The aetiology of idiopathic scoliosis: biomechanical and neuromuscular factors

被引:89
作者
Veldhuizen, AG
Wever, DJ
Webb, PJ
机构
[1] Univ Groningen Hosp, Dept Orthopaed, NL-9700 RB Groningen, Netherlands
[2] Taunton & Somerset NHS Trust, Backpain Serv, Taunton, Somerset, England
关键词
scoliosis; aetiology; pathogenesis; neuromuscular; growth;
D O I
10.1007/s005860000142
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aetiology of adolescent idiopathic scoliosis (AIS) remains an enigma. In the literature there are two opinions: one believes a deviating growth pattern is responsible for the condition - patients with AIS lend to be growing faster/be taller - while the other opinion assumes that the growth pattern is normal, but its presence is necessary to allow the development of the scoliosis. We discuss the two stage hypothesis: the natural history of AIS involves an initial stage in which a small curve develops due to a small defect in the neuromuscular control system and a second stage during adolescent growth in which the scoliotic curve is exacerbated by biomechanical factors.
引用
收藏
页码:178 / 184
页数:7
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