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2011, Number 2

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Ortho-tips 2011; 7 (2)

Escoliosis: concepto, etiología y clasificación

Tejeda BM
Full text How to cite this article

Language: Spanish
References: 9
Page: 75-82
PDF size: 70.31 Kb.


Key words:

Scoliosis, etiology, classification, asymmetry.

ABSTRACT

The current definition of scoliosis is a deformity of the spine in three dimensions, where in the coronal plane exceeds 10 degrees, and lateral displacement of the vertebral body crosses the midline, and regularly accompanied by some degree of rotation. It is a complex and dynamic process at a time, which occurs mainly in the thoracolumbar spine. In the source of scoliosis, you can find three main categories:
1. Neuromuscular. Mainly due to a muscle imbalance.
2. Congenital. As a result of asymmetry in the development of the vertebrae.
3. Idiopathic. When we did not find a specific cause.
To facilitate the objective assessment of this deformity, some classifications have emerged. Since 1983, we have used the King classification, but their use has the disadvantage that the sagittal profile is not taken into account, and double or triple major curves either, so the new classification of Dr. Lawrence Lenke, launched in 2001, taking into account more complex parameters, has gained popularity in recent years. This classification takes into account six different curve patterns. Determining the type of scoliosis is based on the records of X-rays taken in two planes, as well as dynamic radiographs of the left and right bending, and are described in this article.


REFERENCES

  1. Lonstein JE. Idiopathic scoliosis. In: Lonstein JE, Bradfordn DS, Winter RB, Ogilvie J, eds. Moe’s Textbook of scoliosis and other spinal deformities. 3rd Ed. Philadelphia, Pa:. WB Saunders Co; 1995: 219-256.

  2. Marketos SG, Skiadas P. Hippocrates. The father of spine surgery. Spine (Phila Pa 1976) 1999; 24(13): 1381-7.

  3. Heary R, Labert T. Spinal deformities. The essentials. Ed. Tieme. 2007.

  4. Weinstein SL, Ponseti LV. Curve progression in idiopathic scoliosis. J Bone and Joint Surg 1983; 65-A(4): 447-455.

  5. Trobisch P, Suess O, Schwab F. Idiopathic scoliosis. Dtsch Arztebl Int 2010; 107(49): 875-83.

  6. Ogilvie J. Adolescent idiopatic scoliosis and genetic testing. Curr Opin Pediatr 2010; 22(1): 67-70.

  7. Smith JS, Shaffrey CI, Kuntz C 4th, Mummaneni PV. Classification systems for adolescent and adult scoliosis. Neurosurgery 2008; 63(3 Suppl): 16-24.

  8. King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am 1983; 65(9): 1302-13.

  9. Lenke LG, Betz RR, Bridwell KH, et al. Intraobserver and interobserver reliability of the classification of thoracic adolescent idiopathic scoliosis. J Bone Joint Surg Am 1998; 80(8): 1097-1106.




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Ortho-tips. 2011;7