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Figure 1 | Scoliosis

Figure 1

From: Relative shortening and functional tethering of spinal cord in adolescent scoliosis – Result of asynchronous neuro-osseous growth, summary of an electronic focus group debate of the IBSE

Figure 1

Uncoupled, or asynchronous, neuro-osseous growth concept for AIS pathogenesis involving asynchronous growth of spine and spinal cord. Diagrammatic representation from the findings of Chu et al [14] showing how anterior spinal overgrowth (T1-T12) stretches the normal length spinal cord cranially and at the cauda equina leading to hypokyphosis from an anterior component of force (horizontal arrow [16]) with maladaptation of the growing thoracic spine to the tethered spinal cord which, with subtle neurologic dysfunction, forms a scoliosis. Diagram modified from Breig [17].

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