J Matussek1, E Dingeldey2, A Benditz2, G Rezai3, K Nahr4. 1. Kinderorthopädie und Wirbelsäulenchirurgie, Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V. Allee 3, 93077, Regensburg/Bad Abbach, Deutschland. j.matussek@asklepios.com. 2. Kinderorthopädie und Wirbelsäulenchirurgie, Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V. Allee 3, 93077, Regensburg/Bad Abbach, Deutschland. 3. Asklepios Klinikum Bad Abbach, Fa. Urban-Kaemmler, Bad Abbach, Deutschland. 4. CCtec Deutsches Korsettzentrum GBR, Offenburg, Deutschland.
Abstract
BACKGROUND: The vertical posture of the growing child requires minute central nervous control mechanisms to maintain the symmetry of the torso in its various activities. Measuring only static parameters such as the Cobb angle does not describe the dynamic changes of scoliotic deformities in gait. A constant deviation in the frontal, transverse, and sagittal planes from the dynamic symmetry of the trunk is described in motion analysis and the surface changes of the spinopelvic complex. METHODS: Early intervention with effective bracing, physiotherapy and sport can reverse curve progression in growth spurts, once these are identified by screening. Modern braces have a derotating and reducing effect ("mirror effect") on asymmetric body volumes, thus influencing the growing torso and restoring lasting symmetry. These braces can be reduced for archetypical designs. Latest data support the use of braces to reverse progressing scoliosis.
BACKGROUND: The vertical posture of the growing child requires minute central nervous control mechanisms to maintain the symmetry of the torso in its various activities. Measuring only static parameters such as the Cobb angle does not describe the dynamic changes of scoliotic deformities in gait. A constant deviation in the frontal, transverse, and sagittal planes from the dynamic symmetry of the trunk is described in motion analysis and the surface changes of the spinopelvic complex. METHODS: Early intervention with effective bracing, physiotherapy and sport can reverse curve progression in growth spurts, once these are identified by screening. Modern braces have a derotating and reducing effect ("mirror effect") on asymmetric body volumes, thus influencing the growing torso and restoring lasting symmetry. These braces can be reduced for archetypical designs. Latest data support the use of braces to reverse progressing scoliosis.
Authors: Patrick J O'Neill; Lori A Karol; Michael K Shindle; Emily E Elerson; Karlynn M BrintzenhofeSzoc; Donald E Katz; Kevin W Farmer; Paul D Sponseller Journal: J Bone Joint Surg Am Date: 2005-05 Impact factor: 5.284