Management of scoliosis developed using two rods and wires attached at each level of the spine. This segmented instrumentation system allowed patients to become mobile soon after surgery. In the 1980s, Cotrel-Dubousset instrumentation improved fixation and addressed sagittal imbalance and rotational defects unresolved by the Harrington rod system. This technique used multiple hooks with rods to give stronger fixation in three dimensions, usually eliminating the need for post-operative bracing. Management of scoliosis The management of scoliosis is complex and is determined by the severity of the curvature and skeletal maturity, which together help predict the likelihood of progression. The conventional options for children
Neuromechanics of idiopathic scoliosis vertebral column can be deformed at the thoracic level, at the lumbar level or at both. In the lumbar region, scoliosis induces perturbations to standing balance. The thoracic region is the location that most impacts movement strategies. Scoliosis impedes on the movement of the ribs, places the respiratory muscles at a mechanical disadvantage and displaces the various organs of the thoracic cavity. In a scoliotic patient, the vertebral column experiences extension forces on the convex side and compression forces on the concave side. At the apical vertebra, average bone density for the concave cortical bone is higher than for the