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
Body shape image). This sometimes affects their walking style, resulting in hip sway; The upper limb in females have an outward angulation (carrying angle) at elbow level to accommodate the wider pelvis. After puberty, hips are generally wider than shoulders. However, not all females adhere to this stereotypical pattern of secondary sex characteristics. Both male and female hormones are present in the human body, and though only one of them is predominant in an adult, the other hormone has effects on body's shape to some extent. Widening of the shoulders occurs as part of the male pubertal process. Expansion of the ribcage