INTRODUCTION
Idiopathic scoliosis is a three-dimensional spinal deformity that is characterized by significant curve progression during a growth spurt (1). The longitudinal growth plays an important role in the development and progression of idiopathic scoliosis (1). A histomorphic study of the vertebral endplates from IS patients confirmed a more active growth of the anterior column than the posterior column (2). This mainly affects young kids due to their bones not being fully formed and still growing. Adolescent idiopathic scoliosis affects approximately 2-3% of 10-16 year olds, with a female to male ration of 3.6:1 (3).
Depending on the severity of the later curve in the spine dictates the signs, symptoms and complications that can …show more content…
If the curve is minor and thought to be not likely to progress the medical model states that you need to observe the curve for progression and do no intervention. If the curve is mild and has a likely possibility to worsen the medical protocol is to use a brace to try and slow down the progression. If the scoliosis is considered to be severe the protocol is surgery. Mild, moderate and severe curves are based on an x ray analysis called the Cobb-Lippman scoliosis evaluation. This evaluation uses line drawing on an anterior to posterior radiograph to create a measurable angle to grade the scoliosis. During the observational stage the curve should be under 25°. If the curve progresses to be over 25° and under 45° the patient would be considered in the bracing stage. If the curve has a Cobb-Lippman angle of more than 45° surgery is the medical recommendation (4). The complications and risks of surgery on patients with scoliosis are relatively common, occurring from 30% to 53% of the time …show more content…
The Cobb Lippman scoliosis evaluation utilizes an anterior to posterior radiograph by selecting the most tilted vertebra at the top and bottom of the scoliosis curve (13,14). A line is placed at the inferior vertebral endplate of the superior vertebra that is selected, as well as a line at the superior endplate of the bottom vertebra selected. Then a perpendicular line is drawn off both of those lines to create an angle that is called the Cobb angle. This is the angle that is used to determine the severity of the scoliosis (13,14). The Cobb method is preferred because of its easy reproducibility, easier application and management of larger angles for more severe spinal curvature
Idiopathic scoliosis is a three-dimensional spinal deformity that is characterized by significant curve progression during a growth spurt (1). The longitudinal growth plays an important role in the development and progression of idiopathic scoliosis (1). A histomorphic study of the vertebral endplates from IS patients confirmed a more active growth of the anterior column than the posterior column (2). This mainly affects young kids due to their bones not being fully formed and still growing. Adolescent idiopathic scoliosis affects approximately 2-3% of 10-16 year olds, with a female to male ration of 3.6:1 (3).
Depending on the severity of the later curve in the spine dictates the signs, symptoms and complications that can …show more content…
If the curve is minor and thought to be not likely to progress the medical model states that you need to observe the curve for progression and do no intervention. If the curve is mild and has a likely possibility to worsen the medical protocol is to use a brace to try and slow down the progression. If the scoliosis is considered to be severe the protocol is surgery. Mild, moderate and severe curves are based on an x ray analysis called the Cobb-Lippman scoliosis evaluation. This evaluation uses line drawing on an anterior to posterior radiograph to create a measurable angle to grade the scoliosis. During the observational stage the curve should be under 25°. If the curve progresses to be over 25° and under 45° the patient would be considered in the bracing stage. If the curve has a Cobb-Lippman angle of more than 45° surgery is the medical recommendation (4). The complications and risks of surgery on patients with scoliosis are relatively common, occurring from 30% to 53% of the time …show more content…
The Cobb Lippman scoliosis evaluation utilizes an anterior to posterior radiograph by selecting the most tilted vertebra at the top and bottom of the scoliosis curve (13,14). A line is placed at the inferior vertebral endplate of the superior vertebra that is selected, as well as a line at the superior endplate of the bottom vertebra selected. Then a perpendicular line is drawn off both of those lines to create an angle that is called the Cobb angle. This is the angle that is used to determine the severity of the scoliosis (13,14). The Cobb method is preferred because of its easy reproducibility, easier application and management of larger angles for more severe spinal curvature