Adolescence Idiopathic Scoliosis -- Part 1

0.5%-3%,>10o0.15%-0.3%,>30oAlways occur adolescentlysevere case , male:female=1:8:

Risser03/4

Triradiate cartilage

Open Closed

30>50-70

/Adam sign7

Tanner

YRisser

//Adam

//

:1436BendingForce Bending64

Radiographic Measurement ManualSpinal Deformity Study Group2004

Michael F. O Brien. MDTimothy R. Kuklo. MDKathy M. Blanke.RNLawrence G. Lenke. MD

7125

XC7

Bending

XC7-S1C7T2T5T10T12L2S1

Force Bending

Fulcrum Bending

Traction

12

12

RSHradiographic shoulder heightmm+-

Clavicle Angle+-

T1

/HRLhorizontal reference linePCRLpelvic coronal reference lineFHRLfemoral horizontal reference line

EV (end vertebrae)

NV(neutral vertebrae)

SV(stable vertebrae) CSVL

CobbT2-T5T6-T11T12-L1L2-L5

(centroid)

CSVLCenter sacral vertical line

C7PLC7Plumbline

- +

(apical vertebral translation,AVT)CSVLmmCSVLC7PL

Cobb

Cobb

(apical vertebral rotation,AVR)Nash-Moe

01234

0

1

22/3

3

4

Risser03/4

Triradiate cartilage

Open Closed

Adolescent Idiopathic Scoliosis -- Part 2

Lenke

proximal thoracic (PT) T2----T5 Main thoracic (MT) T6----T11 Thoracolumbar (TL) T12----L1 Lumbar (L) L2------L5

Lenke

Side Bending remaining Cobb 25

T2-T5 Kyphosis 20T10-L2: Kyphosis 20 PTMT/TL-L

Lenke

PTMTTL/L1MMT2MDT3MMDM4M TM5M()TL/L6MTL/L- MT

Lenke38(21)40(30)49(4)57(38)62(47)38(24)55(30)66(46)32(21)

Lenke87(56)54(44)40(37)71(40)58(45)15(0)46(27)9(0)29(11)

Lenke1ABCCSVL

LenkeApex CSVLLumbar Modifier A,2-3

Lenke1ABC

Lenke1ABC

Lenke1ABC

Lenke2-N+T5-T12

- Hypo< 10 NNormal10- 40+ Hyper> 40

Lenke2-N++50+25-4

Lenke42

ABC

-N+

Lenke

Lenke1-6333144453233+32+13

Lenke2172329534536+26-37

Lenke38740544637-63+4584