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- Title
Classification of scoliosis.
- Authors
Ciortea, Viorela; Ungur, Rodica; Irsay, Laszlo; Onac, Ioan; Popa, Alina; Popa, Delia; Borda, Ileana Monica
- Abstract
The classification of scoliosis is particularly important in the medical management of scoliosis and the maintenance of spinal mobility for as long as possible is important. In 1983, Howard King classified adolescent idiopathic scoliosis into five distinct types, with specific recommendations for each. A new classification was presented by Lawrence Lenke in 2001, including for the first time sagittal plane changes. Although the Lenke classification is much more complete than that presented by King, it is far from being perfect. It does not include the rotational component involved in the development of scoliosis. New technologies allowing for the three-dimensional reconstruction of the spine can be used for a real 3D classification of scoliosis and for the approach of new therapeutic concepts. Congenital scoliosis, which occurs during the first six weeks of intrauterine life, can be associated with cardiac or renal malformations. Vertebral malformations may result from the partial fusion of the vertebral bodies. Congenital kyphosis can also develop in this period. Neuromuscular scoliosis is associated with cerebral palsy, muscular dystrophy, spina bifida. Idiopathic scoliosis, in which no cause can be identified, is divided depending on the patient's age. The various conditions that can initially manifest as scoliosis should be taken into consideration: lower limb length differences, bone tumors, infections, antalgic scoliosis. Also, a number of systemic diseases can be associated with scoliosis: Marfan syndrome, Klippel-Feil syndrome, Down syndrome, osteogenesis imperfecta, neurofibromatosis, Ehlers-Danlos syndrome.
- Subjects
SCOLIOSIS; KYPHOSIS; HEART diseases; SPINES (Zoology); DISEASE management
- Publication
Palestrica of the Third Millennium Civilization & Sport, 2014, Vol 15, Issue 4, p353
- ISSN
1582-1943
- Publication type
Article