Хирургия позвоночника (Dec 2016)
What is idiopathic scoliosis?
Abstract
The lecture, based on long experience of research, addresses controversial issues in spinal deformity together with some generalizations. The term of scoliosis is defined as a violation of the spine morphogenesis during the early embryonic de- velopment, which, in the process of growth, develops into spinal deformity with clinical variants depending on the degree of morphogenesis violation. The etiological factor of scoliosis is ectopic localization of neural crest-derived cells, which are not genetically deterministic to chondrogenesis and the growth process, in the vertebral body growth plates. The lo- cal violation of chondrogenesis in the vertebral body growth plates is a cause of the growth asymmetry and spinal defor- mity development. The variability of structural changes and the progression prediction depend on the degree of violation of morphogenetic processes laid down during embryogenesis. A phenotype of scoliosis is the primary scoliotic or kyphotic deformity of the spine with variants of the disease course depending on its stage. Research Perspective: the creation of an experimental model of scoliosis with clinical variants and the development of pre- ventive correction of the studied pathology.
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