Tuesday, 3 May 2016

Leg Length Difference in Scoliosis

Scoliosis is a complicated three-dimensional deviation of the spine which includes the lateral bending of the spine, increased lordosis or kyphosis and rotation and torsion of the vertebrae. Spinal buckling of scoliosis causes distortion of the spine in all direction. There are several types of scoliosis and each of them has a slightly different etiology. Scoliosis can be found as part of a recognisable disorder. It can be due to neurologic, muscular, congenital bone anomalies or developmental disorders. Spinal deformity is commonly seen in neurofibromatosis or poliomyelitis. Painful muscle spasm can result in scoliosis. Non-painful scoliosis can result from a muscle imbalance due to compensation for biomechanical asymmetry. However, the majority of the scoliosis are idiopathic. There is no single causative factor identified in idiopathic scoliosis.

Pelvic unleveling due to a difference in leg length contributes to scoliosis. Unequal leg length can be measured by physical examinations and postural radiography. The distance between the umbilicus and the medial malleolus can be measured and compared to look for leg length discrepancy. The distance between the anterior superior iliac spine and the medial malleolus can be measured. X-rays of the pelvic in a standing position can be taken to look for unleveling of the humeral heads or the iliac crests. These three measurements can be taken and compared to obtain an accurate leg length difference. Correction of the leg length discrepancy can be done by a heel lift on the side of the short leg.

For more information or enquiries, please contact us at 03-2093 1000 or visit our website at www.mychiro.com.my

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