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Classification of Scoliosis Liebermans eRadiology(脊柱侧凸的分类利伯曼eRadiology)
Coleen Sabatini, HMS III
Gillian Lieberman, MD
January 2002
Radiologic Evaluation of
Scoliosis in Young People
Coleen Sabatini
Harvard Medical School, Year III
Gillian Lieberman, MD
Coleen Sabatini, HMS III
Gillian Lieberman, MD
Classification of Scoliosis
• Congenital • Idiopathic
– Failure of formation –Infantile (0-3 years)
– Failure of segmentation –Juvenile (3-10 years)
– Mixed –Adolescent (10+ years)
• Neuromuscular • Others
– Myopathic –Neurofibromatosis
• Arthrogryposis –Mesenchymal (Marfan’s,
• Muscular dystrophy Ehlers-Danlos)
– Neuropathic –Traumatic
• Upper motor neuron –Tumors
• Lower motor neuron –Osteochrondrodystrophies
• Dysautonomia (Riley-Day
Syndrome) 2
Coleen Sabatini, HMS III
Gillian Lieberman, MD
Definitions
• Scoliosis: Lateral curvature of the spine.
• Non-Structural curve: has no structural component, it corrects
on supine side-bending films.
• Non-Structural Scoliosis: reversible lateral curvature with out
rotation.
• Structural curve: lacks normal flexibility
• Structural Scoliosis: Irreversible lateral curvature of the spine
with rotation of the vertebral bodies in the area of the major
curve.
• Major curve: The largest structural curve.
• Compensatory curve: A curve that is above or below a major
curve that serves to maintain normal body alignment.
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