Scribd Logo
Upload

Welcome to Scribd!

  • The Transvers Plane Deformity of Structural Scoliosi - Smith Et Al. 1991

    Uploaded by

    Mohammad Karam
    3 views4 pages

    Original Title

    The transvers plane deformity of structural scoliosi_Smith et al. 1991

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    3 views4 pages

    The Transvers Plane Deformity of Structural Scoliosi - Smith Et Al. 1991

    Uploaded by

    Mohammad Karam

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 4
    1126 The Transverse Plane Deformity of Structural Scoliosis R. M. SMITH, FRCS," R. D. POOL, FRCS,+ W. P. BUTT, FRCR, FRCP(C), FACR(Hon),¢ and R. A. DICKSON, MA, ChM, FRCSt ‘An examination of the transverse plane aspect of de- formed vertebrae from specimens of both human and animal scoliosis identified a consistent pattern of int Vertebral deformity. In the animal model, dynamic bor growth studies illustrated bone drift in the opposit tion to the rotation of the scoliosis, suggesting that the bone growth in the transverse plane was attempting to ‘correct rather than produce the deformity. The observed pattern of vertebral deformity can be explained in simple terms because it obeys the standard laws of bone growth and remodeling. This observed growth patter is consis- tent only with the production of idiopathic scoliosis by the rotation of a primary lordosis. [Key words: scoliosis, transverse plane deformity, vertebral growth, bone drift, primary lordosis] DIOPATHIC STRUCTURAL SCOLIOSIS isa complex three-dimensional Je associated with changes inthe shape of the spine in the sagittal, coronal, and transverse planes. Although the deformity of structural scoliosis with respect 10 the whole spine was accurately described over 120 years ago," its true nature has only been appreciated sporadically since then.*'©"79 The overall deformity is one of Jordosis, lateral curvature, and rotation In idiopathic structural seotio- sis, the direction of the rotation is always with the apical verter bodies toward the convex side of the deformity. This rotation is the essential feature that distinguishes. structural from nonstructural scoliosis.” ‘The deformity at the vertebral level is less obvious. Others* estb- lished thatthe sagital plane deformity of lordoss is atthe bony level, and vertebral wedging inthe coronal plane is widely accepted." The asymmetry of scoliotic vertebrae in the transverse plane was frst described by Dods* and Bampfielé? in 1824. More recent accounts, "2122 however, have added little new information and hhave not produced a consistent description of this element of the

    You might also like