Detailed Information

Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

Spontaneous regression of curve in immature idiopathic scoliosis - does spinal column play a role to balance? An observation with literature review

Full metadata record
DC Field Value Language
dc.contributor.authorModi, Hitesh N.-
dc.contributor.authorSuh, Seung-Woo-
dc.contributor.authorYang, Jae-Hyuk-
dc.contributor.authorHong, Jae-Young-
dc.contributor.authorVenkatesh, K. P.-
dc.contributor.authorMuzaffar, Nasir-
dc.date.accessioned2021-09-08T10:20:47Z-
dc.date.available2021-09-08T10:20:47Z-
dc.date.issued2010-
dc.identifier.issn1749-799X-
dc.identifier.urihttps://scholar.korea.ac.kr/handle/2021.sw.korea/118641-
dc.description.abstractBackground: Child with mild scoliosis is always a subject of interest for most orthopaedic surgeons regarding progression. Literature described Hueter-Volkmann theory regarding disc and vertebral wedging, and muscular imbalance for the progression of adolescent idiopathic scoliosis. However, many authors reported spontaneous resolution of curves also without any reason for that and the rate of resolution reported is almost 25%. Purpose of this study was to question the role of paraspinal muscle tuning/balancing mechanism, especially in patients with idiopathic scoliosis with early mild curve, for spontaneous regression or progression as well as changing pattern of curves. Methods: An observational study of serial radiograms in 169 idiopathic scoliosis children (with minimum follow-up one year) was carried. All children with Cobb angle < 25 degrees and who were diagnosed for the first time were selected. As a sign of immaturity at the time of diagnosis, all children had Risser sign 0. No treatment was given to entire study group. Children were divided in three groups at final follow-up: Group A, B and C as children with regression, no change and progression of their curves, respectively. Additionally changes in the pattern of curve were also noted. Results: Average age was 9.2 years at first visit and 10.11 years at final follow-up with an average follow-up of 21 months. 32.5% (55/169), 41.4% (70/169) and 26% (44/169) children exhibited regression, no change and progression in their curves, respectively. 46.1% of children (78/169) showed changing pattern of their curves during the follow-up visits before it settled down to final curve. Comparing final fate of curve with side of curve and number of curves it did not show any relationship (p > 0.05) in our study population. Conclusion: Possible reason for changing patterns could be better explained by the tuning/balancing mechanism of spinal column that makes an effort to balance the spine and result into spontaneous regression or prevent further progression of curve. If this which we called as "tuning/balancing mechanism" fails, curve will ultimately progress.-
dc.language영어-
dc.language.isoENG-
dc.publisherBMC-
dc.titleSpontaneous regression of curve in immature idiopathic scoliosis - does spinal column play a role to balance? An observation with literature review-
dc.typeArticle-
dc.publisher.location영국-
dc.identifier.doi10.1186/1749-799X-5-80-
dc.identifier.scopusid2-s2.0-78049404509-
dc.identifier.wosid000208386400080-
dc.identifier.bibliographicCitationJOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, v.5-
dc.citation.titleJOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH-
dc.citation.volume5-
dc.type.docTypeReview-
dc.description.isOpenAccessN-
dc.description.journalRegisteredClassscopus-
dc.relation.journalResearchAreaOrthopedics-
dc.relation.journalWebOfScienceCategoryOrthopedics-
Files in This Item
There are no files associated with this item.
Appears in
Collections
College of Medicine > Department of Medical Science > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Hong, Jae Young photo

Hong, Jae Young
College of Medicine (Department of Medical Science)
Read more

Altmetrics

Total Views & Downloads

BROWSE