alexa The Biomechanics of Spinal Deformity in Adolescent Idio
ISSN: 2165-7939

Journal of Spine
Open Access

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Review Article

The Biomechanics of Spinal Deformity in Adolescent Idiopathic Scoliosis

Gregory S Van Blarcum1,2, Scott C Wagner1,2*, Raymond M Meyer3, Daniel G Kang1,2 and Ronald A Lehman1,2
1Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, USA
2Division of Orthopaedics, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA
3Uniformed Services University of the Health Sciences, Bethesda, USA
Corresponding Author : Scott C Wagner
Walter Reed National Military Medical Center
Department of Orthopaedics, 8901 Wisconsin Avenue
Bethesda, MD 20889, USA
Tel: (301)319-4818
Fax: (301)319-2361
E-mail: [email protected]
Received June 18, 2014; Accepted December 06, 2014; Published December 08, 2014
Citation: Blarcum GSV, Wagner SC, Meyer RM, Kang DG, Lehman RA (2014) The Biomechanics of Spinal Deformity in Adolescent Idiopathic Scoliosis. J Spine 4:197. doi:10.4172/2165-7939.1000197
Copyright: © 2015 Blarcum GSV, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Given the variety of anatomic and physical variations that exist, the biomechanics of Adolescent Idiopathic Scoliosis (AIS) comprise a complex topic. Representing the fundamental mechanism behind the three-dimensional deformities observed in this condition, AIS develops as a result of these complex interactions between pathoanatomy and the developmental biomechanics of the spine. The progressive nature of the deformity relates to the interplay between bony anatomical alterations and the surrounding soft tissue response. Various classification systems have evolved to better understand AIS and provide guidance for its management, and myriad techniques have been developed to address the correction of spinal deformity in these patients. For appropriately selected patients, the treating surgeon must exploit all biomechanical advantages available t counteract these deforming forces, and it is important that the biomechanics contributing to the progression of this condition be understood and corrected. All aspects of the case, including preoperative positioning and implant utilization, play a role in the amount of correction that can be obtained and maintained. These implants affect— and are affected by the forces present on the deformed spine, and manipulation of the surrounding anatomy may aid in obtaining the best surgical outcome.

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