By Peter O. Newton, Michael F. O'Brien, Harry L. Shufflebarger, Randal R. Betz, Robert A. Dickson, Jürgen Harms
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Extra info for Idiopathic Scoliosis: The Harms Study Group Treatment Guide
A long term follow-up study of non-treated scoliosis. Acta Orthop Scand 1968;39:466–476 65. Dubousset J, Graf H, Miladi L, et al. Spinal and thoracic derotation with CD instrumentation. Orthop Trans 1986;10:36 66. Archer IA, Deacon P, Dickson RA. Idiopathic scoliosis in Leeds: A management philosophy. J Bone Joint Surg Br 1986;68B:670 67. Dickson RA. Idiopathic scoliosis: Foundation for physiological treatment. Ann R Coll Surg Engl 1987;69:89–96 68. Cotrel Y, Dubousset J, Guillaumat M. New universal instrumentation in spinal surgery.
Gruelich WW, Pyle SI. Radiographic Atlas of Skeletal Development of the Hand and Wrist, ed. 2. Stanford: Stanford University Press; London: Oxford University Press; 1959 12. Tanner JM, Whitehouse RH. Height Standard Chart. Hounslow, UK: Printwell; 1959 13. James JIP. Idiopathic scoliosis; the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg Br 1954;36B:36–49 14. Dickson RA. Conservative treatment for idiopathic scoliosis. J Bone Joint Surg Br 1985;67:176–181 15.
The rotational component is clearly seen on X-ray films, with the spinous processes rotating toward the curve concavity (Fig. 4), and is seen clinically by the presence of a rib or loin hump as the attached ribs and transverse processes rotate with the spine (Fig. 5). Structural curves are primary or intrinsic to the spine itself. Nonstructural and Structural Scolioses To differentiate between relatively unimportant scolioses and important ones, the terms nonstructural and structural are applied, the former comprising purely lateral curvatures, whereas the latter have a rotational component in the transverse plane.