Abstract
The spine is normally straight in the frontal (coronal) plane. If it is not, a lateral curvature or scoliosis is present. Scolioses are subdivided into structural and non-structural, according to whether the spine is additionally twisted [1]. Thus structural scoliosis is defined as a lateral curvature with rotation. The important attribute of a structural scoliosis is that it is intrinsic to the spine and may progress with growth to produce a serious deformity that may threaten health and quality of life. By contrast, non-structural curves are secondary to some other factors such as leg length inequality or muscle spasm from a painful focus (e.g., disc prolapse, infection, tumor). Significant progression is seen only occasionally in some curves associated with spinal cord tumor. Other non-structural curves tend to resolve when the underlying problem is dealt with.
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References
Leatherman KD, Dickson RA. Management of Spinal Deformities. Bristol: John Wright; 1988.
Adams W. Lectures on the Pathology and Treatment of Lateral and Other Forms of Curvature of the Spine. London: Churchill; 1865.
Dickson RA. Scoliosis: how big are you? Orthopaedics 1987; 10:881–887.
Cobb JR. Outline for the study of scoliosis. Am Acad Orthop Surg Instr Course Lect 1948; 5:261.
du Peloux J, Fauchet R, Faucon B, Stagnara P. Le plan d’election pour l’examen radiologique des cyphoscolioses. Rev Chirurg Orthop 1965; 51:517–524.
Goldstein LA, Waugh TR. Classification and terminology of scoliosis. Clin Orthop 1973; 93:10–22.
Branthwaite MA. Cardiorespiratory consequences of unfused idiopathic scoliosis. Br J Dis Chest 1986; 80:360–369.
Deacon P, Archer IA, Dickson RA. The anatomy of spinal deformity: a biomechanical analysis. Orthopaedics 1987; 10:897–903.
Dickson RA. Screening for scoliosis. Br Med J 1984; 289: 269–270.
Somerville EW. Rotational lordosis: the development of the single curve. J Bone Joint Surg 1952; 34B:421–427.
Stirling J, Howel D, Millner PA, et al. Late-onset idiopathic scoliosis in children six to fourteen years old. J Bone Joint Surg 1996; 78A:1330–1336.
Sorenson KH. Scheuermann’s juvenile kyphosis. Copenhagen: Munksgaard; 1964.
Archer IA, Dickson RA. Stature and idiopathic scoliosis. A prospective study. J Bone Joint Surg 1985; 67B:185–188.
Moe JH. A critical analysis of methods of fusion for scoliosis. J Bone Joint Surg 1958; 40A:529–554.
James JIP. Idiopathic scoliosis: the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg 1954; 36B:36–49.
Nachemson AL. A long term follow up study of non-treated scoliosis. Acta Orthop Scand 1968; 39:466–476.
Bengtsson G, Fallstrom K, Jansson B, Nachemson A. A psychological and psychiatric investigation of the adjustment of female scoliosis patients. Acta Psychiatrica Scand 1974; 50:50–59.
Whitby LG. Screening for disease. Definitions and criteria. Lancet 1974; ii:819–821.
Mardia KV, Walder AN, Berry E, et al. Assessing spinal shape. J Bone Joint Surg 1999; 61B:36–42.
Perdriolle R. La scoliose—son etude tridimensionnelle. Paris: Maloine; 1979.
Dickson RA. Spinal deformity—adolescent idiopathic scoliosis: nonoperative treatment. Spine 1999; 24:2601–2606.
Blount WP, Moe JH. The Milwaukee Brace. Baltimore: Williams & Wilkins; 1973.
Howell FR, Mahood J, Dickson RA. Growth beyond skeletal maturity. Spine 1992; 17:437–440.
Houghton GR, McInerney A, Tew A. Brace compliance in adolescent idiopathic scoliosis. J Bone Joint Surg 1987; 69B:852.
Miller JA, Nachemson AL, Schultz AB. Effectiveness of braces in mild idiopathic scoliosis. Spine J 1984; 5:362–373.
Watts HG, Hall JE, Stanish W. The Boston brace system for the treatment of low thoracic and lumbar scoliosis by the use of a girdle without superstructure. Clin Orthop 1977; 126:87–92.
Nachemson AL, Peterson L-E. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. J Bone Joint Surg 1995; 77A:815–822.
Peters L-E, Nachemson AL. Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity. J Bone Joint Surg 1995; 77A:823–827.
Dickson RA, Weinstein SL. Bracing (and screening)—yes or no? Review Article. J Bone Joint Surg 1999; 81B:193–198.
Hibbs RA. An operation for progressive spinal deformities. NY Med J 1911; 93:1013–1016.
Harrington PR. Surgical instrumentation for management of scoliosis. J Bone Joint Surg 1960; 42A:1448.
American Orthopaedic Association Research Committee. End result study of the treatment of idiopathic scoliosis. J Bone Joint Surg 1941; 23:963–977.
Lenke LG, Betz RR, Harms J, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 2001; 83-A(8):1169–81.
Luque ER. The anatomic basis and development of segmental spinal instrumentation. Spine 1982; 7:256–259.
McMaster MJ, Macnicol MF. The management of progressive infantile idiopathic scoliosis. J Bone Joint Surg 1979; 61B:36–42.
Dubousset J, Graft H, Miladi L, Cotrel Y. Spinal and thoracic derotation with CD instrumentation. Orthop Trans 1986; 10:36.
Archer IA, Deacon P, Dickson RA. Idiopathic scoliosis in Leeds—a management philosophy. J Bone Joint Surg 1986; 68B:670.
Dwyer AF, Newton NC, Sherwood AA. An anterior approach to scoliosis: a preliminary report. Clin Orthop 1969; 62:192–202.
Griss P, Harms J, Zielke K. Ventral derotation spondylodesis (VDS). In: Dickson RA, Bradford DS, eds. Management of Spinal Deformities. London: Butterworths International Medical Reviews; 1984:193–236.
Dickson RA, Archer IA. Surgical treatment of late-onset idiopathic thoracic scoliosis. The Leeds procedure. J Bone Joint Surg 1987; 69B:709–714.
Harrenstein RJ. Die Skoliose bei Saueglingen und ihre Behandlung. Z Orthop Chir 1930; 52:1–40.
Scott JC, Morgan TH. The natural history and prognosis of infantile idiopathic scoliosis. J Bone Joint Surg 1955; 37B: 400–413.
Lloyd-Roberts GC, Pilcher MF. Structural idiopathic scoliosis in infancy. J Bone Joint Surg 1965; 47B:520–523.
Mau H. Does infantile scoliosis require treatment? J Bone Joint Surg 1968; 50B:881.
Wynne-Davies R. Infantile idiopathic scoliosis. J Bone Joint Surg [B] 1975; 57:138–141.
Mehta MH. The rib vertebra angle in the early diagnosis between resolving and progressive infantile scoliosis. J Bone Joint Surg 1972; 54B:230–243.
Mehta MH, Morel G. The non-operative treatment of infantile idiopathic scoliosis. In: Zorab PA, Siegler D, eds. Scoliosis. London: Proceedings of the Sixth Symposium Academic; 1979: 71–84.
Mehta MH. Growth as a corrective force in the early treatment of progressive infantile scoliosis. J Bone Joint Surg 2005; 87B: 1237–1247.
Moe JH. A critical analysis of methods of fusion for scoliosis. J Bone Joint surg 1958; 40A:529–554.
Roaf R. The treatment of progressive scoliosis by unilateral growth arrest. J Bone Joint Surg 1963; 45B:637–651.
Andrew TA, Piggott H. Growth arrest for progressive scoliosis. J Bone Joint Surg 1996; 67B:193–197.
Thompson GH, Akbarnia BA, Campbell RM Jr. Growing rod techniques in early-onset scoliosis. J Pediatr Orthop 2007; 27(3): 354–361.
Verbout AJ. The Development of the Vertebral Column. Berlin: Springer; 1985.
McMaster MJ, Ohtsuka K. The natural history of congenital scoliosis. A study of 251 patients. J Bone Joint Surg 1982; 64A:1128–1147.
Leatherman KD, Dickson RA. Two-stage corrective surgery for congenital deformities of the spine. J Bone Joint Surg 1979; 61B:324–328.
Shapiro F, Bresnan MJ. Orthopaedic management of childhood neuromuscular disease. Part II: Peripheral neuropathies, Friedreich’s ataxia, and arthrogryposis multiplex congenital. J Bone Joint Surg 1982; 64A:949–953.
Lonstein JE, Akbarnia BA. Operative treatment of spinal deformities in patients with cerebral palsy or mental retardation. J Bone Joint Surg 1983; 63A:43–55.
Shapiro F, Bresnan MJ. Orthopaedic management of childhood neuromuscular disease. Part I: Spinal muscular atrophy. J Bone Joint Surg 1982; 64A:785–789.
Aprin H, Bowen JR, MacEwen GD, Hall JE. Spine fusion in patients with spinal muscular atrophy. J Bone Joint Surg 1982; 64A:1179–1187.
Weimann RL, Gibson DA, Moseley CF, Jones DC. Surgical stabilization of the spine in Duchenne muscular dystrophy. Spine 1983; 8:776–780.
Winter RB, Moe JH, Bradford DS, et al. Spine deformity in neurofibromatosis. A review of 102 patients. J Bone Joint Surg 1979; 61A:677–694.
Benson DR, Donaldson DH, Millar EA. The spine in osteogenesis imperfecta. J Bone Joint Surg 1978; 60A:925–929.
Robins PR, Moe JH, Winter RB. Scoliosis in Marfan’s syndrome, its characteristics and results of treatment in 35 patients. J Bone Joint Surg 1975 57A:358–368.
Kopits SE, Perovic MN, McKusick V, Robinson RA. Congenital atlanto-axial dislocations in various forms of dwarfism. J Bone Joint Surg 1972; 54A:1349–1350.
Nelson MA. Orthopaedic aspects of the chondrodystrophies. The dwarf and his orthopaedic problems. Ann Royal Coll Surg England 1970; 47:185–210.
Hodgson AR. Correction of kyphotic spinal deformities. J Bone Joint Surg 1973; 55B:211–212.
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Dickson, R.A. (2010). Spinal Deformities. In: Benson, M., Fixsen, J., Macnicol, M., Parsch, K. (eds) Children's Orthopaedics and Fractures. Springer, London. https://doi.org/10.1007/978-1-84882-611-3_36
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