Non-Structural Scoliosis

Question 1

Known consequences of >1/2 inch inequality on the short leg side

Answer 1

Ovarian cyst

Question 2

Known consequences of >1/2 inch inequality on the long leg side

Answer 2

Arch collapse
Osetoarthritis
Trochanteric bursitis
Piriformis syndrome

Question 3

What is the goal of treatment and how is this usually accomplished?

Answer 3

Straightening the spine by leveling the sacral base

Question 4

When can heel lift treatment be utilized?

Answer 4

After bone growth is completed

Question 5

What is the Heilig formula?

Answer 5

Initial heel lift = SBD / D+C

D=duration
0-10 years: 1
10-30 years: 2
>30 years: 3

C=compensation
Little or no rotation: 0
Rotation: 1
Early spondylosis: 2
Late spondylosis: 3
Vertebral wedging: 4

Question 6

How do you measure sacral base declination?

Answer 6

By extending a line horizontally across the sacral base to lines projected vertically through the apex of each hip joint. The vertical height difference between the sides if the sacral base declination.

Question 7

What does a Plumb line analysis show?

Answer 7

If the spinal scoliosis has collapsed/decompensated.
If the line hanging down shows the inion and S1 to be in line, the curve is compensated. If the curve has collapsed, the inion will no longer be on the midline.

Question 8

Where does the Plumb line fall on a completely compensated curve?

Answer 8

At mid-sacrum and mid-heel point

Question 9

Where does the Plumb line fall on a decompensated or collapsed curve?

Answer 9

Plumb line off the mid-sacrum AND the mid-heel point