Double Scoliosis Research Articles

Retraction Notice to "Congenital Double Scoliosis with 2 Bilaterally Alternant Supranumerary Hemivertebrae and 2 Supranumerary Vertebrae Treated by Growth Guiding Device" [J Med Life 12(2) (2019) 192-193

Article J Med Life 2019; 12(2): 192-193; doi: 10.25122/jml-2019-0057 has been retracted for legal reasons.

An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis\u2014a pilot study

BackgroundImpairment of spine rotation is a key concept in several theories explaining the pathogenesis and progression of scoliosis. In previous studies, a more limited range of motion in scoliotic girls compared to their non-scoliotic peers was noted. The Trunk-Pelvis-Hip Angle measurement is a test used to assess the range of motion in the trunk-pelvis-hip complex in the transverse plane. The aim of this study was to assess an immediate effect of Proprioceptive Neuromuscular Facilitation specific mobilization (mPNF) on the angle of trunk rotation and Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double scoliosis.MethodsThe study was conducted on 83 girls aged 10 to 17 years (mean 13.7 ± 1.9) with double idiopathic scoliosis consisting of a right-sided thoracic curve (mean 25.1° ± 13.9°) and a left-sided thoracolumbar or lumbar curve (mean 20.8° ± 11.4°). The angle of trunk rotation and Trunk-Pelvis-Hip Angle were measured at baseline and after PNF mobilization. Bilateral lower limb patterns of Proprioceptive Neuromuscular Facilitation were used in combination with the “contract–relax” technique and stimulation of asymmetrical breathing. In the statistical analysis, the SAS rel. 13.2 software was used. Preliminary statistical analysis was performed using descriptive statistics. According to Shapiro-Wilk criterion of normality, the Wilcoxon test was used to compare paired samples. Next, the data was analyzed using multivariate GLM models.ResultsIn adolescent girls with double scoliosis, significant differences between the left and right side of the body concerning the Trunk-Pelvis-Hip Angle ranges were noted. A single, unilateral PNF mobilization significantly decreased the angle of trunk rotation in the thoracic (p < 0.001) and lumbar spine (p < 0.001). Unilateral PNF mobilization also increased the Trunk-Pelvis-Hip Angle ranges on the left (p < 0.001) and right (p < 0.001) side significantly.ConclusionsUnilateral PNF mobilization led to a decrease in the angle of trunk rotation, improvement in the range of motion, and the symmetry of mobility in the transverse plane in the trunk-pelvis-hip complex in adolescent girls with double idiopathic scoliosis. The effects should be treated only as immediate. Further studies are required to determine long-term effects of PNF mobilization on the spinal alignment.Trial registrationISRCTN11750900.

Javno-zdravstveni i biomedicinski aspekti skolioze kod školske populacije od 7-14 godina u Republici Makedoniji

Introduction: Scoliosis is a three-dimensional deformity of the spine, which as a pathological condition was known and treated at the time of Hypocrites. Scoliosis is a problem which exists in all countries around the world, especially in the developing ones. In RM, scoliosis among school children at the age of 7-14 is represented by 7.5 %. Objective: To certify the representation of radiologically diagnosed scoliosis among school children in RM, the specific types of scoliosis in relation to age, location, degree of scoliosis according to the angle of deviation of the spine, as well as to define the risk factors for the occurrence. Study Design: Casecontrol study from casual type conducted on children at the age of 7-14. Methods: In order to fulfil the purposes of the research, two groups were formed: examined and control group. Children were divided into three groups according to age: the age of 7-9, 10-12 and 13-14. A questionnaire was also prepared on the basis of recommendations given by SRS. The questionnaire consisted of 15 rules and was intended for parents. Statistical processing was done in Statistics for Windows 8.0. Results: According to gender distribution, scoliosis is more likely to be found in females, 64.49% in comparison to male children. Distribution according to age illustrates that scoliosis is most likely to appear among age groups of 10-12, 58.7%. Juvenile and adolescent scoliosis is much more likely to appear in female children. The connection between the socioeconomical status and scoliosis was also confirmed. Namely, 52.9% of children from average socioeconomical status according to FAS-scale have 2.18 times significantly greater risk of developing scoliosis. Ratio of scoliosis according to the place of living (urban and rural area) is 52.9% : 47.1%. Sitting in front of the computer, physical inactivity, as well as high BMI is a great risk factor for development of scoliosis. The questionnaire also confirmed low level of education among parents regarding this problem, 15.9%. Symmetrical sports prevent scoliosis from developing. Within the examined group of children, the division is made according to the level of scoliosis: mild, medium and severe scoliosis. Most often developed is the double scoliosis 66.87% in comparison to single thoracic 12.32% and lumbar 21.02% deviation. The angle of deviation (Cobb) moves in intervals of 9-78 degrees, with average value of 15.76+8.5. Conclusion: The first research of this type in the country, which gives information of essential significance for improvement and promotion of health, as well as improvement of primary prevention, all aiming to protect child health, and thus creating a healthy society and realization of the Declaration of WHO "Health for everyone in the 21st century".

Study on the impact of the angular value of scoliosis, the number and lenght of the curves on physical capacity of affected girls

Results The VO2 max value (l/min) and the PWC170 index were significantly lower in girls with moderate IS compared to control group. No difference was found between mild IS and controls. No influence of the number of curves and the length of scoliosis on VO2 max (l/min; ml/kg/min) and the absolute capacity value (W) was found. A significantly lower value of the PWC 170(W/kg) index was observed in girls with double scoliosis and girls having the curve over 9 vertebrae. Conclusions Girls with moderate IS presented lower VO2 max compared to controls. Physical capacity of mild IS was not significantly different from controls. Girls with double scoliosis and girls having the curve over 9 vertebrae had a significantly lower value of the PWC 170 (W/kg) index, moreover no significant effects were found for VO2 max and PWC 170 (W).

Conservative treatment of idiopathic scoliosis according to FITS concept: presentation of the method and preliminary, short term radiological and clinical results based on SOSORT and SRS criteria

BackgroundConservative scoliosis therapy according to the FITS Concept is applied as a unique treatment or in combination with corrective bracing. The aim of the study was to present author's method of diagnosis and therapy for idiopathic scoliosis FITS-Functional Individual Therapy of Scoliosis and to analyze the early results of FITS therapy in a series of consecutive patients.MethodsThe analysis comprised separately: (1) single structural thoracic, thoracolumbar or lumbar curves and (2) double structural scoliosis-thoracic and thoracolumbar or lumbar curves. The Cobb angle and Risser sign were analyzed at the initial stage and at the 2.8-year follow-up. The percentage of patients improved (defined as decrease of Cobb angle of more than 5 degrees), stable (+/- 5 degrees), and progressed (increase of Cobb angle of more than 5 degrees) was calculated. The clinical assessment comprised: the Angle of Trunk Rotation (ATR) initial and follow-up value, the plumb line imbalance, the scapulae level and the distance from the apical spinous process of the primary curve to the plumb line.ResultsIn the Group A: (1) in single structural scoliosis 50,0% of patients improved, 46,2% were stable and 3,8% progressed, while (2) in double scoliosis 50,0% of patients improved, 30,8% were stable and 19,2% progressed. In the Group B: (1) in single scoliosis 20,0% of patients improved, 80,0% were stable, no patient progressed, while (2) in double scoliosis 28,1% of patients improved, 46,9% were stable and 25,0% progressed.ConclusionBest results were obtained in 10-25 degrees scoliosis which is a good indication to start therapy before more structural changes within the spine establish.

Predictors of progression of scoliosis after decompression of an Arnold Chiari I malformation.

Retrospective study of patients with scoliosis and an Arnold Chiari I malformation requiring operative management. Determine the factors that could predict whether a particular spinal deformity might progress despite neurosurgical management of Arnold Chiari I malformation. Few studies have documented the relationship between diagnosis and treatment of Arnold Chiari I malformation and associated spinal deformities. Most studies mix neural axis abnormalities and contain limited information about the spinal deformity. Medical records, radiographs, and magnetic resonance images of patients were evaluated focusing on age and findings at presentation, characteristics of presenting and follow-up spinal deformities, and the specifics of neurosurgical and orthopedic management. Patients were divided into two groups: those whose curves progressed >10 degrees or to surgical range (largest curve >45 degrees ) after neurosurgical intervention (progressors) and those whose curves stabilized or decreased (nonprogressors). Eight progressors presented at an average age of 11.4 years (range 2-19) and were followed for 6.3 years (range 2-15). Seven nonprogressors presented at 6.5 years of age (range 5-10) and were followed for 6.6 years (range 3.5-14). Neurosurgical procedures were equivalent in both groups; however, surgical revisions were required in 3 out of 8 progressors and 1 out of 7 nonprogressors. All progressors had a double scoliosis curve; but only one nonprogressor had a double curve. Six out of 8 progressors and 0 out of 7 nonprogressors had a rotation >or=2+ and 50% of progressors had a thoracic kyphosis >50 degrees compared to 1 out of 7 nonprogressors. In this series, progression of spinal deformity after neurosurgical management of Arnold Chiari I malformation was associated with later age at neurosurgical decompressions and initial neurologic symptoms, double scoliosis curve patterns, kyphosis, rotation, and larger curve at presentation.