chair: jc de mauroy, lyon, france · •6% of scoliosis after 40 years old •10 % after 65 years...
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Chair: JC de Mauroy, Lyon, France
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• Vanderpool notes:
• 6% of scoliosis after 40 years old
• 10 % after 65 years old
• Gender Ratio : 2 women for one man
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AdultScoliosis
Progressive Degenerative
Secondary
Progression AIS
Primary
De novo
Stable
Painful
SufferingAnatomical
Injury
Thor-Lumb = Minor
Intervertebral Displacement
Convexity = muscle
Concavity = facies articularis
vertebrae
Lumbo-sacral = ligament
Disc = Rotatory Dislocation
Postural dysfunction =
Imbalance
Muscle = Camptocormia
Bone = Osteoporosis
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• From 20 to 30 years old: painful lumbar scoliosis
• Thoracolumbar = minor intervertebral dysfunction
• Lumbar convexity = muscles
• Lumbar concavity =posterior facet
• Lumbosacral = ligaments
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• From 30 to 50 years old:
• disc anterior imbalance scoliosis
• (medical consultation after second pregnancy)
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• No particular evolution during pregnancy
• However, for lumbar curves there is a pelvic risk of asymmetrical deformity with risk of delivery by caesarotomy
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Early Opened dislocation L3-L4
with rotatory sub-dislocation of
the posterior facies vertebrae
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26/10/20082000 2003
Discopathy
with narrowing
of inter-
vertebral
space and
posterior
asymmetric
arthritis facet
joint
9
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• From 50 to 70 years old:
scoliosis with a rotatory
dislocation (loss of spine
alignment)
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Total
Scolioses
DISL Rot
26 634
7 486 164 = 2 %
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Closed dislocation L3-L4
( Yawn on the opposite
site in the sliding)
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Opened dislocation L2-L3
( Yawn on the side of the
sliding)
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15
Thinning down of the cortical and bi-concave vertebras.
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• More than 70 years: The camptocormia with
– Loss of posterior muscles
– Total reducibility in supine
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Document
JM Vital & C Soderlund26/10/2008 18
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Basilica of Monreale - Gospel St Luc
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Major atrophy of the
paravertebral muscle
structure
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• The diagnostic has been reported for a subject who is over 55 years old, consulting sometimes only for a feeling of imbalance of the trunk.
• The posture problems are characterised by an anterior inflexion of the trunk appearing whilst walking and worsening during the day.
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Thank you for your attention