Opinions and Controversies in Problem of The So-Called Idiopathic Scoliosis. Information About Etiology, New Classification and New Therapy
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 12, Issue 5
Abstract
The biomechanical etiology of the so-called idiopathic scoliosis [adolescent idiopathic scoliosis (AIS)] was the subject of the author’s research from 1984 to 2009 in the Pediatric Orthopedic and Rehabilitation Department of Medical University in Lublin, Poland, and in years 2009-2018 in Out-Patient Orthopedic Clinic in Lublin. The basic observation about etiology, new classification and the rules of the new therapy and causal prophylaxis comes from the years 1995-2007. Spine-Scoliosis (Literature 1-23): The etiology of idiopathic scoliosis was a secret over two thousand years. The biomechanical etiology of scoliosis has been found and described in years 1995 - 2007 (T. Karski, Lublin). The first observations was in program of research of authors in 1984, during the scholarship stay in Invalid Foundation Hospital in Helsinki, Finland. Over there the first “new clinical symptoms of scoliosis” in the region of pelvis and hips were observed. Next Observations Were in Years 1984 to 1995 and till 2018 in Lublin. There are following observations: 1/ All children with scoliosis have asymmetrical hip movements and it is one of the symptoms of the “Syndrome of Contracture and Deformities” according to Prof. Hans Mau. In all children with scoliosis adduction of the right hip is limited. This limitation of adduction we observe in straight positing of this joint. Here I explain-this position of examination is equal to “standing” and to “stance phase “during gait. 2/ In some patients with scoliosis, limited internal rotation and extension of the right hip are also observed. 3/ All children with scoliosis have the habit to stand ‘at ease’ on the right leg. The right hip is more stable and because of this, it is more convenient for permanent standing. In the years 1985-2018, 2500 patients mostly in age 5-18 were observed and treated. There was a small group of older patients (60-80 y.), coming with the problem of pain. The older people who were mostly diagnosed with scoliosis, were in the new classification in the second or the third group of the deformity (see next chapter-classification) [1-5].
Authors and Affiliations
Karski T
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- EP ID EP585885
- DOI 10.26717/BJSTR.2019.12.002326
- Views 133
- Downloads 0
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