Neuromechanics of idiopathic scoliosis all rachis ranges of motion decrease because of surgery but hips extension range of motion is comparable to the one of non-operated scoliotic people. In terms of gait, while walking at a constant speed of 4 km/h for a few minutes until a steady state is reached, relative to non-scoliotic people, idiopathic scoliotic people have a frontal (i.e. coronal) pelvis, hip, and shoulder, transversal hip and sagittal knee motion restriction. The step length is reduced and the stance phase duration is also reduced. Surgical treatment of thoracolumbar/lumbar adolescent idiopathic scoliosis, whether performed with anterior spinal fusion or posterior spinal fusion
Management of scoliosis be braced. However, these are guidelines and not every patient will fit into this table. For example, an immature patient with a 17-degree Cobb angle and significant thoracic rotation or flatback could be considered for nighttime bracing. On the opposite end of the growth spectrum, a 29-degree Cobb angle and a Risser sign three or four might not need to be braced because there is reduced potential for progression. Surgery is indicated by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) at 45 degrees to 50 degrees and by the Scoliosis Research Society (SRS) at a Cobb angle of