Sunset Chiropractic & Wellness Research Review: Thoracic kyphosis in light of lumbosacral alignment in thoracic adolescent idiopathic scoliosis: recognition of thoracic hypokyphosis and therapeutic implications

recognition of thoracic hypokyphosis and therapeutic implications - Sunset Chiropractic & Wellness Research Review

Sunset Chiropractic & Wellness Research Review: Thoracic kyphosis in light of lumbosacral alignment in thoracic adolescent idiopathic scoliosis: recognition of thoracic hypokyphosis and therapeutic implications

https://pubmed.ncbi.nlm.nih.gov/35505303/

Background: The uniqueness of spinal sagittal alignment in thoracic adolescent idiopathic scoliosis (AIS), for example, the drastically smaller thoracic kyphosis seen in some patients, has been recognized but not yet fully understood. The purpose of this study was to clarify the characteristics of sagittal alignment of thoracic AIS and to determine the contributing factors.

Methods: Whole spine radiographs of 83 thoracic AIS patients (73 females) were analyzed. The measured radiographic parameters were the Cobb angle of thoracic scoliosis, thoracic kyphosis (TK), lumbar lordosis (LL), C7 sagittal vertical axis (C7 SVA), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Additionally, max-LL, which was defined as the maximum lordosis angle

recognition of thoracic hypokyphosis and therapeutic implications - Sunset Chiropractic & Wellness Research Review

recognition of thoracic hypokyphosis and therapeutic implications – Sunset Chiropractic & Wellness Research Review

from the S1 endplate, the inflection point between thoracic kyphosis and lumbar lordosis, and the SVA of the inflection point (IP SVA) were measured. The factors significantly related to a decrease in TK were assessed by stepwise logistic regression analysis. In addition, cluster analysis was performed to classify the global sagittal alignment.

Results: The significant factors for a decrease in TK were an increase in SS (p = 0.0003, [OR]: 1.16) and a decrease in max-LL (p = 0.0005, [OR]: 0.89). According to the cluster analysis, the global sagittal alignment was categorized into the following three types: Type 1 (low SS, low max-LL, n = 28); Type 2 (high SS, low max-LL, n = 22); and Type 3 (high SS, high max-LL, n = 33).

Conclusions: In thoracic AIS, a decreased TK corresponded to an increased SS or a decreased max-LL. The sagittal alignment of thoracic AIS patients could be classified into three types based on SS and max-LL. One of these three types includes the unique sagittal profile of very small TK.

 

recognition of thoracic hypokyphosis and therapeutic implications - Sunset Chiropractic & Wellness Research Review

recognition of thoracic hypokyphosis and therapeutic implications – Sunset Chiropractic & Wellness Research Review

It is the goal of Sunset Chiropractic & Wellness to effectively treat the condition of scoliosis without the use of bracing or by performing surgery.
We are finding a better way to treat Scoliosis !!!!!!!!
Goal of Scoliosis Treatment

The goal of our care is to help the patient improve symptomatically, functionally and structurally and provide the patient with tools to combat their condition with less dependence on doctors. The focus of our program is reduction and stabilization of the scoliosis without bracing or surgery. The goal of Scoliosis treatments’ is to rehabilitate the neuromuscular system which controls posture

and spinal position. This program can restore hope, strength, and spirit.

If you would like more helpful information about our Scoliosis Treatment please visit our website at sunsetchiropractic.com or call our office at (305) 275-7474 to schedule a complimentary consultation. You can overcome Scoliosis! We can help!

For more information on our unique structural correction chiropractic treatment for spinal and extremity conditions please visit our treatment page on our website.
www.sunsetchiropractor.com/corrective-chiropractic-care/

Please let us know if you need any additional information. See you soon!

Dr. Mark N. Berry, D.C.
Dr. Rodolfo Alfonso, D.C.
8585 Sunset Dr. STE 102
Miami, Florida 33143
305-275-7474
www.sunsetchiropractor.com



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