18 Aug Sunset Chiropractic & Wellness Research Review: Analysis of sagittal curvature and its influencing factors in adolescent idiopathic scoliosis
This study aimed to explore the characteristics of changes in the sagittal arrangement of the spine between adolescent patients with idiopathic scoliosis (AIS) and normal adolescents, the risk factors for AIS and the factors affecting the progress of AIS. X-ray images of the full length of the spine in standing position were taken in AIS patients and normal adolescents. Radiographic measurements made at intermediate follow-up included the following:C1 and C2 cervical lordosis and C2 – C7 curvature of cervical lordosis, C2-C7sagittal horizontal distance (C2-C7SagittalVerticalAxis, C2-C7SVA), TS-CL, after thoracic lobe (Thoracic Kyphosis, TK), thoracic lumbar segment Angle (thoracolumbar kyphosis, [TLK]), lumbar lordosis Angle (Lumbar Lordosis, LL), sacral slope Angle (Sacrum Slope, SS), pelvic tilt Angle (Pelvic Tilt, PT), pelvic incidence (PI), L5 Incidence (Lumbar5 Slope (L5S), L5 incidence (Lumbar5 Incidence (L5I), sagittal horizontal distance (CSVA), lower depression Angle of the 2nd cervical spine.
The difference of sagittal plane parameters between AIS group and normal adolescent group was compared. To evaluate the progress of AIS, correlation analysis was conducted between diagonal 2 and other parameters. The main risk factors of AIS were determined by binary Logistic analysis.The CSVA of AIS patients was higher than that of healthy adolescents (AIS: 27.64 ± 19.56) mm. Healthy adolescents: (17.74 ± 12.8) mm), L5S (AIS: 19.93°= 7.07° and healthy adolescents: 15.38°= 7.78°, P = .024 < .05), C2 downward sag Angle (AIS: 15.12°= 2.7°;Healthy adolescents: 12.97°= 4.56°); AIS patients had lower TS-CL (AIS: 22.48 ± 6.09 and healthy adolescents: 28.26°= 10.32°), PT (AIS: 10.42°= 4.53° and healthy adolescents: 15.80°=7.68°), (AIS: 41.87°=9.72° and healthy adolescents: 48.75°= 8.22°). The main risk factor for idiopathic scoliosis in adolescents was L5 (OR = 1.239, 95%CI = 1.049-1.463, P = .012 < .05).
L5 Slope is a major risk factor for idiopathic scoliosis in adolescents. The larger pelvic incidence (PI) is, the higher the risk of scoliosis progression is. In AIS patients, lumbar lordosis is increased, cervical lordosis is reduced, and even cervical kyphosis occurs.”
The goal of scoliosis treatment at Sunset Chiropractic & Wellness is to help the patient improve symptomatically, functionally and structurally and provide the scoliosis patient with tools to combat their condition with less dependence on doctors. Scoliosis is not a curable condition. It is a managed condition. Regardless of your scoliosis treatment selection you will also have scoliosis. The focus of our program is reduction and stabilization of the scoliosis without bracing or surgery. Our Scoliosis treatment plan is to rehabilitate the neuromuscular system which controls posture and spinal position. This program can restore hope, strength, and spirit.
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Best in health,
Dr. Mark N. Berry, D.C.
Dr. Rodolfo Alfonso, D.C.
Sunset Chiropractic & Wellness
8585 Sunset Dr.
Miami, FL 33143