Three-dimensionality in vertebral pathology: the horizontal plane is hidden in every scoliotic deformity

Author:

Dubousset J.1ORCID

Affiliation:

1. French National Academy of Medicine 23 bis rue des Cordelieres, 75013, Paris, France

Abstract

The main idea of the paper is that any scoliotic deformity of the spine is a deformity primarily occurring in the sagittal plane. Thisstatement is confirmed by anatomical and clinical data, results of the use of imaging techniques, and biomechanical data. The proposed concept significantly affects the solution of strategic and technical problems in the course of both conservative and surgical treatment of patients with scoliosis. It should be realized that scoliotic deformity is a compensatory response within the balance chain to a rotational phenomenon occurring in the frontal plane. The goal of the doctor is to achieve the balance of the patient's body through understanding its three-dimensionality and realizing the importance of taking into account the horizontal plane.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

Reference27 articles.

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2. Adams W. Lectures on the Pathology and Treatment of Lateral and Other Forms of Curvature of the Spine. 2nd ed. London: J. & A. Churchill, New Burlington street, 1882.

3. Bouvier V. Difformité. In: Andral G, Begin L, Blandin M, eds. Dictionnaire de Medecine et Chirurgie Pratique, Tome 6. Paris: Gabon, Mequignon-Marvis, J.B.Bailliere, 1831:300–302.

4. Perdriolle R, Vidal J. [A study of scoliotic curve. The importance of extension and vertebral rotation]. Rev Chir Orthop Reparatrice Appar Mot. 1981;67:25–34. In French.

5. Bunnell WP. An objective criterion for scoliosis screening. J Bone Joint Surg Am. 1984;66:1381–1387.

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