Curvature Pattern

[mamamax]

That person would have a right rib hump and a right lumbar concavity.

ok - please don't laugh at this, and thank you for your patience. This is very important to me.

If someone (like me) has a left rib hump - are we saying .. that for certain this is from either (1) a left thoracic or (2) a left thoracolumbar curve (regardless of any extra lumbar curvature)?

[MichelleK]

ok - please don't laugh at this, and thank you for your patience. This is very important to me.

If someone (like me) has a left rib hump - are we saying .. that for certain this is from either (1) a left thoracic or (2) a left thoracolumbar curve (regardless of any extra lumbar curvature)?

yes, you got it !!!!

[MichelleK]

maxene, have to go now but i emailed you dr l email address. i think you should check with him about your curves before doing the scroth exercises. good luck!

[LindaRacine]

If you have left thoracolumbar curve that means you have one large c shaped curve that encompasses your thorasic & lumbar spine. am i correct here linda?

wouldn't the left lumbar curve cause right lumbar concavity & left lumbar would be convex?

yes

If you have left thoracolumbar curve that means you have one large c shaped curve that encompasses your thorasic & lumbar spine. am i correct here linda?

This becomes difficult, because it depends on other things. Sometimes, it's just a lot easier to use the King classification:

Type I is a double concave deformity in which the lumbar curve is larger and more rigid than the thoracic curve.
Type II is a double concave deformity in which the thoracic curve is more rigid.
Type III is a thoracic curve.
Type IV is a long thoracic deformity that tilts into the curve.
Type V is a double thoracic curve that tilts into the concavity.

I would assume that Maxene has a type B curve.

--Linda

[LindaRacine]

ok - please don't laugh at this, and thank you for your patience. This is very important to me.

If someone (like me) has a left rib hump - are we saying .. that for certain this is from either (1) a left thoracic or (2) a left thoracolumbar curve (regardless of any extra lumbar curvature)?

I think they would have a left thoracic, left double thoracic, left double major, left triple major, left thoracolumbar/lumbar, or left thoraclumbar/lumbar main thoracic curve.

[LindaRacine]

Attached are drawings of the King classification types.

[mamamax]

Thanks ladies .. i believe we have at least established this about Maxene:

Question:
If someone (like me) has a left rib hump - are we saying .. that for certain this is from either (1) a left thoracic or (2) a left thoracolumbar curve (regardless of any extra lumbar curvature)?

Answer: Yes

I must say, now that i'm actually taking charge of understanding my care that the experience is a bit confusing .. so many possibilities, these curves!

[LindaRacine]

If at all helpful, I have a King type II curve. I have a right thoracic rib hump and no waistline on the left side.

[mamamax]

Attached are drawings of the King classification types.

Is this looking at the patient from the back or front?

[LindaRacine]

Thanks ladies .. i believe we have at least established this about Maxene:

Question:
If someone (like me) has a left rib hump - are we saying .. that for certain this is from either (1) a left thoracic or (2) a left thoracolumbar curve (regardless of any extra lumbar curvature)?

Answer: Yes

I must say, now that i'm actually taking charge of understanding my care that the experience is a bit confusing .. so many possibilities, these curves!

That's because it's super confusing. Did you ever post your xrays? I should be able to tell you what you have.

[mamamax]

I think they would have a left thoracic, left double thoracic, left double major, left triple major, left thoracolumbar/lumbar, or left thoraclumbar/lumbar main thoracic curve.

Yeah - point being any number of left curves .. right?

[mamamax]

I think they would have a left thoracic, left double thoracic, left double major, left triple major, left thoracolumbar/lumbar, or left thoraclumbar/lumbar main thoracic curve.

That's because it's super confusing. Did you ever post your xrays? I should be able to tell you what you have.

Still working on getting the digitals.

[LindaRacine]

Is this looking at the patient from the back or front?

From the back. In other words, the B curve would have a right-sided rib hump.

If you're correct about your curve, you have the mirror image of B.

--Linda

[mamamax]

thank you .. yep - looks like with a left rib hump, would have to be a mirror image of B. Thanks Linda .. this is all great information. Maybe most know these things, but i sure didn't. I need the simplified version of things ya know - have not found that book yet :-)

Rib hump - a major indication of curvature direction (left or right). Classifications codes - viewed from patient back. These may seem simple but they are major in trying to understand one's condition vs relying on others (and lets face it human error is always a factor that may surface). So, good to know these things.

Thank you again.

[Qikdraw]

Attached are drawings of the King classification types.

Linda,

Looking at that it looks like I have an 'E' classification? My preop xray is below in my sig lines.