THE HUMP IN THE DIAGNOSIS AND TREATMENT OF SCOLIOSIS - Dr. Guglielmo Felici, Dr. Alberto Lusso
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INTRODUCTION
DEFINITION
AETIO
PATHOGENESIS
INCIDENCE RATE AND EVOLUTION
DIAGNOSIS
X-RAY EVALUATION
PROGNOSIS
THERAPY
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The rachis rotates around the lengthwise axis, associating the torsion of each single vertebra to the rotation
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BBy the word scoliosis we use to define a curvature of the spine on the frontal plane, usually accompanied by a deformity in rotation. In accordance with the Scoliosis Research Society, we distinguish a non-structured scoliosis and a structured scoliosis (Table 1 ).

NOT-STRUCTURED SCOLIOSIS

False, functional or aptitude, is a temporary and not fixed curvature of the spine without axial rotation of the vertebrae, due to:

STRUCTURED SCOLIOSISTable 1

Fixed and permanent curvature of the spine, with an axial rotation of the vertebrae demonstrated, on the back of the patient, with a protuberance called hump that is not modifiable by the patient; it can be :
  • POSTURAL CAUSES
  • DIFFERENT LENGTH OF LOWER LIMBS
  • INFLAMMATORY INJURIES
  • HISTERICAL CAUSES
  • TUMORS

 

  • IDIOPATHIC (85-90 % of cases)

    Infantile (0 – 3 years)
    Juvenile (3-10 years)
    Adolescents(>10years)

__ Other causes (10-15%):

  • CONGENITAL
  • Failure of formation
    Failure of segmentation
    Mixed

  • NEUROMUSCOLAR
  • Neuropathic
    Myopathic

  • NEUROFIBROMATOSIS
  • MESENCHYMAL ORIGIN
  • Marfan syndrome
    Ehlers-Danlos syndrome

  • OSTEOCHONDRODYSTROPHIES

  • POST IRRADIATION
  • BONE INFECTIONS
  • TUMORS
  • OTHER
In this work we study only structured idiopathic scoliosis. In the next report we will focus on the other types of scoliosis.
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THE HUMP IN THE DIAGNOSIS AND TREATMENT OF SCOLIOSIS - Dr. Guglielmo Felici, Dr. Alberto Lusso