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Figure 8 | Scoliosis

Figure 8

From: Pathogenesis of adolescent idiopathic scoliosis in girls - a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: possible dependency on sympathetic nervous system and hormones with implications for medical therapy

Figure 8

Diagram of relevant somatic (blue) and autonomic nervous systems (ANS, red) in girls. Note, leptin, hypothalamic-pituitary-ovarian axis and sympathetic axis in the ANS. The sensory input, motor output and PPC relate to the somatic nervous system and the rest illustrate leptin, hypothalamus and sympathetic nervous system of the LHS mechanism and concept. The neuroendocrine control of the female reproductive axis and the bilateral sympathetic nervous system control of skeletal and adipose tissues are shown. Ganglia = ganglionated sympathetic trunk. Sympathetic nerves are shown as thin continuous lines and hormones as interrupted lines. Pre- and post-ganglionic sympathetic nerves are shown bilaterally with arrows indicating enhancement of function, and blunted lines as inhibition. F = frontal lobe, P = parietal lobe, PPC = posterior parietal cortex (Area 7 with body schema), VC = visual cortex, GnRH = gonadotropin-releasing hormone, FSH = follicle stimulating hormone, LH = luteinizing hormone, ICA = intercostals artery, T/L = thoracolumbar.

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