The cause of axial rotation of the scoliotic spine.

To explain the cause of axial rotation in a scoliotic vertebral column, the influence of the gravitation force on a spine with a C-scoliosis has been investigated by means of a mechanical model. In this model the gravitation force takes hold of the three-dimensionally curved vertebral column eccentrically. From these reflections it appears that the axial rotation in the scoliotic spine can be explained by the moment distribution caused by this eccentrical gravitation force. The moment distribution, necessary for correction of the spine, is supposed to be opposite to the moments caused by the gravitation force. The moment distribution caused by the Harrington and the Luque spinal correction systems are compared to the calculated optimum correction moments. It appears that the moment distribution for the Harrington and Luque methods, necessary for the correction of the lateral deviation, are almost the same as the calculated correction moments. But the axial rotation appears to be increasing instead of decreasing in both correction systems.