Pou, E

Rigo, M

Salvá, G Quera

Villagrasa, M

Scoliosis

English

PubMed

M Villagrasa

E Pou

G Quera Salvá

M Rigo

Springer - Publisher Connector

BioMed CentralScoliosis
ssOpen AcceOral presentation
Painful adult scoliosis with kyphosant evolution and sagittal anterior 
trunk imbalance treated with physical therapy techniques: three 
case reports
M Villagrasa*, E Pou, G Quera Salvá and M Rigo
Address: Institut E. Salvá. Vía Augusta 185. 08021 Barcelona, Spain
Email: M Villagrasa* - monikve78@hotmail.com
* Corresponding author    
Purpose of the study
The objective of this study is to show positive clinical
changes after physical therapy in three patients diagnosed
with painful adult scoliosis with kyphotic evolution.
Background
Painful adult scoliosis presenting kyphotic evolution
combined with an anterior imbalance of the trunk is one
of the most difficult clinical conditions in rehabilitation.
Clinical changes during rehabilitation treatment (physical
therapy) can be measured by using surface topography,
although postural changes can produce measurement
fluctuations, and interpretations should be made cau-
tiously. This type of patient presents with considerable
stiffness of the spine, and their kyphotic deformity used to
be irreducible.
Methods
Three case reports.
Patient 1
74 year old female at her first consultation. The patient
had severe painful scoliosis (associated degenerative and
osteoporosis changes), with a right thoracolumbar curve
of 67° and a kyphosis measurement of 69° between T10
and L3. The treatment and observation period was 23
months.
Patient 2
50 year old female at her first consultation. The patient
had adult painful scoliosis, with a right lumbar curve
measuring 66° with > 50° axial rotation, rotatory listhesis
at T11-T12 and L3-4-5, degenerative changes, and lumbar
kyphosis. The treatment and observation period was 4
months.
Patient 3
50 year old female at her first consultation. The patient
had junctional kyphosis caudal and cranial to Harrington
instrumentation (T5-T12), a lumbar scoliosis curve meas-
uring 55°, hyper-rotated, rotatory listhesis at L3-4, and
degenerative changes. The treatment and observation
period was 7 months.
Results
Patient 1
Improved to no pain. Lateral deviation and rotation
decreased from 34 mm and 16° to 26 mm and 12°. Fron-
tal plane imbalance (T1-CSL) decreased from 27 mm to
12 mm. The patient experienced significant correction of
the anterior trunk imbalance and reduction of the
kyphotic angle VP-ITL from 66° to 58°.
Patient 2
Improved to no pain. Lateral deviation and rotation
decreased from 30 mm and 16° to 19 mm and 10°. Fron-
tal plane imbalance decreased from 46 mm to 21 mm (T1-
from 6th International Conference on Conservative Management of Spinal Deformities
Lyon, France. 21-23 May 2009
Published: 14 December 2009
Scoliosis 2009, 4(Suppl 2):O65 doi:10.1186/1748-7161-4-S2-O65
<supplement> <title> <p>6th International Conference on Conservative Management of Spinal Deformities</p> </title> <editor>Jean Claude de Mauroy, Theodoros Grivas, Patrick Knott and David Tager</editor> <note>A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/pdf/1748-7161-4-S2-full.pdf">here</a>.</note> </supplement>
This abstract is available from: http://www.scoliosisjournal.com/content/4/S2/O65
© 2009 Villagrasa et al; licensee BioMed Central Ltd. Page 1 of 2
(page number not for citation purposes)
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CSL). The patient experienced significant correction of the
lumbar kyphosis and the anterior trunk imbalance.
Patient 3
Improved to no pain. Lateral deviation and rotation
decreased from 27 mm and 15.5° to 22.3 mm and 14°.
Kyphotic angle VP-ITL decreased from 65° to 56° with a
highly noticeable correction of the junctional kyphosis.
Conclusion
Painful adult scoliosis with kyphotic evolution and sagit-
tal anterior trunk imbalance can be managed using phys-
ical therapy techniques.Page 2 of 2
(page number not for citation purposes)


Painful adult scoliosis with kyphosant evolution and sagittal anterior trunk imbalance treated with physical therapy techniques: three case reports

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Painful adult scoliosis with kyphosant evolution and sagittal anterior trunk imbalance treated with physical therapy techniques: three case reports

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