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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Mechanism of right thoracic adolescent idiopathic scoliosis at risk for progression; a unifying pathway of development by normal growth and imbalance

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  1. The effects of rotation on radiological parameters in the spine

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  2. Sequence variants in muscle tissue-related genes may determine the severity of muscle contractures in cerebral palsy

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  3. Analgesic Effects of Botulinum Toxin in Children with CP

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  4. The role of the paravertebral muscles in adolescent idiopathic scoliosis evaluated by temporary paralysis

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Adolescent idiopathic scoliosis is regarded as a multifactorial disease and none of the many suggested causal etiologies have yet prevailed. I will suggest that adolescent idiopathic scoliosis has one common denominator, namely that initial curve development is mediated through one common normal physiological pathway of thoracic rotational instability. This is a consequence of gender specific natural growth of the passive structural components of thoracic spinal tissues for the adolescent female. This causes an unbalanced mechanical situation, which progresses if the paravertebral muscles cannot maintain spinal alignment. The alteration in the coronal plane with the lateral curve deformity is an uncoupling effect due to a culmination of a secondary, temporary sagittal plane thoracic flattening and of a primary, temporary transverse plane rotational instability for the adolescent female. Treatment of adolescent idiopathic scoliosis should address this physiological pathway and the overall treatment strategy is early intervention with strengthening of thoracic rotational stability for small curve adolescent idiopathic scoliosis.

Original languageEnglish
JournalScoliosis
Volume10
Pages (from-to)2
ISSN1748-7161
DOIs
Publication statusPublished - 2015

ID: 45999587