European Spine Journal

, Volume 9, Issue 3, pp 178–184

The aetiology of idiopathic scoliosis: biomechanical and neuromuscular factors

  • A. G. Veldhuizen
  • D. J. Wever
  • P. J. Webb
Review

DOI: 10.1007/s005860000142

Cite this article as:
Veldhuizen, A., Wever, D. & Webb, P. E Spine J (2000) 9: 178. doi:10.1007/s005860000142

Abstract

The aetiology of adolescent idiopathic scoliosis (AIS) remains an enigma. In the literature there are two opinions: one believes a deviating growth pattern is responsible for the condition – patients with AIS tend to be growing faster/be taller – while the other opinion assumes that the growth pattern is normal, but its presence is necessary to allow the development of the scoliosis. We discuss the two stage hypothesis: the natural history of AIS involves an initial stage in which a small curve develops due to a small defect in the neuromuscular control system and a second stage during adolescent growth in which the scoliotic curve is exacerbated by biomechanical factors.

Key words Scoliosis aetiology Scoliosis pathogenesis Scoliosis neuromuscular Scoliosis growth 

Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • A. G. Veldhuizen
    • 1
  • D. J. Wever
    • 1
  • P. J. Webb
    • 1
  1. 1.Department of Orthopaedics, University Hospital of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands Tel.: +31-50-3612802, Fax: +31-50-3611737NL
  2. 2.Backpain Service, Taunton and Somerset NHS Trust, Taunton, Somerset, UKGB

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