Adolescent Idiopathic Scoliosis Treatment and Causes | Child Scoliosis Symptoms and Signs | Vail, CO

#scoliosis #scoliosisdiagnosis #spinehealth
https://neckandback.com/studyspine

Dr. Gill discusses the broad topic of the recognition and treatment of adolescent scoliosis. Here are some important takeaways:
-Manipulation has been demonstrated to be ineffective in treating of AIS (Adolescent Idiopathic Scoliosis)
-Team approach to scoliosis
-You must be an expert in this field to understand how scoliosis presents and develops when to treat and what works/does not work
-This scoliosis section “gets your feet wet” but is not an all encompassing treatise to understand scoliosis
-Work closely with a skilled and certified orthotist who designs and fits braces
-You will be responsible to understand when things are not progressing well and when to ask for help
-Must have a relationship with a Spine Surgeon who takes care of AIS

Here is additional information regarding AIS:
-2-4% of children between 10-16 years old
-10 degree or greater curve with vertebral rotation
-Ratio girls/boys; (=) for small curves
-10/1 for curves greater than 30 degrees
-Multi-gene dominant with variable expression
-Normally a right thoracic curve, left lumbar curve
-10% of curves found require intervention

Dr. Gill speaks about the following topics: Natural history of AIS, secondary causes of scoliosis, standing scoliogram x-rays, sagittal balance, coronal balance, secondary causes of scoliosis, normal developmental milestones, Cobb method to measure spine curves, growth remaining indicators, remaining growth skeletal indicators, risk of progression, physical examination, and angle of truncal rotation (ATR) scoliometer.

The goals of treating AIS are:
-Stop curve progression until 2 years post puberty
-Prevent or treat spinal pain syndromes as patients age
-Improve aesthetics (body image)
-Treatment/Referral Guidelines – 25 degrees is a deciding point

Dr. Gill continues to highlight these important issues during this lecture: scoliosis treatment in the early days, Milwaukee brace, scoliosis treatment in the middle days, Boston Brace TLSO, optimal brace candidates, brace rules start to finish, brace compliance usage, and when to modify a brace,

Why should a patient have surgery?
-Thoracic curves between 50 and 75 degrees at skeletal maturity progressed an average of 29.4 degrees over a 40.5 year follow-up period
-Curves between 60 and 100 degrees, total lung capacity was 2/3 of predicted normal values
-Half of the patients with thoracic curve larger than 8- degrees had shortness of breath at the average age of 42 years old
-Vital capacity below 45% predicted and a Cobb angle greater than 110 degrees were risk factors to develop respiratory failure and early death
-The larger the curve, the more difficult to correct with surgery
-Body deformity can be cosmetically severe and debilitating

Dr. Gill wraps up his speech speaking about ageing and how larger curves will lead to early degenerative changes, AP & supine bending, surgery, post-surgery, pre and post-op and a handful of cases studies.

► Facebook: https://www.facebook.com/neckandback
► Twitter: https://twitter.com/drcorenman
► LinkedIn: https://twitter.com/drcorenman
► Subscribe: https://www.youtube.com/channel/UC8LyeJ9VKgxSJpF1Xs2jfrQ?sub_confirmation=1

To learn more, go to: https://neckandback.com/studyspine, https://neckandback.com/ and https://neckandback.com/forum/

With more than 30 years of experience, Donald Corenman, MD, DC, is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine. This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship. His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994. With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”

Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”. He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders. His focus on peer education earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles.

Видео Adolescent Idiopathic Scoliosis Treatment and Causes | Child Scoliosis Symptoms and Signs | Vail, CO канала Donald Corenman, MD, DC