Progressive and Resolving Infantile Idiopathic Scoliosis

Ferreira, J. H.; Janeiro, Río de; James, J. I. P.

doi:10.1302/0301-620x.54b4.648

Cited by 33 publications

(11 citation statements)

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“…This observation was confirmed in later studies [5,8,16], and it was further reported that the RVAD is of prognostic importance in juvenile scoliosis as well [17]. Measurements of RVAs have been used in analyses of the effect of various surgical procedures on the rib cage in patients with IS [26], RVA values have also been used in studies of the shape of the thorax during growth [11,27] and it has been suggested that asymmetries between the left and right RVAs result from an imbalance between ;muscular forces on either side of the spine and that this could be an important factor in the pathogenesis of adolescent IS [3].…”

Section: Introductionsupporting

confidence: 70%

“…In this context it must be pointed out that measurements of the RVADs in some earlier studies have concentrated on the level of the apical vertebra [5,8,16,18,24] where the difference, as seen in the present study, is the least. Earlier conclusions regarding the importance of the RVAD at the apical level could therefore change if this is taken into consideration.…”

Section: Discussionmentioning

confidence: 52%

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Rib-vertebral angle asymmetry in idiopathic, neuromuscular and experimentally induced scoliosis

Sevastik¹,

Xiong²,

Sevastik³

et al. 1997

Eur Spine J

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The concave and convex rib-vertebral angle (RVA) at levels T2-T12 was measured on AP radiographs of 19 patients with right convex idiopathic thoracic scoliosis and 10 patients with major thoracic right convex neuromuscular scoliosis. The difference between the angles on the concave and the convex sides, the RVAD, was calculated. The RVAs were also measured on radiographs from three animal groups in which spinal curves had been induced experimentally in a variety of ways. Group 1 comprised 16 rabbits that had been subjected to selective electrostimulation of the latissimus dorsi, the erector spinae and the intercostal muscles. Group 2 comprised four dead rabbits whose spines had been subjected to manual bending. Group 3 comprised eight rabbits that had undergone mechanical elongation of one rib. In both the idiopathic and the neuromuscular group, the convex RVA was smaller than the concave RVA between levels T2 and T8, with a maximal difference between T4 to T5. From T9 to T12 the concave RVA was smaller than the convex. The RVA in relation to the scoliotic segment, i.e. the apex level of the curve and the two neighbouring vertebrae above and below this level, showed similar results. With increasing Cobb angle the RVADs increased linearly with the greatest difference at the second vertebra above the apex. In the three experimental groups the pattern of the RVADs between T6 to T12 was basically similar to the findings of the clinical study. From the results of these clinical and experimental studies, it is concluded that the typical pattern of the RVAs on the concave and convex sides seems to be independent of the underlying cause of the spinal curvature. It is likely that the RVADs result from a passive mechanical adaptation of the ribs to the lateral curvature of the spine.

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Section: Introductionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 52%

Rib-vertebral angle asymmetry in idiopathic, neuromuscular and experimentally induced scoliosis

Sevastik¹,

Xiong²,

Sevastik³

et al. 1997

Eur Spine J

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“…Although the prognosis of the infantile asymmetry complex is thought to be good in most cases, retrospective studies have shown persistent or progressive scoliosis in 10-50% of all patients (Lloyds-Roberts and Pilcher 1965, Ferreira et al 1972, James 1975, Wynne-Davies 1975, Thompson 1980, Canale et al 1982, McMaster 1983, Binder et al 1987. A recent 2-year prospective study showed that in 25% of asymmetric infants asymmetric features will persist (Boere-Boonekamp and van der Linden-Kuiper 2001).…”

mentioning

confidence: 99%

Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial

Philippi¹,

Faldum²,

Schleupen³

et al. 2006

Develop Med Child Neuro

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The aim of this study was to assess the therapeutic efficacy of osteopathic treatment in infants with postural asymmetry. A randomized clinical trial of efficacy with blinded videoscoring was performed. Sixty‐one infants with postural asymmetry aged 6 to 12 weeks (mean 9wks) were recruited. Thirty‐two infants (18 males, 14 females) with a gestational age of at least 36 weeks were found to be eligible and randomly assigned to the intervention groups, 16 receiving osteopathic treatment and 16 sham therapy. After a treatment period of 4 weeks the outcome was measured using a standardized scale (4–24 points). With sham therapy, five infants improved (at least 3 points), eight infants were unchanged (within 3 points), and three infants deteriorated (not more than −3 points); the mean improvement was 1.2 points (SD 3.5). In the osteopathic group, 13 infants improved and three remained unchanged; the mean improvement was 5.9 points (SD 3.8). The difference was significant (p=0.001). We conclude that osteopathic treatment in the first months of life improves the degree of asymmetry in infants with postural asymmetry.

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“…Some curves progress and cause cardiopulmonary pathology [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] while others resolve or disappear spontaneously within the first years of life. 4,7,12,[18][19][20][21] In 1951, James 1 described this separate resolving type of infantile scoliosis. Two theories have been proposed to explain its cause, intrauterine moulding and postnatal external pressure on the spine.…”

mentioning

confidence: 99%

“…As yet, only short-and medium-term or minor long-term observations concerning resolving infantile scoliosis are available. 2,[5][6][7]9,10,12,17,19,21,30,31 In contrast to progressive infantile, juvenile and adolescent idiopathic scoliosis, little is known about its natural history at and beyond skeletal maturity. While there are guidelines concerning the treatment of progressive idiopathic scoliosis which have been verified in many clinical studies, there is not a standardised concept for the management of resolving idiopathic scoliosis.…”

mentioning

confidence: 99%

long-term observation and management of resolving infantile idiopathic scoliosis: A 25-year follow-up

Diedrich

Strempel

Schloz

et al. 2002

The Journal of Bone and Joint Surgery

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Of 42 patients with resolving infantile idiopathic scoliosis, 34 were followed up for more than 25 years. Twenty had been primarily treated in a plaster bed and 14 by physiotherapy. The mean angle of the curve at presentation was 17 degrees and at follow-up it was 5 degrees. No patient had significant progression of the scoliosis during the growth spurt. When adults few had back pain or an increased disability score and there was no interference with work or social activities. The rib-vertebra angle difference proved to be an essential radiological sign when distinguishing resolving from progressive infantile idiopathic scoliosis. There was no advantage of plaster over physiotherapy with regard to either the time to resolution or the functional outcome. Treatment of resolving infantile idiopathic scoliosis in a plaster bed is therefore now outdated.

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Progressive and Resolving Infantile Idiopathic Scoliosis

Cited by 33 publications

References 0 publications

Rib-vertebral angle asymmetry in idiopathic, neuromuscular and experimentally induced scoliosis

Rib-vertebral angle asymmetry in idiopathic, neuromuscular and experimentally induced scoliosis

Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial

long-term observation and management of resolving infantile idiopathic scoliosis: A 25-year follow-up

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