Juvenile Patients
X-ray images (1) and (2) are those of the 9 year old girl: the initial x-ray taken on diagnosis; and an in-brace x-ray taken a few weeks later after being fitted with a 3D asymmetrical Chêneau Style Rigo RWC brace.
Curve progression is primarily related to curve magnitude and growth potential. Curves 25–50° - without treatment - are most likely to progress during growth (skeletal immaturity).
The 9 year old has a long right thoracic curve compensated by a prominent and elevated left hip.
She attended an intensive Schroth 3D Therapy Program at our clinic with her parents and has an on-going customized home exercise therapy program to help her rehabilitation.
Adolescent Patients
X-ray images (3) and (4) are those of the 11 year old: the initial x-ray taken on diagnosis; and an in-brace x-ray taken 3 weeks after being fitted with a 3D asymmetrical Chêneau style Gensingen brace. Bracing is an appropriate conservative therapy in this case as the patient as not yet reached skeletal maturity. She has a primary left lumbar curve compensated by a secondary right thoracic curve and a prominent and elevated right hip.
X-ray image (5) is that of a 15 year old taken on diagnosis. She has a double major with her lumbar and thoracic curves being of the equal magnitude. The left lumbar curve however is the dominant curve. She also has a prominent and elevated right hip.
Both girls attended an intensive Schroth 3D Therapy Program at our clinic (with their parents) and have an on-going customized home exercise therapy program to help their rehabilitation.
Adult Patients
X-ray images (6), (7) and (8), respectively highlight the radiological characteristics of 3 adult patents: a female aged 43, a male aged 30, and a female age 30.
Image (6) highlights a long right thoracic curve compensated by a prominent and elevated left hip left; Image (7), a double a major - left lumbar curvature and right thoracic curve with the lumbar the dominant of the 2 curves; Image (8,) Vertebral Body Tethering (VBT) surgery in the thoracic spine.
In the latter case, before her VBT surgery, the female patient had a severe right thoracic curve. However, she has a primary left lumbar curve compensated by a prominent and elevated right hip.
The three adult patients attended an intensive Schroth 3D Therapy Program at our clinic and have an on-going customized home exercise therapy program to help their rehabilitation.
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For details of Major Thoracic and Lumbar Curve Types click on:
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Team Approach to Idiopathic Scoliosis Treatment
To achieve best possible outcomes, comprehensive conservative treatment of Idiopathic Scoliosis requires a team approach composed of an Orthopaedic Surgeon, Orthotist, Therapist and if required a psychologist.