Common Spinal Deformities

Lordosis Excessive anterior

curvature of the spine Exaggeration of normal

curves in the cervical & lumbar spines

Common Spinal Deformities

Lordosis causes:› Postural deformity› Lax muscles (esp. abs)› Heavy abdomen› Compensatory

mechanisms› Hip flexion contracture› Spondylolisthesis› Congential problems› Fashion (high heels)

Common Spinal Deformities

Kyphosis Excessive posterior

curvature of the spine Round back Humpback/gibbus Flat back Dowager’s Hump

Scoliosis

Abnormal spinal curvature of various degrees or severity involving shortening of muscles and ligaments.

Common Spinal Deformities

Scoliosis› Nonstructural

“Functional” May be related to leg

length discrepancy

› Structural Lacks normal flexibility Asymmetric movements

Common Spinal Deformities

Scoliosis Ideopathic

Approx. 75-85% of all structural cases are ideopathic

Stretch concave curve Strengthen convex curve

Patient History

History of injury? Any previous back or neck pain? Any positions of comfort? Family history? Previous illnesses, surgeries, or severe injuries? Hx of other conditions (connective tissue diseases

such as Marfan’s Syndrome)?

Marfan Syndrome?

Marfan syndrome is one of the more common disorders of connective tissue that can affect the Eyes, Skeleton, Lungs, Heart and Blood Vessels, and may be life-threatening. The effects of Marfan syndrome varies between individuals, some people only being mildly affected.

Marfan syndrome is a hereditary

Rehabilitation Non surgical treatment + P.T . Surgical treatment + P.T . Stretched & strengthening technique . Orthotics . Hydrotherapy .

• 0°- 30° Treated with signs of

progression

• 30°- 45° Orthotic Intervention

• 45° < Surgical Intervention

Low Profile TLSO for Scoliosis

• Worn when sleeping only

• Made of semi-rigid plastic and foam

Charleston Bending Orthosis

Providence Orthosis

BRACING……then

BRACINGMilwaukee Brace

BRACING

BRACING…..now

BRACING…..now

AIS

Types– Milwaukee

Effective Self image

– Boston brace Not effective above T7

– Wilmington brace– Charlston brace part

time at night 8 hrs

SURGERY

Table Handle Locks

Treatment Demonstration:Charite Disc Replacement/Dextrorotatory Scoliosis

This is a case of L4 Charite Disc Replacement with and L5 Disc herniation and dextrorotatory scoliosis. 

The Rule of 50% is discussed in relation to the treatment plan to relieve S1 dermatome pain.

Hyperkyphosis & Scheuermann's Disease treated in the supine position.

Hyperkyphosis / Scheuermann's Disease / Osteoporosis / Any Condition needing thoracic adjusting

Dr. Cox demonstrates flexion-distraction long-y-axis decompression spinal adjusting (low-velocity, low-amplitude adjusting)  for any condition needing gentle thoracic spinal adjusting. Patients working on computers and carry much stress really appreciate this care.

Hyperkyphosis / Scheuermann's Disease / Upper Thoracic Spine Low-Velocity/Low-Amplitude (LVLA) Adjusting using the Cervical Headpiece

Highlights: Use of the cervical spine

restraint to treat the thoracic spine curvature.

Long Y axis automated distraction with cervical headpiece restraint in place.

Goals: drop intradiscal pressures increase foraminal area restore physiological ranges

of motion

Hyperkyphosis / Thoracic Spine Adjusting in the Side-Lying Position

For some patients, this very gentle application is preferred.

Compression Fracture Treated in the Supine Position

Ideal stretched position & TO for kyphotic pt.

Stretching Exercise

Total Body Rotation

Stretching &strengthening of the trunk

Polly therapy

Stretching &strengthening of the trunk

Hydro therapy

The right & wring position

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