Case 2: Right Thoracic Scoliotic Curve (right thoracic/left thoracolumbar) - 15 year old female
History: The parents of a 15 year old girl were concerned over the visual appearance of their daughter’s back and that it might be getting worse and brought her to see an orthopedist.
Initial Xrays were taken at the hospital. The radiologist's report indicated that the girl's double scoliotic curve was well compensated (stable).
The orthopedist disagreed with the Radiologist's report.
Based on the orthopedist’s recommendation, the parents consented to the surgery.
Results: PreOp vs Immediately Post-Op
Weiss HR 2007. Adolescent Idiopathic Scoliosis - case report of a patient with clinical deterioration after surgery. Patient Safety in Surgery Journal, 1(7) Online at www.pssjournal.com/content/1/1/7
The right thoracic curve had increased 4 degrees from 32º to 36º.
The left thorocolumbar curve had decreased 6 degrees, from 28 degrees to 22 degrees
What these two case studies Demonstrate:
Reversing Thoracic Curves
Two Case Studies
This is just one of many case studies that this researcher/clinician has been involved with or observed
The orthopedist advised the parents not to be concerned, that the cosmetic appearance would improve in time.
One year after the surgery, the appearance of their daughter’s back was still deteriorating. The parent’s concern continued to escalate. They sought another opinion and were referred to a radiologist for another set of Xrays (See Xray C above):
Based on this immediate attenuation in the right thoracic curve, the cause of his right thoracic curvature was determined to be Rothbarts Foot.
Rothbart Proprioceptive Therapy was initiated in order to stabilize the patient's right thoracic curve.
Six months after the surgery, the parents brought their daughter to see the orthopedist, anxious over the cosmetic appearance of their daughter’s back, which appeared to be worse than it was before the surgery (See Photos below).
The most progressive spinal (scoliotic) curve is the right thoracic curve. Its growth velocity is the fastest at skeletal ages 12-13 (pre puberty), but frequently continues moderately after the age of 16 (Yrjones, 2006).
Yrjonen T, Ylikoski M 2006. Effect of growth velocity on the progression of adolescent idiopathic scoliosis in boys. Journal Pediatric Orthopaedics; 15(5):311-315.Reference
Case 1: Right Thoracic Scoliotic Curve - 13 year old male
History: The parents of a 13 year old boy brought their son to see their family doctor, concerned over the progressive worsening of the son's scoliosis.
The doctor suggested a back brace. The brace proved to be so uncomfortable and difficult for the boy to use in school, that the parents deciced to seek the advice of an orthopedist.
The orthopedist took two sets of Xrays (one year apart) of the boy's spine.
The orthopedist strongly advised surgical intervention (fixation of the thoracic vertebrae) before the thoracic curve deteriorated even further.
The parents decided to seek a third opinion and brought their son to see me.
Results: Immediate Spinal Improvement