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Typical and atypical AIS. Pathogenesis
1Children's Rehabilitation Center of Orthopedics and Traumatology, Saint Petersburg, Russia.
This study proposes a new hypothesis for Adolescent Idiopathic Scoliosis (AIS), explaining the development of spinal deformities. It investigates atypical scoliosis, offering insights into its preclinical stages and progression.
Area of Science:
- Orthopedics
- Biomedical Engineering
- Developmental Biology
Background:
- Adolescent Idiopathic Scoliosis (AIS) remains incompletely understood despite extensive research.
- Key phenomena like spinal deformation, polyetiology, and growth interrelation lack clear explanations.
- Existing hypotheses struggle to account for the progression from healthy to scoliotic spine.
Purpose of the Study:
- To propose a novel hypothesis for Adolescent Idiopathic Scoliosis (AIS) that addresses current explanatory gaps.
- To investigate the characteristics of atypical scoliosis, particularly non-standard concave side rotation.
- To elucidate the sequence of symptomatology in typical and atypical scoliosis from the preclinical stage.
Main Methods:
- Multifunctional instrumental investigations including radiography (Rtg), electromyography (EMG), electroencephalography (EEG), and optical topography.
- Analysis of hormonal and neuropeptide levels, alongside thermo-vision imaging.
- Comparative analysis between typical AIS and scoliosis with non-standard rotation.
Main Results:
- Identification of a new hypothesis for AIS, focusing on atypical presentations.
- Detailed examination of the preclinical phase of scoliosis development.
- Insights into the relationship between spinal deformation, etiology, and growth processes.
Conclusions:
- The proposed hypothesis offers a potential explanation for the transition to a scoliotic spine.
- Understanding atypical scoliosis is crucial for a comprehensive theory of AIS.
- Further research is warranted to validate the proposed hypothesis and its clinical implications.
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