The pathomechanism of idiopathic scoliosis: the importance of physiological thoracic kyphosis.
Progress in research on the parthogenesis of idiopathic scoliosis has brought about a better understanding of the spatial character of this deformity, including spinal deformation on the sagittal plane. It is now generally though that the reduction of physiological thoracic kyphosis, followed at a later stage by thoracic lordosis, is a constant component of thoracic scoliosis. The authors present the concept of intrathoracic scoliotic vertebral hump. Both conservative and surgical treatment should cosist in three-dimensional correction of scoliosis, with particular attention paid to the restoration of normal thoracic kyphosis.
Kotwicki
Tomasz
T
Katedra i Klinika Ortopedii Dzieciecej, Akademia Medyczna, Poznań
Szulc
Andrzej
A
Dobosiewicz
Krystyna
K
Rapała
Kazimierz
K