Spinal scoliosis is equally complex and confusing for both doctors and patients. More than 80% of cases have an unknown cause (idiopathic) and usually affect adolescent girls who may experience rapid curvature of the spine, increasing by 20 degrees per month during large growth spurts. Until recently, relatively ineffective spinal surgery and highly invasive spinal fusion surgery were the only options for treating a patient.
The work we do is based on the fact that scoliosis is not only the spiral curvature, but includes abnormal spinal curves in the neck, as well as rotation of the hip joint. Active patients with scoliosis are always present with the position of the anterior head and loss of cervical lordosis (observed on X-ray). There is also an abnormal biomechanical abnormal position of the head and neck. Before you can correct the lateral scoliosis, it is necessary to restore the inflammation of the cervix in the sagittal plane. After that, the side curve decreases (Cobb angle). These results are achieved through a combination of special spinal corrections with instruments, special rehabilitation procedures, including proprioceptive neuromuscular re-education, rehabilitation of muscles and ligaments, and vibration therapy. The scoliotic spine shrinks and rotates three times; therefore, it must be rotated and photographed for correction. We use, among other things, vibrating platforms and a chair to stimulate scoliosis, as well as concrete fixation, to bring the Cobb angle back into proper alignment.
Scoliosis is the body’s natural and innate response to the loss of mechanical function provided by the normal curves of the spine. When these curves disappear, the body again inserts them into another dimension. If scoliosis has a “cause”, then it can only be described as the laws of physics.
Scoliosis is caused by dysponesis (misunderstanding) between the motor-sensory input / output from the upper part of the trunk to the lower. This, in turn, is caused by a unilateral (one-sided) deterioration of the spin-cerebellar loop, which is located in the region between the back of the head and the first cervical vertebra. This theory is supported by the fact that 100% of patients with scoliosis have a problem with proprioception (orientation
body in time and space), and 100% of patients with scoliosis have a loss curve in the neck, which leads to the position of the front head.
Resuscitation therapy is mandatory for the abolition of scoliosis. Without patient consent, no help can help. It is necessary to retrain the postural muscles of the body. Vibrational stimulation redefines the body's proprioceptive signals and mechanoreceptors, which facilitates the retraining of postural muscles.
Cobb angles greater than 30 degrees cannot be reduced in the same way as Cobb angles to 30 degrees. Muscles more limit the convexity of the curve, rather than concavity, as is the case with angles up to 30 degrees. The normal laws of biomechanics do not apply to patients with Cobb angles greater than 30 degrees! One of the components today is absent in all forms of treatment for scoliosis today: the influence of the cervical spine on the definition of pathology of the spine, gait, condition and overall posture. The head controls all the components of the spell below, just as the engine controls the direction of the train. Regardless of the direction in which the locomotive is moving, how can the side carriages be controlled behind it? The very first aspect that needs to be addressed when correcting scoliosis is the cervical spine; in particular, correcting the front head post by restoring the curve and normal ranges of motion in the neck, especially between the nape (C0) and the atlas (C1).
That is why lateral neck looks are necessary in neutral, flexion and stretching. Subsequent x-rays should be taken approximately every three months as objective evidence of improvement; if a poster or regression of the patient’s progress progresses, additional rehabilitation or protocol changes may be required. Obviously, thoracic views are necessary to measure the Cobb angle, but stay away from all Spanish views! The distortion rate is too high to ensure consistency and accuracy when comparing measurements before and after X-rays. It is also important to evaluate the curve in the lower back and the rotation in the hips with lateral and AP lumbar X-rays and correct any deviation from the normal that is detected.
Dr. Brian T Dovorany
Dr. Clayton J Stitzel
