Abstract
Background context Adolescent idiopathic scoliosis is an important spinal deformity. No etiology directed therapy is available. Correction can be achieved with limited options by bracing. The focus of bracing is in the coronal plane and with forces directed at the apices of curves. Bending radiographs in the coronal plane are used to assess flexibility and to predict treatment outcome. The corrective potential of fulcrum lordotic bending in the sagittal plane as technique in bracing has not been addressed in radiographic studies.
Highlights
Background contextAdolescent idiopathic scoliosis is an important spinal deformity
In group A with the patients lying supine, a significant correction of the Cobb angle was obtained at the thoracic level of 15.4% and the lumbar level of 27.5% (p < 0.001)
A lordotic fulcrum on the thoracolumbar junction resulted in further correction at the thoracic level of 15.7% and lumbar 18.1% (p < 0.001)
Summary
Adolescent idiopathic scoliosis is an important spinal deformity. Correction can be achieved with limited options by bracing. The focus of bracing is in the coronal plane and with forces directed at the apices of curves. Bending radiographs in the coronal plane are used to assess flexibility and to predict treatment outcome. The corrective potential of fulcrum lordotic bending in the sagittal plane as technique in bracing has not been addressed in radiographic studies. To support our hypothesis that an early kyphotic deformity of the thoracolumbar junction plays a role in the development of scoliotic deformities and can be addressed to facilitate correction of scoliosis
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