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Query: UMLS:C0700208 (scoliosis)
 8,574 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Idiopathic scoliosis is a triplanar deformity associated with a rib hump. The quantitative assessment of the principal elements of spinal and rib cage deformity based on the chosen parameters measured on a-p radiographs and CT scans was done in a group of 89 children with idiopathic scoliosis. The average Cobb angle was 63 degrees. In regression and correlation analysis the statistically significant correlation among spinal lateral curve, axial rotation and kyphosis/lordosis index was found. Significant correlation between the elements of spinal deformity and the size of the rib hump were also found. The rib cage may play an important role in the pathogenesis of idiopathic scoliosis.
Chir Narzadow Ruchu Ortop Pol 1997
PMID:[Pathomechanics of spinal and rib cage deformity in idiopathic scoliosis]. 937 67

Causes of postoperative spinal imbalance in patients with idiopathic scoliosis treated with multisegmental posterior instrumentation CD or TSRH and posterior fusion are presented. Investigation included 88 patients (77 girls, 11 boys) aged 11.4-17.1 (mean 13.8). Primary curve Cobb angle ranged from 52 (to 133 mean 75), secondary curve 16 (to 88 mean 47). Follow-up ranged from 12 to 19 months (mean 18.2 months). In 31 patients (35.2%) postoperative decompensation of the spine occurred. Six of them regained spinal balance within 12 to 19 months postoperatively. As the magnitude of correction increased in relation to preoperative correctiveness and/or preoperative rotation of the spine the imbalance of the spine was more pronounced. It was worsened also in cases where spontaneous correction within the secondary curve (not instrumented) was lesser than expected. Thoracic curve overcorrection in type II scoliosis with instrumentation inclusive of 1 or 2 vertebrae beyond neutral one resulted in decompensation to the left. To short a fusion (in relation to neutral and stable vertebrae) caused in this type as well as in type II and IV right sided decompensation. Overcorrection of lower (right sided) curve or omission of upper (left sided) curve in type V scoliosis caused shoulder girdle decompensation. In type I lumbar fusion done proximally to neutral and stable vertebrae caused left side decompensation of the spine.
Chir Narzadow Ruchu Ortop Pol 1997
PMID:[Surgical treatment of idiopathic scoliosis with multisegmental posterior instrumentation and its influence on postoperative spinal balance]. 949 Feb 55

PCA method for postoperative pain management in scoliosis surgery is presented. If the child is capable of understanding the principle of its application and able to perform it the efficacy and safety of PCA depends on pump programming in regard of the single dose and time between doses. PCA has been used in 16 patients aged 11-16 years after C-D surgery for idiopathic scoliosis. Children with vital lung capacity below 50% of the normal value were excluded from this study. Single dose of morphine was between 0.015 to 0.03 mgkg body mass. Minimum time between the doses was 10-20 minutes. In all cases PCA resulted in satisfactory postoperative pain control.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Patient-controlled analgesia (PCA) in postop pain management in scoliosis surgery]. 973 74

Authors present current knowledge about incidence and etiologic factors in idiopathic scoliosis (IS). Most data about incidence are based on screening examination in school children. Amount of patient with IS is related to the method of evaluation and experience of examiner. There is 1.9% to 3% cases in whole population if scoliosis is assumed as much as 10 degrees of Cobb angle (SRS). Etiology of IS is still in doubt despite of many investigations. There are many abnormalities in tissues but most of them probably secondary to this process. Etiology is multifactorial with dominance of inheritance. There are many genes responsible for occurrence of IS but genetic trait is still unknown.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Idiopathic scoliosis: epidemiology and etiology]. 985 48

Pathology and symptomatology of unilateral sacralization of transverse process of the fifth lumbar vertebrae articulating with sacral and iliac bone is presented. Five patients (4 females, 1 male) aged 27-42 are reported. Symptoms included spinal pain, radicular pain, L4/L5 disc prolapse, and lumbar scoliosis. Patients were operated on: resection of the transverse process has been done in all cases, discectomy in 2 cases. Good results were found at the mean follow-up of 3 years. Author's experience supports idea of early surgical intervention in described condition.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Results of treatment of unilateral sacralization of transverse process of the fifth lumbar vertebrae]. 1009 95

The author shows the importance of pain in motion organ diseases. He pointed out numerous orthopaedic conditions, such as inborn luxation of the hip joint, scoliosis, spondylolisthesis, at the preliminary stage of procedure, produce no pain. There are also diseases such as Perthes disease or osteoporosis, whose pain are untypical and appear at the moment of the fracture of the bone trabecules. Transitory pains are very often downplayed by patients and physicians, which may lead to serious mistakes in diagnosis.
Pol Merkur Lekarski 1998 Oct
PMID:[Pain as an important symptom in trauma, diseases and movement disorders]. 1010 53

The Chiari malformation, condition characterized by herniation of posterior fossa contents below the level of foramen magnum coexists very often with solitary or multiple syringomyelic cysts in spinal cord. The authors, on the basis of current opinions presented in literature and an own case present considerations concerning pathogenesis, operative procedures and prognostic factures which are of value in prediction of long-term outcome in patients which Chiari type I-Syringomyelia complex. The presence or absence of three preoperative signs as: muscular atrophy, ataxia and scoliosis facilitate, with confidence of 95%, prediction of long-term postoperative result. Preoperative incidence of all three above signs is much less favourable for outcome. In the presented case all unfavourable signs were observed preoperatively and, despite of good MRI-result, long-term outcome was only fair.
Neurol Neurochir Pol
PMID:[Type I Chiari malformation coexisting with syringomyelia: pathogenesis, treatment choice and prognostic factors for remote outcome in the light of own case]. 1035 45

The authors analysed 841 patients (83% girls and 17% boys) with adolescent idiopathic scoliosis. 678 patients (group I) were treated with the Harrington technique and 163 patients (group II) were treated using multisegmental instrumentation. Follow-up time in group I was on average 14.2 years, and 28 months in group II. Preoperative assessment of patients in group was based on clinical and radiological examination. Assessment of the spine was mainly based on coronal radiogram done in an upright position and lateral side-bending radiograms in a supine position. Traction and lateral X rays were rarely taken into account in this study. The fusion area was decided according to the end vertebrae of the structural curves. The caudal end of the fusion area was identified using Harrington's stable zone. The curves were classified in accordance with the SRS suggestions. Taking into account the apex of the curve, the deformations were classified into: cervico-thoracic, thoracic, thoraco-lumbar, lumbar and lumbo-sacral curves. In group II the triplanar (3D) character of the deformity was taken into account. In the coronal plane the upper and lower stable vertebra of the major structural curves were identified using the CSVL (Central Sacral Vertical Line) based on long films (70 cm x 110 cm) with and without traction. Lumbar curve was classified as mild, moderate, severe according to CSVL. In the axial plane vertebral rotation was assessed according to Nash and Moe method. A careful analysis of lateral radiograms in the upright standing position was performed. Lateral radiograms were performed also in maximal flexion and hyperextension of the spine to obtain a dynamic evaluation of the sagittal plane. Conoral radiograms with maximal rotation of the trunk to assess mobility of the caudad segments of the deformity. Classification of the scoliotic deformity based on its triplanar character included: thoracic curves (King III, IV, V types), double major (thoracic and lumbar), "false" double major curve (thoracic and lumbar) King type II, thoracolumbar/lumbar curves--the main curve is thoracolumbar lumbar/thoracolumbar curves--the main curve is lumbar--10 degrees the thoracolumbar component--King type I triple major curve--all curves have similar structural changes. Correct identification of the type of scoliosis, assessment of structural changes in the frontal, sagittal and axial plane (three dimensional 3D) and analysis of the size and correctiveness of the lumbar curve and all parameters which play a key role in rational preoperative planning. Redefining or at least maintaining lumbar lordosis is far more important than correction of thoracic kyphosis.
Chir Narzadow Ruchu Ortop Pol 1999
PMID:[Classification of the adolescent idiopathic scoliosis and preoperative strategy]. 1049 56

The authors categorised congenital malformations of the spine into five different pathomorphologic groups basing on a series of 61 cases (age ranging from 1 to 50 years): defects of the vertebra, of the vertebral body, intervertebral synostosis, rib synostosis, and defects of the vertebral arch. A total of over 30 different kinds of malformations were obtained in this classification. In the analysed series 34 patients had a predominant kind of malformation, while in 27 cases mixed malformations were noted. These malformations lead to spine deformities: 21 cases with arch scoliosis, 15 cases with kyphoscoliosis, 13 cases with angular scoliosis and 12 cases with kyphosis. Deformities had a tendency to progress with age. In 20 patients neurological deficits (increased spasticity, spastic paresis, spastic and flaccid paralysis) increased after reaching skeletal maturity. Prognosis as to deformity regression was made difficult be the large variety of different pathomorphologic types of deformity. Only general patterns were visible e.g. a tendency to progress in cases were hemivertebra were found. In cases were more than one type of deformity was noted, growth balance of the spine was not a rule. On the contrary, even small mixed deformities of ten progressed. This paper indicates that most congenital deformities of the spine should be treated operatively, either to correct the deformity or to attain spine growth balance.
Chir Narzadow Ruchu Ortop Pol 2002
PMID:[The pathomorphology of congenital spinal defects in relation to future clinical development of the disease]. 1241

Between January 1990 and December 1999 a total of adults (49 females and 16 males) aged from 37 to 72 years (mean age 54 +/- 3) underwent surgery and were followed up minimum of 2 year after treatment for symptomatic adult lumbar scoliosis. As for features of the clinical symptoms, the cases were divided into four groups, characterized by symptoms that gradually increased in importance and in frequency, the type of deformity and degree of deviation (scoliosis and lumbar kyphosis are reported). Adult and elderly lumbar spine deformities are often symptomatic, because the degenerative changes of deformed spine and the progression of the deformity. Patients with such a clinical picture need surgical correction of the deformity in order to improve their symptoms. Sometimes these patients undergo disc herniation surgical procedures, because of wrong interpretations of CT scans or MR images. Segmental instrumentation correction devices led to a fair correction of deformities, and improvement of back and radiated pain. Despite the great improvements (both in instrumentation devices and anesthesiological techniques) this surgery remain a major surgery, both of (or) the patient and the surgeon.
Chir Narzadow Ruchu Ortop Pol 2004
PMID:The surgical treatment of adult lumbar scoliosis. 1558 85


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