3568: 3559: 3557: 3553: 3516: 3512: 3465: 3458: 3435:10.1038/nrn1009 3419: 3415: 3405: 3403: 3394: 3393: 3389: 3379: 3377: 3368: 3367: 3363: 3318: 3309: 3269: 3265: 3226: 3222: 3193:(10): 825–829. 3183: 3179: 3142: 3138: 3098: 3091: 3052: 3048: 3011: 3007: 2962: 2958: 2911: 2907: 2868: 2864: 2817: 2813: 2774: 2770: 2731: 2727: 2688: 2681: 2634: 2630: 2591: 2584: 2539: 2528: 2521: 2499: 2495: 2446: 2442: 2403: 2396: 2359: 2352: 2321: 2317: 2286: 2282: 2237: 2233: 2223: 2221: 2183: 2176: 2166: 2164: 2155: 2154: 2150: 2140: 2138: 2127: 2123: 2113: 2111: 2081: 2074: 2064: 2062: 2038:(10): 925–948. 2027: 2021: 2017: 2006: 2004: 1995: 1988: 1986: 1975: 1974: 1970: 1927: 1920: 1881: 1877: 1830: 1826: 1787: 1778: 1768: 1766: 1758: 1757: 1753: 1724:(12): 714–723. 1714: 1710: 1665: 1661: 1614: 1607: 1597: 1595: 1587: 1586: 1582: 1551: 1544: 1497: 1474: 1464: 1462: 1449: 1448: 1433: 1423: 1421: 1408: 1407: 1364: 1354: 1352: 1345:Merriam Webster 1339: 1338: 1334: 1329: 1324: 1280: 1270:for adolescent 1268:Genetic testing 1265: 1238: 1218:lumbar lordosis 1168: 1120:Paul Harrington 1116: 1108:Milwaukee brace 1043: 1018:musculoskeletal 1006: 988: 933: 932: 931: 930: 905: 904: 903: 895: 894: 883: 819: 791:Pain medication 758: 752: 725: 650:, the feet for 623:, hairy patch, 590: 546:Marfan syndrome 538:hemihypertrophy 522:CHARGE syndrome 463: 381: 365: 310: 256:Marfan syndrome 154:Marfan syndrome 138:Usually unknown 130:10–20 years old 100: 58: 54: 29: 24: 17: 12: 11: 5: 7570: 7560: 7559: 7554: 7549: 7532: 7531: 7528: 7527: 7524: 7523: 7521: 7520: 7514: 7512: 7508: 7507: 7505: 7504: 7499: 7493: 7491: 7484: 7483: 7481: 7480: 7475: 7469: 7467: 7457: 7451: 7450: 7448: 7447: 7442: 7437: 7432: 7427: 7426: 7425: 7414: 7412: 7406: 7405: 7402: 7401: 7399: 7398: 7393: 7388: 7383: 7381:Dolichocephaly 7378: 7373: 7368: 7362: 7360: 7356: 7355: 7353: 7352: 7347: 7342: 7337: 7332: 7326: 7324: 7318: 7317: 7315: 7314: 7312:Trigonocephaly 7309: 7304: 7298: 7296: 7287: 7285:Skull and face 7278: 7272: 7271: 7268: 7267: 7264: 7263: 7261: 7260: 7255: 7250: 7248:Arthrogryposis 7244: 7242: 7238: 7237: 7235: 7234: 7233: 7232: 7227: 7222: 7210: 7204: 7202: 7198: 7197: 7195: 7194: 7193: 7192: 7182: 7177: 7172: 7170:Arachnodactyly 7167: 7166: 7165: 7150: 7148: 7139: 7135: 7134: 7131: 7130: 7128: 7127: 7122: 7117: 7112: 7111: 7110: 7098: 7097: 7096: 7091: 7078: 7076: 7074:foot deformity 7070: 7069: 7067: 7066: 7061: 7056: 7051: 7046: 7041: 7035: 7033: 7027: 7026: 7024: 7023: 7018: 7013: 7008: 6998: 6996: 6987: 6981: 6980: 6977: 6976: 6974: 6973: 6968: 6963: 6958: 6952: 6950: 6948:hand deformity 6944: 6943: 6941: 6940: 6935: 6930: 6924: 6922: 6909: 6900: 6886: 6885: 6870: 6869: 6862: 6855: 6847: 6838: 6837: 6835: 6834: 6829: 6824: 6819: 6813: 6811: 6805: 6804: 6802: 6801: 6796: 6795: 6794: 6789: 6779: 6774: 6768: 6766: 6760: 6759: 6756: 6755: 6753: 6752: 6750:Facet syndrome 6747: 6742: 6741: 6740: 6738:Retrolisthesis 6730: 6725: 6719: 6717: 6713: 6712: 6710: 6709: 6707:Pott's disease 6704: 6699: 6694: 6689: 6688: 6687: 6676: 6674: 6667: 6661: 6660: 6657: 6656: 6654: 6653: 6648: 6642: 6640: 6636: 6635: 6633: 6632: 6627: 6622: 6616: 6614: 6605: 6601: 6600: 6597:Spinal disease 6593: 6592: 6585: 6578: 6570: 6561: 6560: 6557: 6556: 6544: 6543: 6541: 6537: 6536: 6533: 6532: 6521: 6510: 6495: 6479: 6474: 6473: 6471: 6470:Classification 6464: 6463: 6457: 6450: 6422: 6421:External links 6419: 6416: 6415: 6388: 6363: 6328: 6299:(8): 392–403. 6279: 6268:(3): 182–202. 6252: 6237: 6189: 6161: 6135: 6106:(4): 606–616. 6086: 6067:(9932): 1944. 6044: 6037: 6017: 5974: 5945:(8): 865–869. 5925: 5900: 5841: 5819: 5784: 5735: 5688: 5681: 5659: 5629: 5563: 5537: 5478: 5471: 5446: 5431: 5417: 5368: 5352: 5301: 5252: 5208: 5197:on 1 July 2014 5182: 5171:on 1 July 2014 5156: 5130: 5086: 5060: 5035: 5029:978-9810785925 5028: 5008: 4979:(2): 165–172. 4959: 4945: 4936: 4906: 4857: 4818: 4800: 4795:iscoliosis.com 4782: 4753:(3): 257–264. 4731: 4697:(3): 375–381. 4674: 4645:(1): 003–009. 4625: 4569: 4523:"Spina bifida" 4513: 4464: 4413: 4354: 4303: 4267:(3): 153–162. 4242: 4213:(8): 576–587. 4191: 4180:. OrthoBullets 4164: 4103: 4084:(6): 889–896. 4068: 4042: 3989: 3931: 3906: 3872:(9): 834–841. 3842: 3791: 3751: 3709:(7): 654–667. 3684: 3668:mayoclinic.org 3655: 3621: 3578: 3567:on 21 May 2014 3551: 3530:(3): 310–313. 3510: 3456: 3413: 3402:on 1 July 2014 3387: 3361: 3307: 3263: 3236:(4): 423–427. 3220: 3177: 3136: 3109:(1): e32–e38. 3089: 3062:(2): 363–371. 3046: 3005: 2956: 2905: 2862: 2811: 2768: 2725: 2679: 2628: 2601:(6): 679–681. 2582: 2526: 2519: 2493: 2440: 2413:(5): 702–712. 2394: 2373:(5): 559–567. 2350: 2331:(2): 152–160. 2315: 2280: 2251:(3): 671–675. 2231: 2197:(2): 218–224. 2174: 2148: 2121: 2095:(4): 466–476. 2072: 2015: 1968: 1941:(2): 214–234. 1918: 1891:(3): 440–449. 1875: 1824: 1776: 1751: 1708: 1659: 1628:(2): 351–359. 1605: 1580: 1561:(2): 111–115. 1542: 1472: 1431: 1362: 1331: 1330: 1328: 1325: 1323: 1322: 1317: 1312: 1307: 1302: 1297: 1292: 1287: 1281: 1279: 1276: 1264: 1261: 1237: 1234: 1167: 1164: 1153:In the 1980s, 1132:ratchet system 1130:operated on a 1128:Harrington rod 1115: 1112: 1042: 1039: 1005: 1002: 987: 984: 966: 965: 962: 942:cerebral palsy 907: 906: 897: 896: 888: 887: 886: 885: 884: 882: 879: 818: 815: 802: 801: 798: 795: 792: 785: 784: 781: 778: 773: 754:Main article: 751: 748: 724: 721: 631:). A thorough 589: 586: 487:cerebral palsy 462: 459: 407:microsatellite 380: 377: 364: 361: 360: 359: 356: 353: 352:Uneven posture 350: 343:shoulder blade 339: 332: 331: 328: 325: 309: 306: 252:cerebral palsy 233:sagittal plane 196: 195: 192: 188: 187: 177: 173: 172: 167: 161: 160: 150:cerebral palsy 146: 140: 139: 136: 132: 131: 128: 124: 123: 120: 114: 113: 108: 102: 101: 99: 98: 51: 49: 45: 44: 36: 35: 27: 15: 9: 6: 4: 3: 2: 7569: 7558: 7555: 7553: 7550: 7548: 7545: 7544: 7542: 7519: 7516: 7515: 7513: 7509: 7503: 7500: 7498: 7495: 7494: 7492: 7489: 7485: 7479: 7476: 7474: 7471: 7470: 7468: 7465: 7461: 7458: 7456: 7452: 7446: 7445:Sacralization 7443: 7441: 7438: 7436: 7433: 7431: 7428: 7424: 7421: 7420: 7419: 7416: 7415: 7413: 7411: 7407: 7397: 7394: 7392: 7391:Plagiocephaly 7389: 7387: 7384: 7382: 7379: 7377: 7374: 7372: 7369: 7367: 7364: 7363: 7361: 7357: 7351: 7348: 7346: 7343: 7341: 7338: 7336: 7335:Hypertelorism 7333: 7331: 7328: 7327: 7325: 7323: 7319: 7313: 7310: 7308: 7305: 7303: 7302:Scaphocephaly 7300: 7299: 7297: 7295: 7291: 7288: 7286: 7282: 7279: 7277: 7273: 7259: 7256: 7254: 7251: 7249: 7246: 7245: 7243: 7239: 7231: 7228: 7226: 7223: 7221: 7218: 7217: 7216: 7215: 7211: 7209: 7206: 7205: 7203: 7199: 7191: 7188: 7187: 7186: 7185:Brachydactyly 7183: 7181: 7178: 7176: 7173: 7171: 7168: 7164: 7161: 7160: 7159: 7155: 7152: 7151: 7149: 7147: 7143: 7140: 7138:Either / both 7136: 7126: 7123: 7121: 7118: 7116: 7113: 7109: 7106: 7105: 7104: 7103: 7099: 7095: 7092: 7090: 7087: 7086: 7085: 7084: 7080: 7079: 7077: 7075: 7071: 7065: 7062: 7060: 7057: 7055: 7052: 7050: 7047: 7045: 7042: 7040: 7037: 7036: 7034: 7032: 7028: 7022: 7019: 7017: 7014: 7012: 7009: 7007: 7006:Hip dysplasia 7003: 7000: 6999: 6997: 6995: 6991: 6988: 6986: 6982: 6972: 6969: 6967: 6964: 6962: 6959: 6957: 6954: 6953: 6951: 6949: 6945: 6939: 6936: 6934: 6931: 6929: 6926: 6925: 6923: 6921: 6917: 6913: 6910: 6908: 6904: 6901: 6899: 6895: 6891: 6887: 6883: 6879: 6875: 6868: 6863: 6861: 6856: 6854: 6849: 6848: 6845: 6833: 6830: 6828: 6825: 6823: 6820: 6818: 6815: 6814: 6812: 6810: 6806: 6800: 6799:Radiculopathy 6797: 6793: 6790: 6788: 6785: 6784: 6783: 6782:Low back pain 6780: 6778: 6775: 6773: 6770: 6769: 6767: 6765: 6761: 6751: 6748: 6746: 6743: 6739: 6736: 6735: 6734: 6731: 6729: 6728:Spondylolysis 6726: 6724: 6721: 6720: 6718: 6714: 6708: 6705: 6703: 6700: 6698: 6695: 6693: 6690: 6686: 6683: 6682: 6681: 6678: 6677: 6675: 6671: 6668: 6666: 6665:Spondylopathy 6662: 6652: 6649: 6647: 6644: 6643: 6641: 6637: 6631: 6628: 6626: 6623: 6621: 6618: 6617: 6615: 6613: 6609: 6606: 6602: 6598: 6591: 6586: 6584: 6579: 6577: 6572: 6571: 6568: 6555: 6551: 6550: 6546: 6545: 6542: 6538: 6531: 6527: 6526: 6522: 6520: 6516: 6515: 6511: 6509: 6505: 6504: 6500: 6496: 6494: 6490: 6489: 6485: 6481: 6480: 6477: 6472: 6468: 6461: 6458: 6454: 6451: 6449: 6445: 6440: 6436: 6435: 6430: 6425: 6424: 6403: 6399: 6392: 6377: 6373: 6367: 6359: 6355: 6351: 6347: 6343: 6339: 6332: 6324: 6320: 6316: 6312: 6307: 6302: 6298: 6294: 6290: 6283: 6275: 6271: 6267: 6263: 6256: 6248: 6241: 6233: 6229: 6225: 6221: 6218:(1): 95–112. 6217: 6213: 6206: 6204: 6202: 6200: 6198: 6196: 6194: 6177: 6170: 6168: 6166: 6149: 6145: 6139: 6131: 6127: 6122: 6117: 6113: 6109: 6105: 6101: 6097: 6090: 6082: 6078: 6074: 6070: 6066: 6062: 6055: 6048: 6040: 6034: 6030: 6029: 6021: 6013: 6009: 6005: 6001: 5997: 5993: 5989: 5985: 5978: 5970: 5966: 5961: 5956: 5952: 5948: 5944: 5940: 5936: 5929: 5914: 5910: 5904: 5896: 5892: 5888: 5884: 5879: 5874: 5869: 5864: 5860: 5856: 5852: 5845: 5837: 5833: 5829: 5823: 5815: 5811: 5807: 5803: 5799: 5795: 5788: 5780: 5776: 5772: 5768: 5763: 5758: 5754: 5750: 5746: 5739: 5731: 5727: 5723: 5719: 5715: 5711: 5708:: e830–e844. 5707: 5703: 5699: 5692: 5684: 5678: 5674: 5670: 5663: 5646: 5642: 5636: 5634: 5625: 5621: 5616: 5611: 5607: 5603: 5599: 5595: 5591: 5587: 5583: 5576: 5574: 5572: 5570: 5568: 5552: 5548: 5541: 5533: 5529: 5524: 5519: 5514: 5509: 5505: 5501: 5497: 5493: 5489: 5482: 5474: 5468: 5463: 5462: 5453: 5451: 5442: 5435: 5427: 5426:"BASIS study" 5421: 5413: 5409: 5405: 5401: 5396: 5391: 5387: 5383: 5379: 5372: 5364: 5363: 5356: 5348: 5344: 5339: 5334: 5329: 5324: 5320: 5316: 5312: 5305: 5297: 5293: 5288: 5283: 5279: 5275: 5271: 5267: 5263: 5256: 5248: 5244: 5240: 5236: 5232: 5228: 5224: 5220: 5212: 5196: 5192: 5186: 5170: 5166: 5160: 5144: 5140: 5134: 5126: 5122: 5117: 5112: 5108: 5104: 5100: 5093: 5091: 5074: 5070: 5064: 5049: 5045: 5039: 5031: 5025: 5021: 5020: 5012: 5004: 5000: 4996: 4992: 4987: 4982: 4978: 4974: 4970: 4963: 4956: 4949: 4940: 4924: 4920: 4916: 4910: 4902: 4898: 4893: 4888: 4884: 4880: 4876: 4872: 4871:Dose-Response 4868: 4861: 4854: 4849: 4845: 4841: 4837: 4833: 4829: 4828:Radiographics 4822: 4814: 4810: 4804: 4796: 4792: 4786: 4778: 4774: 4769: 4764: 4760: 4756: 4752: 4748: 4747: 4742: 4735: 4720: 4716: 4712: 4708: 4704: 4700: 4696: 4692: 4685: 4678: 4670: 4666: 4662: 4658: 4653: 4648: 4644: 4640: 4636: 4629: 4614: 4610: 4606: 4602: 4598: 4594: 4590: 4586: 4585: 4580: 4573: 4558: 4554: 4550: 4546: 4542: 4538: 4534: 4530: 4529: 4524: 4517: 4502: 4498: 4494: 4490: 4486: 4482: 4481:RadioGraphics 4475: 4468: 4460: 4456: 4452: 4448: 4443: 4438: 4434: 4430: 4429: 4424: 4417: 4402: 4398: 4394: 4390: 4386: 4382: 4378: 4374: 4373: 4365: 4358: 4350: 4346: 4341: 4336: 4332: 4328: 4324: 4320: 4319: 4314: 4307: 4292: 4288: 4283: 4278: 4274: 4270: 4266: 4262: 4261: 4253: 4246: 4238: 4234: 4229: 4224: 4220: 4216: 4212: 4208: 4207: 4202: 4195: 4179: 4175: 4168: 4153: 4149: 4144: 4139: 4135: 4131: 4127: 4123: 4122: 4114: 4107: 4099: 4095: 4091: 4087: 4083: 4079: 4072: 4056: 4052: 4046: 4038: 4034: 4029: 4024: 4019: 4014: 4010: 4006: 4005: 4000: 3993: 3978: 3974: 3969: 3964: 3960: 3956: 3952: 3948: 3947: 3942: 3935: 3927: 3923: 3922: 3917: 3910: 3891: 3887: 3883: 3879: 3875: 3871: 3867: 3866: 3858: 3851: 3849: 3847: 3838: 3834: 3829: 3824: 3819: 3814: 3810: 3806: 3802: 3795: 3780: 3776: 3773:(1): 91–100. 3772: 3768: 3767: 3762: 3755: 3736: 3732: 3728: 3724: 3720: 3716: 3712: 3708: 3704: 3703: 3695: 3688: 3673: 3669: 3665: 3659: 3643: 3639: 3632: 3625: 3617: 3613: 3609: 3605: 3601: 3597: 3593: 3589: 3582: 3566: 3562: 3555: 3547: 3543: 3538: 3533: 3529: 3525: 3521: 3514: 3506: 3502: 3497: 3492: 3487: 3482: 3478: 3474: 3470: 3463: 3461: 3452: 3448: 3444: 3440: 3436: 3432: 3428: 3424: 3417: 3401: 3397: 3391: 3375: 3371: 3365: 3357: 3353: 3348: 3343: 3339: 3335: 3331: 3327: 3323: 3316: 3314: 3312: 3303: 3299: 3295: 3291: 3287: 3283: 3279: 3275: 3267: 3259: 3255: 3251: 3247: 3243: 3239: 3235: 3231: 3224: 3216: 3212: 3208: 3204: 3200: 3196: 3192: 3188: 3181: 3173: 3169: 3164: 3159: 3155: 3151: 3147: 3140: 3132: 3128: 3124: 3120: 3116: 3112: 3108: 3104: 3096: 3094: 3085: 3081: 3077: 3073: 3069: 3065: 3061: 3057: 3050: 3042: 3038: 3033: 3028: 3024: 3020: 3016: 3009: 3001: 2997: 2992: 2987: 2983: 2979: 2975: 2971: 2967: 2960: 2952: 2948: 2943: 2938: 2933: 2928: 2924: 2920: 2916: 2909: 2901: 2897: 2893: 2889: 2885: 2881: 2877: 2873: 2866: 2858: 2854: 2849: 2844: 2839: 2834: 2830: 2826: 2822: 2815: 2807: 2803: 2799: 2795: 2791: 2787: 2783: 2779: 2772: 2764: 2760: 2756: 2752: 2748: 2744: 2740: 2736: 2729: 2721: 2717: 2713: 2709: 2705: 2701: 2697: 2693: 2686: 2684: 2675: 2671: 2666: 2661: 2656: 2651: 2647: 2643: 2639: 2632: 2624: 2620: 2616: 2612: 2608: 2604: 2600: 2596: 2589: 2587: 2578: 2574: 2569: 2564: 2560: 2556: 2552: 2548: 2544: 2537: 2535: 2533: 2531: 2522: 2516: 2512: 2507: 2506: 2497: 2490: 2485: 2481: 2476: 2471: 2467: 2463: 2459: 2455: 2451: 2444: 2436: 2432: 2428: 2424: 2420: 2416: 2412: 2408: 2401: 2399: 2390: 2386: 2381: 2376: 2372: 2368: 2364: 2357: 2355: 2346: 2342: 2338: 2334: 2330: 2326: 2319: 2311: 2307: 2303: 2299: 2295: 2291: 2284: 2276: 2272: 2267: 2262: 2258: 2254: 2250: 2246: 2242: 2235: 2220: 2216: 2212: 2208: 2204: 2200: 2196: 2192: 2188: 2181: 2179: 2162: 2158: 2152: 2136: 2132: 2125: 2110: 2106: 2102: 2098: 2094: 2090: 2086: 2079: 2077: 2061: 2057: 2053: 2049: 2045: 2041: 2037: 2033: 2026: 2019: 2002: 1998: 1985:(Online). n.d 1984: 1983: 1978: 1972: 1964: 1960: 1956: 1952: 1948: 1944: 1940: 1936: 1935:Physiotherapy 1932: 1925: 1923: 1914: 1910: 1906: 1902: 1898: 1894: 1890: 1886: 1879: 1871: 1867: 1862: 1857: 1852: 1847: 1843: 1839: 1835: 1828: 1820: 1816: 1812: 1808: 1804: 1800: 1796: 1792: 1785: 1783: 1781: 1765: 1761: 1755: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1719: 1712: 1704: 1700: 1696: 1692: 1687: 1682: 1678: 1674: 1670: 1663: 1655: 1651: 1646: 1641: 1636: 1631: 1627: 1623: 1619: 1612: 1610: 1594: 1590: 1584: 1576: 1572: 1568: 1564: 1560: 1556: 1549: 1547: 1538: 1534: 1529: 1524: 1519: 1514: 1510: 1506: 1502: 1495: 1493: 1491: 1489: 1487: 1485: 1483: 1481: 1479: 1477: 1460: 1456: 1452: 1446: 1444: 1442: 1440: 1438: 1436: 1419: 1415: 1411: 1405: 1403: 1401: 1399: 1397: 1395: 1393: 1391: 1389: 1387: 1385: 1383: 1381: 1379: 1377: 1375: 1373: 1371: 1369: 1367: 1350: 1346: 1342: 1336: 1332: 1321: 1318: 1316: 1313: 1311: 1308: 1306: 1303: 1301: 1298: 1296: 1293: 1291: 1288: 1286: 1283: 1282: 1275: 1273: 1269: 1260: 1258: 1253: 1251: 1247: 1246:United States 1242: 1233: 1231: 1230: 1225: 1224: 1219: 1215: 1210: 1208: 1204: 1200: 1196: 1192: 1188: 1184: 1177: 1172: 1163: 1160: 1156: 1151: 1147: 1143: 1141: 1137: 1133: 1129: 1125: 1121: 1111: 1109: 1104: 1102: 1098: 1095:The American 1093: 1091: 1090:poliomyelitis 1087: 1082: 1078: 1075: 1072: 1064: 1060: 1055: 1047: 1038: 1036: 1031: 1026: 1021: 1019: 1015: 1011: 1001: 997: 995: 994: 983: 981: 976: 974: 969: 963: 960: 959: 958: 955: 953: 949: 945: 943: 939: 928: 924: 919: 915: 911: 901: 892: 878: 875: 873: 868: 863: 859: 856: 852: 848: 844: 835: 831: 823: 814: 811: 806: 799: 796: 793: 790: 789: 788: 782: 779: 777: 774: 771: 770: 769: 767: 762: 757: 747: 745: 740: 738: 737:coronal plane 734: 730: 720: 718: 712: 710: 705: 703: 698: 694: 690: 686: 682: 678: 673: 671: 666: 664: 659: 657: 653: 649: 645: 643: 638: 634: 630: 626: 622: 618: 614: 610: 607:The person's 605: 598: 594: 585: 581: 579: 575: 574:syringomyelia 571: 567: 563: 559: 555: 551: 547: 543: 539: 535: 531: 527: 523: 519: 515: 511: 507: 503: 499: 494: 492: 488: 484: 483:poliomyelitis 480: 476: 472: 468: 458: 456: 452: 442: 438: 435: 434: 428: 426: 420: 418: 416: 411: 410:polymorphisms 408: 404: 403: 396: 394: 390: 386: 376: 373: 369: 357: 354: 351: 348: 344: 340: 337: 336: 335: 329: 326: 323: 322: 321: 314: 305: 303: 300: 294: 291: 288: 287:Ancient Greek 283: 281: 277: 271: 269: 265: 261: 257: 253: 249: 248:muscle spasms 245: 241: 236: 234: 230: 226: 222: 218: 217:coronal plane 214: 210: 202: 193: 189: 185: 181: 178: 174: 171: 168: 166: 162: 159: 155: 151: 147: 145: 141: 137: 133: 129: 125: 121: 119: 115: 112: 109: 107: 103: 94: 53: 52: 50: 48:Pronunciation 46: 42: 37: 32: 26: 22: 7422: 7366:Macrocephaly 7212: 7208:Acheiropodia 7180:Ectrodactyly 7100: 7081: 6966:Oligodactyly 6961:Clinodactyly 6890:Appendicular 6692:Sacroiliitis 6673:inflammatory 6629: 6547: 6523: 6512: 6497: 6482: 6432: 6406:. 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Index

Sclerosis

/ˌskoʊliˈoʊsÉȘs/
Specialty
Orthopedic surgery
Symptoms
Risk factors
cerebral palsy
Marfan syndrome
neurofibromatosis
Diagnostic method
X-ray
Watchful waiting
bracing
spine
coronal plane
disability
kyphosis
lordosis
sagittal plane
genetic
environmental factors
muscle spasms
cerebral palsy
Marfan syndrome
neurofibromatosis
X-rays
asymmetries
bracing
chiropractic manipulation

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