Abstract

The effects of leg length inequality with postural scoliosis on the lumbar apophyseal joints was investigated by comparing paired left and right joints, using histological sections from cadavers having a leg length inequality of 1 cm or more, and cadavers having no leg length inequality. A statistical analysis of mid-joint geometry (articular cartilage and subchondral bone thickness) is made from mid-joint histological sections. The study clearly demonstrates that leg length inequality of 1 cm or more is associated with asymmetrical changes in joint cartilage and subchondral bone in the apical and lumbosacral apophyseal joints of the spine in postural scoliosis.

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