Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: A retrospective chart review.

Eric Chun Pu Chu,Vicky Wei Kye Ho,Fa-Sain Lo,Amiya Bhaumik,Diya Midhun Chakkaravarthy,Kevin Hsu Kai Huang

doi:10.4081/cp.2020.1258

Abstract

This retrospective chart review was undertaken to investigate the role of chiropractic intervention for patients with adolescent idiopathic scoliosis (AIS). Ten cases of patients with AIS, mean age 13.3 years, undergoing chiropractic adjustment were retrospectively evaluated. Chart review was performed to extract age, medical history and treatment intervention. The magnitude of scoliosis was quantified using the Cobb method on standing radiographs. A comparison of the measurements from pre- and post-treatment radiographs revealed that Cobb angle reduced from average 29.7° down to average 23.4° (average 21.2% correction). Improvements in spinal morphologies were observed in most curves (64%, n=9/14) and curve stabilization in the rest (36%, n=5/14). A better correction was obtained in cases of mild and moderate AIS. In terms of stabilizing progression (≤5o curve progression) or correcting curvatures (≥6° reduction), radiological changes were observed in all patients.

Highlights

A 5-degree difference between ed lower end vertebra (LEV); ii) LEV tilt, two consecutive spine radiographs was the angle formed by the lower endplate of Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis, affecting approximately 2% to 4% of the pediatric population.[1]
Assessment of skelethe LEV and a horizontal line; iii) trunk shift, the deviation of C7 plumb line from the central sacral vertical line (CSVL); iv) apical vertebral translation (AVT), the horizontal distance from the C7 plumb dimensional deformity of the spine, but for tal maturation was performed using the line/CSVL to the midpoint of the apical verpractical purposes, scoliosis is defined as a Risser grading on the level of ossification tebral body or disc for thoracic/lumbar lateral spinal curvature with a Cobb angle and fusion of the iliac crest apophyses,[9] and curves; v) apical vertebral rotation (AVR), of ≥10° measured on a standing coronal the cervical vertebral maturation (CVM) the rotation score of the apical vertebra radiograph.[2]
Radiography according to the Nash-Moe grading; vi) unclear and the risk of curve progression in image measurements were used to quantita- pelvic obliquity, angle subtended by a line

Summary

Materials and Methods

A retrospective chart review was conducted on all school children who were treated for scoliosis in our clinic from January 2015 to December 2018. They were found as having spinal deformities in school screenings and subsequently diagnosed with AIS by their primary care doctors. Ethics approval and consent to participate: This study was reviewed and deemed exempt by the Institutional Review Board of the Chiropractic Doctors Association of Hong Kong. ©Copyright: the Author(s), 2020 Licensee PAGEPress, Italy Clinics and Practice 2020; 10:1258 doi:10.4081/cp.2020.1258 angle, the angle formed by the most tilted reached, or the patient’s improvement upper end vertebra (UEV) and the most tiltplateaued. A 5-degree difference between ed lower end vertebra (LEV); ii) LEV tilt, two consecutive spine radiographs was the angle formed by the lower endplate of

Introduction

Findings

Lt L