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Scoliosis in the context of human evolution

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  • #61
    Not really sure where to ask this, but was reading a bit about scoliosis in younger children and was wondering if it's completely different from scoliosis in adolescents and if so, what's the difference?
    Son 14 y/o diagnosed January 20th. 2011 with 110* Curve
    Halo Traction & 1st. surgery on March 22nd. 2011
    Spinal Fusion on April 19th. 2011

    Dr. Krajbich @ Shriners Childrens Hospital, Portland Oregon



    http://tinyurl.com/Elias-Before
    http://tinyurl.com/Elias-After

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    • #62
      Hello Elisa,

      I don't know the specifics (my son was diagnosed as a teenager), but I do know generally that scoliosis diagnosed before age 11 is different from that in older children. It's both more likely to progress, and more likely to reverse. So, even though it's often more aggressive, younger patients often show great improvement with interventions, and some curves reverse altogether.

      You could trying goggling on JIS (Juvenile Idiopathic Scoliosis) for more info, or maybe someone with a younger child will comment.
      Last edited by hdugger; 11-29-2010, 06:29 PM.

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      • #63
        Elisa,

        There was a comment on another forum about Ogilvie stating (in person, not in print) that the suite of genetic markers was different for JIS than for AIS. I can't vouch for the accuracy of that now third-hand statement nor for the underlying research that purportedly supports it even if it is an accurate quote obviously.

        Love,
        A Harpy
        Sharon, mother of identical twin girls with scoliosis

        No island of sanity.

        Question: What do you call alternative medicine that works?
        Answer: Medicine


        "We are all African."

        Comment


        • #64
          Originally posted by Dingo View Post
          Back to my ignore list you harpy!
          For those who forgot their eighth grade science education...

          1. The FACT of evolution: Evolution defined as change over time where that time is ~3.5 billion years is a FACT. Mutually buttressing independent evidence in several forms from fossils to molecular genetics has elevated evolution to "fact" status.

          2. The THEORY of evolution: The same word, "evolution," is also used to denote the various mechanisms by which the FACT of change over a few billion years occurred. There is much agreement on mechanisms but there are a few mechanisms upon which scientists can disagree.

          While scientists may disagree as to which is the primary mode of evolution in a given setting, scientists do NOT disagree on the FACT of evolution.

          By the way, much more is known about the THEORY of evolution than is known about the THEORY of gravity. Gravity, though, is still a fact.

          Recess kids!
          Sharon, mother of identical twin girls with scoliosis

          No island of sanity.

          Question: What do you call alternative medicine that works?
          Answer: Medicine


          "We are all African."

          Comment


          • #65
            From what I was reading, it seemed to me that in younger children with scoliosis, it was an additional problem to their original diagnosis rather than scoliosis being their main diagnosis, if that makes sense. Or maybe that was congenital scoliosis? So much info out there and so much to learn.
            Son 14 y/o diagnosed January 20th. 2011 with 110* Curve
            Halo Traction & 1st. surgery on March 22nd. 2011
            Spinal Fusion on April 19th. 2011

            Dr. Krajbich @ Shriners Childrens Hospital, Portland Oregon



            http://tinyurl.com/Elias-Before
            http://tinyurl.com/Elias-After

            Comment


            • #66
              Originally posted by Elisa View Post
              From what I was reading, it seemed to me that in younger children with scoliosis, it was an additional problem to their original diagnosis rather than scoliosis being their main diagnosis, if that makes sense. Or maybe that was congenital scoliosis? So much info out there and so much to learn.
              Well, sometimes, especially with left thoracic curves, there is an underlying problem like Chiari or a syrinx.

              The major divisions of scolosis as far as I can tell are:

              1. congenital - an actual bone deformity like hemivertebrae

              2. Idiopathic: (diagnosed based on age)
              a. infantile idiopathic - this is of two types - a spontaneously resolving and one that worsens
              b. juvenile idiopathic - diagnoses as a juvenile and may be similar to infantile
              c. adolescent idiopathic - most common and diagnosed as an adolescent.

              3. adult degenerative - as the name implies.

              Someone will dope slap me if I have something wrong.
              Sharon, mother of identical twin girls with scoliosis

              No island of sanity.

              Question: What do you call alternative medicine that works?
              Answer: Medicine


              "We are all African."

              Comment


              • #67
                Thanks for separating them all for me. After a while they all just overlap each other and I can't remember which is which. It's like they all are completely different diseases. Just b/c you have scoliosis and a crooked spine could mean just about anything depending on so many variables. Such a complicated disease but I guess you guys know that.

                Well, sometimes, especially with left thoracic curves, there is an underlying problem like Chiari or a syrinx.
                My son's twist and hump is on his right side and I see most teens are that way, I also see a few people who have issues with their left side but not nearly as many as people who have right side issues. Why is that?




                The major divisions of scolosis as far as I can tell are

                1. congenital - an actual bone deformity like hemivertebrae

                2. Idiopathic: (diagnosed based on age)
                a. infantile idiopathic - this is of two types - a spontaneously resolving and one that worsens
                b. juvenile idiopathic - diagnoses as a juvenile and may be similar to infantile
                c. adolescent idiopathic - most common and diagnosed as an adolescent.

                3. adult degenerative - as the name implies.

                Someone will dope slap me if I have something wrong.
                Son 14 y/o diagnosed January 20th. 2011 with 110* Curve
                Halo Traction & 1st. surgery on March 22nd. 2011
                Spinal Fusion on April 19th. 2011

                Dr. Krajbich @ Shriners Childrens Hospital, Portland Oregon



                http://tinyurl.com/Elias-Before
                http://tinyurl.com/Elias-After

                Comment


                • #68
                  Originally posted by Elisa View Post
                  My son's twist and hump is on his right side and I see most teens are that way, I also see a few people who have issues with their left side but not nearly as many as people who have right side issues. Why is that?
                  It's a very interesting research question, isn't it?

                  Biology is very complex. It is more complex than sending men to the moon and returning them safely.
                  Sharon, mother of identical twin girls with scoliosis

                  No island of sanity.

                  Question: What do you call alternative medicine that works?
                  Answer: Medicine


                  "We are all African."

                  Comment


                  • #69
                    Classification of spinal deformities....
                    Structural Scoliosis
                    1) Idiopathic
                    A. Infantile (0 to 3 yrs)
                    1.Resolving
                    2.Progressive
                    B. Juvenile (3 to 10 yrs)
                    C. Adolescent(>10yrs)
                    2) Neuromuscular
                    A.Neuropathic
                    1. Upper motor neuron
                    a. Cerebral palsy
                    b. Spinocerebellar degeneration
                    i. Fredreich’s disease
                    ii. Charcot-Marie-Tooth disease
                    iii. Roussy-Levy disease
                    c. Syringomelia
                    d. Spinal cord tumor
                    e. Spinal cord trauma
                    f. Other
                    2. Lower motor neuron
                    a. Poliomyelitis
                    b. Other viral myelitides
                    c. Trauma
                    d. Spinal muscular atrophy
                    i. Werdnig-Hoffman disease
                    ii. Kugelberg-Welander disease
                    e. Myelomeningocele (paralytic)
                    3. Dysautonomia (Riley-Day syndrome)
                    4. Other
                    B. Myopathic
                    1. Arthrogryposis
                    2. Muscular dystrophy
                    a. Duchenne’s (pseudohypertrophic)
                    b. Limb-girdle
                    c. Facioscapulohumeral
                    3. Fiber-type disproportion
                    4. Congenital hypotonia
                    5. Myotonia dystrophica
                    6. Other
                    3) Congenital.......wow!

                    I turned the page and gave up. I will scan upon request....

                    Non-structural, Kyphosis, and Lordosis would take me an hour to type out.

                    Idiopathic. I can understand why that word is used. We need to have open minds.

                    (This material written by Dr Winter)
                    Ed
                    49 yr old male, now 63, the new 64...
                    Pre surgery curves T70,L70
                    ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
                    Dr Brett Menmuir St Marys Hospital Reno,Nevada

                    Bending and twisting pics after full fusion
                    http://www.scoliosis.org/forum/showt...on.&highlight=

                    My x-rays
                    http://www.scoliosis.org/forum/attac...2&d=1228779214

                    http://www.scoliosis.org/forum/attac...3&d=1228779258

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