Background Scoliosis is a 3-dimensional spinal deformity measured in two dimensions. [1] and is the leading orthopedic problem seen in school-aged children, affecting approximately 2-4% of children 10 to 16 years of age. First introduced in 1948, the Cobb angle is the current standard for measuring the severity of scoliosis. As stated by Gstoettner et al. in 2007, “It is an objective measure an...

Methods A cohort of 60 patients with a mean age of 12.6 years old (SD=0.8) and an average Cobb angle of 21.4 (SD=6.3) degrees were followed from their first visit till skeletal maturity defined as Risser 4 or above and greater than 1.5 years postmenarchal. Progressive curves were defined as a cumulative increase of 6 degrees or more in the Cobb angle, or the magnitude of any curve exceeding 45 ...

Evaluation of scoliosis is performed traditionally by means of standing posterior-anterior radiographs of the full spine to assess lateral curvature with the Cobb method. In this paper, we present a new automatic algorithm to measure Cobb angle by using nuclear medicine whole body bone scan images. Our algorithm design is based on the fuzzy sets histogram thresholding, anatomical knowledge-base...

Methods Design: retrospective cohort study. Population: 351 AIS patients (306 females), age 10-15 years at first assessment (average 12.9±1.4), worst curve 35.6±11.4° Cobb, ATR 11±4.3°, median Risser 2, BMI 19.7±3. All subjects included were prescribed a brace treatment at first visit (initially 18-23 hours per day) accompanied by Scoliosis Physiotherapic Exercise according to the Scientific Ex...

Results 5 studies have been included (4 retrospective, one prospective), with a total of 416 patients, Cobb Angle range 25-40°, Risser 0-2, more than 10 years old, and less than 1 year post menarche at baseline. Pooling data, we had 40% of patients worsened >36° Cobb, including 27% with curves over 45°; 30% of patients were fused. Making subgroup analysis, we compared rigid braces managed accor...

Background The goals of Scoliosis Specific Schroth Physiotherapy (SSSPT) are to restore muscle balance, reshape the rib cage and reduce the rib hump to improve the esthetic of the patient, to increase the breathing areas and vital capacity, to reduce the Cobb angles, and to avoid spinal fusion surgery. Measuring the Cobb angles on P-A radiographs, assessing the sagittal profile on lateral radio...

The outcomes and complications of posterior-only lumbar instrumented long fusions exceeding three segments with selective segmental transforaminal lumbar interbody fusion for the treatment of degenerative lumbar scoliosis, kyphosis, or both combined with spondylolisthesis were analyzed to investigate risk factors associated with surgical instrumentation failure. Fifteen consecutive patients wit...

Background To determine the relationship between superior disc-endplate complex injury and correction loss after surgery in a group of young adult patients with a stable thoracolumbar burst fracture. Methods The study group was comprised of young adult patients who had undergone short-segment posterior fixation and bone grafting under the diagnosis of a stable thoracolumbar burst fracture fro...

BACKGROUND In cerebral palsy (CP) there is an increased risk of scoliosis. It is important to identify a progressive scoliosis early-on because the results of surgery depend on the magnitude of the curve. The Swedish follow-up program for cerebral palsy (CPUP) includes clinical examinations of the spine. The reliability and validity of the assessment method have not been studied. In this study ...

Materials and methods A prospective controlled study was done with 38 adolescent idiopathic scoliosis patients (6 male; 32 female, 13.5 +/3.5 years of age; Risser 0-3; Cobb Angle > 10°, Bunnel Angle > 5°) who were prescribed only exercises to avoid progression at the time of their first evaluation. All patients were enrolled consecutively. Patient were then divided into three groups: SEAS group...