BRIDGING THE GAP: ANATOMICAL CONSIDERATIONS IN THE TREATMENT OF SCOLIOSIS
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Abstract
Introduction: Scoliosis (abnormal curvature of the spine) represents a disturbance of an otherwise efficient 25-part intercalated series of spinal segments.
Objectives: The main objective of the study is to find the anatomical considerations in the treatment of scoliosis.
Methodology of the study: This retrospective study was conducted at Jinnah postgraduate medical Center Karachi from January 2023 to January 2024. Data were collected from 20 patients according to inclusion and exclusion criteria. Patients with confirmed diagnosis of scoliosis and with complete medical records, including relevant imaging studies such as X-rays and MRIs, were included in the study. Patients with spinal deformities other than scoliosis, such as kyphosis or lordosis were excluded from the study.
Results: Data were collected from 20 patients of confirmed scoliosis. Mean age of the patients was 15.68±2.34 years. There were 12 male and 08 female patients. The analysis revealed a strong positive correlation (Pearson's r = 0.78, p < 0.05) between preoperative Cobb angle and postoperative correction, indicating that patients with higher initial curvature experienced greater improvement following surgical intervention. Conversely, vertebral rotation showed a weak negative correlation (Pearson's r = -0.12, p = 0.45) with treatment outcomes.
Conclusion: It is concluded that treatment strategies according to anatomical considerations play an important role in optimizing outcomes for patients with scoliosis. Both conservative measures and surgical interventions demonstrate efficacy in addressing varying degrees of spinal curvature and deformity.
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Dr Qurat ul ain Khan
Assistant Professor, Department of Anatomy, Liaquat College of Medicine and Dentistry
Dr Abdul Rehman
Assistant professor Department of Anatomy Liaquat college of medicine and dentistry (LCMD)
Dr Nasrul Huda
Associate Professor, Department of Anatomy, Shahed Mohtarma Benazir Bhutto medical college (SMBBMC) Karachi
Dr Muhammad Hussain
Siddiqui Senior lecturer department of anatomy Dow Medical College
Dr Afsheen Mansoor
Associate Professor, School of Dentistry, Shaheed Zulfiqar Ali Bhutto medical University, Islamabad.
Emaan Mansoor
Islamic International Dental College, Riphah International University, Islamabad.