Progression of unsupported curves in adolescent idiopathic scoliosis

Spine (Phila Pa 1976). 1987 Jul-Aug;12(6):520-6. doi: 10.1097/00007632-198707000-00002.

Abstract

Stability of three types of double scoliotic curves of 10-40 degrees was analyzed using a biomechanical model: double primary (Type I), primary thoracic with compensatory lumbar (Type II), and primary lumbar with compensatory thoracic (Type III). The load-carrying capacity of each curve was analyzed as a function of magnitude of the curve, its location and flexibility. Curve magnitude was found to be the most influential parameter governing the stability of a scoliotic curve up to 30 degrees. Results suggest that in evaluating curves of comparable magnitudes, Type I and II curves are more likely to progress and, therefore, should be braced at an earlier stage than Type III curves.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Biomechanical Phenomena
  • Humans
  • Lumbar Vertebrae / physiopathology
  • Models, Biological*
  • Prognosis
  • Scoliosis / physiopathology*
  • Thoracic Vertebrae / physiopathology