a brief history of scoliosis treatment
DESCRIPTION
A depiction of scoliosis treatment through the ages, into modern medicine's attempt to treat scoliosis, and a peek into the future of scoliosis treatment. For more information visit http://www.treatinscoliosis.com or call 1-866-627-3009TRANSCRIPT
A Brief History of Scoliosis Treatment
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
SCOLIOSIS:
National Scoliosis Foundation
“The effects: Reduced life expectancy. It can stunt height growth and decrease pulmonary function. It’s associated with headaches, shortness of breath, digestive problems, chronic disease, and hip, knee and leg pain.”
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
History:Hippocrates described Scoliosis around 400 BC.
Galen coined the term Scoliosis in 131 – 201 A.D.
The 1st metal brace was developed under Ambroise Pare in 1575.
In 1876, it became possible to quantify the angle of deformation.
The etiology of scoliosis remains unknown in 80% of cases.
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
An enlargement of one of the panels shown in Fig. 13 demonstrating treatment of a spine injury. The typical treatment consisted of using gravity and extension of the spine to treat a curvature.
Courtesy of the British Museum, Sloane Manuscript Collection. Manuscript No. 1977.
An early printed example of the treatment of spine injuries in a work by Avicenna. Illustrated here are some of the examples of spine stabilization.
From Avicenna: Liber Canonis, De Medicinis Cordialibus, et Cantica. Basel: Per Joannes Heruagios, 1556.
Illustration showing the Hippocratic treatment of spine injuries—the rack system and the technique of using gravity to straighten the spine.
Reprinted from Hippocrates: The Genuine Works of Hippocrates (translated by Adams F). London: Sydenham Society, 1844, Vol 2, pp 117–118.
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Illustration showing the use of a rack to straighten the spine. From an early manuscript (attributed to Serefeddin Sabuncuoglu, ca. early 18th century) on the subject of Avicenna and the treatment of spine injuries. In the author's personal collection.
The modern Era Until curvatures progress to 25° or more, physicians
prescribe “observation only.”
At 25°, bracing has been used to stabilize progression, and its efficacy continues to be examined.
Spinal fusion is recommended for skeletally immature patients when curvatures progress to 40° - 45° and for mature patients with curvatures > 50°.
• Incidence of Curvature Progression in Idiopathic Scoliosis Patients Treated With Scoliosis Inpatient Rehabilitation”, Hans-Rudolf Weiss, Pediatric Rehabilitation, 2003, Vol. 6, No 1, 23-30
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Bracing
• 44% of bracing attempts are considered failures
– do not stop the progression
• Less than 30°, there were no significant differences between braced and non-braced patients– Typically brace is prescribed when scoliosis is <20°
• 60% felt bracing handicapped their lives• 14% considered bracing left a psychological scar
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
SURGERY
• Scoliosis fusion surgery– Average pre operative curve = 72°– Average post operative curve = 44°
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Posterior Spinal Fusion and Instrumentation
Scoliosis surgery
Harrington Rods
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Are They Cured?• Unfortunately, most patients return for 2nd, 3rd, and 4th
surgeries• Rod maintenance• Side effects
– Inflexibility– LBP– Headache
• “40% of operated treated patients with idiopathic scoliosis were legally defined as severely handicapped persons” (4)
4 Gotze C, Slomka A, Gotze HG, Potzl W, Liljenqvist U, Steinbeck J. Long-term results of 4 Gotze C, Slomka A, Gotze HG, Potzl W, Liljenqvist U, Steinbeck J. Long-term results of quality of life in patients with idiopathic scoliosis after Harrington instrmentation and quality of life in patients with idiopathic scoliosis after Harrington instrmentation and their relevance for expert evidence. Z Orthop Ihre Grenzgeb 2002 Sep-Oct;140(5):492-8their relevance for expert evidence. Z Orthop Ihre Grenzgeb 2002 Sep-Oct;140(5):492-8Dr. Clayton J. Stitzel, 1-866-627-3009,
[email protected], http://www.treatingscoliosis.com/
The Future Scoliosis Treatment?
• Non-invasive• Early Stage Scoliosis Intervention• Rehabilitation based• Re-trains the brain’s involuntary postural
control centers.• 3-D Auto correction that eliminates deformity.
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Pre Treatment Post Treatment
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Treatment (Mix, Fix, Set)
• Scoliosis Chiropractic Care– Warm-up (Mix)– Adjustment (Fix)– Rehabilitation (Set)
• Maybe a little chocolate therapy
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
• Wobble chair• Cervical Traction• Core Stimulation
(ligaments) & Muscle Stimulation
Warm up (MIX)
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Adjustments (FIX)
• #1 PRIORITY: Restore cervical lordosis
• Adjust Anterior & Posterior Hip
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
Rehabilitation (SET)
• Proprioceptive neuromuscular re-education &
rehabilitation• Head weights• Hip weights• Tight rope
exercise
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/
• Websites on scoliosis
–www.clear-institute.org/freeinfo–www.fixscoliosis.com–www.scoliosis-world.com
Resources for parents and kids
Dr. Clayton J. Stitzel, 1-866-627-3009, [email protected],
http://www.treatingscoliosis.com/