Common Spinal Deformities

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Common Spinal Deformities

• Lordosis
• Excessive anterior curvature of the spine
• Exaggeration of normal curves in the cervical
  lumbar spines

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Common Spinal Deformities

• Lordosis causes
• Postural deformity
• Lax muscles (esp. abs)
• Heavy abdomen
• Compensatory mechanisms
• Hip flexion contracture
• Spondylolisthesis
• Congential problems
• Fashion (high heels)

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Common Spinal Deformities

• Kyphosis
• Excessive posterior curvature of the spine
• Round back
• Humpback/gibbus
• Flat back
• Dowagers Hump

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Scoliosis

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

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Common Spinal Deformities

• Scoliosis
• Nonstructural
• Functional
• May be related to leg length discrepancy
• Structural
• Lacks normal flexibility
• Asymmetric movements

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Common Spinal Deformities

• Scoliosis
• Ideopathic
• Approx. 75-85 of all structural cases are
  ideopathic
• Stretch concave curve
• Strengthen convex curve

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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 Marfans Syndrome)?

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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

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Rehabilitation

• Non surgical treatment P.T .
• Surgical treatment P.T .
• Stretched strengthening technique .
• Orthotics .
• Hydrotherapy .

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Scoliotic Curve

• 0- 30 Treated with signs of
• progression
• 30- 45 Orthotic Intervention
• 45 lt Surgical Intervention

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TLSO

• Low Profile TLSO for Scoliosis
• Worn when sleeping only
• Made of semi-rigid plastic and foam

Providence Orthosis
Charleston Bending Orthosis
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BRACINGthen
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BRACINGMilwaukee Brace
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BRACING
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BRACING..now
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BRACING..now
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AIS

• Types
• Milwaukee
• Effective
• Self image
• Boston brace
• Not effective above T7
• Wilmington brace
• Charlston brace part time at night 8 hrs

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SURGERY
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Table Handle Locks
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Treatment DemonstrationCharite 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.

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

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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

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Hyperkyphosis / Thoracic Spine Adjusting in the
Side-Lying Position

• For some patients, this very gentle application
  is preferred.

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Compression Fracture Treated in the Supine
Position
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Ideal stretched position TO for kyphotic pt.
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Stretching Exercise
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Total Body Rotation
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Stretching strengthening of the trunk
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Polly therapy
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Stretching strengthening of the trunk
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Hydro therapy
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The right wring position
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