The multiplane initial skeletal remodeling during scoliogenesis
Keywords:
Idiopathic scoliosis; rib index; double rib couture sign; segmental rib index; rib cage; thorax; diurnal variation; rib vertebra angle; thoracic ratios.Abstract
In this opinion paper a concise introduction, describes the variety of published 2D and 3D related studies enabling deeper insight on the initial skeletal patho-remodeling during scoli- ogenesis. The changes in the spinal column and thorax are quoted for adolescent, childhood and infantile idiopathic scoliosis (AIS, CIS and IIS). In spinal column the changes analyzed in frontal, transverse and sagittal plane, and is commented where is initially the spine de- formed while developing the idiopathic scoliosis (IS) that is vertebra vs intervertebral discs (IVD). Next the initial changes at the rib cage (RC) and the impact of these changes on spine deformity are mentioned as well as the impact on RC of the spinal operations for correction
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