{"id":15060,"date":"2026-03-06T00:00:53","date_gmt":"2026-03-05T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/lescoliosi\/"},"modified":"2026-03-27T09:54:48","modified_gmt":"2026-03-27T08:54:48","slug":"escoliosi","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/escoliosi\/","title":{"rendered":"Escoliosi"},"content":{"rendered":"<p><strong>\u00daltima actualitzaci\u00f3: 06\/03\/2026, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/ca\/personal-clinic\/\"><strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, <strong>N\u00famero de col\u00b7legiat 10389.<\/strong> <strong>Neurocirurgi\u00e0 i Neur\u00f2leg.<\/strong><\/p>\n<h2><strong>Definici\u00f3<\/strong><\/h2>\n<p><strong>L\u2019Escoliosi idiop\u00e0tica (ESCI)<\/strong> consisteix en una desviaci\u00f3 lateral de la columna vertebral de causa desconeguda, que \u00e9s m\u00e9s freq\u00fcent en el sexe femen\u00ed i s\u2019observa m\u00e9s a l\u2019edat de creixement.<\/p>\n<p>&nbsp;<\/p>\n<div align=\"center\"><img fetchpriority=\"high\" decoding=\"async\" class=\"img-thumbnail alignnone wp-image-1660 size-medium\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/la_escoliosis-e1431690426212.jpg\" alt=\"Scoliosis\" width=\"300\" height=\"294\" \/><\/div>\n<p><em>Figura 1.- Resson\u00e0ncia Nuclear Magn\u00e8tica (RM) amb secci\u00f3 coronal de la columna vertebral en una Escoliosi idiop\u00e0tica, en la que es visualitza el canal vertebral amb la medul\u00b7la espinal, la qual va de convexitat a convexitat dins del canal vertebral, indicant l\u2019exist\u00e8ncia d\u2019una for\u00e7a de tracci\u00f3 medul\u00b7lar caudal important<\/em><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>S\u00edmptomes<\/strong><\/h2>\n<p style=\"text-align: justify;\">La cl\u00ednica de l&#8217;Escoliosi pot expressar-se en diversos quadres de combinacions de s\u00edmptomes, dels quals els m\u00e9s freq\u00fcents en la nostra casu\u00edstica s\u00f3n: <strong>lumb\u00e0lgies, dors\u00e0lgies, cefalees, alteracions de la marxa, bloquejos de l&#8217;esquena i parest\u00e8sies.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Causes<\/strong><\/h2>\n<p style=\"text-align: justify;\"><strong>&#8211; Segons les teories convencionals:<\/strong><\/p>\n<p style=\"text-align: justify;\">L&#8217;Escoliosi \u00e9s provocada pel desequilibri de la massa muscular paravertebral, anomalia lligamentosa, trastorns posturals propioceptius, reacci\u00f3 espinal a forces com la gravetat o l&#8217;acci\u00f3 muscular lligamentosa, error innat del metabolisme, alteracions neurol\u00f2giques i altres.<\/p>\n<p style=\"text-align: justify;\"><strong>&#8211; Segons el m\u00e8tode sanitari Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p style=\"text-align: justify;\">L&#8217;Escoliosi idiop\u00e0tica \u00e9s el resultat d&#8217;un mecanisme d&#8217;evitaci\u00f3 o compensaci\u00f3 de la columna vertebral a l&#8217;acci\u00f3 d&#8217;una tracci\u00f3 medul\u00b7lar caudal, produ\u00efda per un filum terminale tens, no evidenciable en les exploracions complement\u00e0ries.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Escoliograma o radiografia de tota la columna vertebral<\/strong><\/h2>\n<p>Pel diagn\u00f2stic i control de l\u2019Escoliosi idiop\u00e0tica \u00e9s imprescindible la visualitzaci\u00f3 de tota la columna vertebral amb una radiografia completa en projecci\u00f3 frontal i de perfil, anomenada Escoliograma.<\/p>\n<div class=\"row\">\n<div class=\"col-md-4\" style=\"padding: 15px;\">\n<div align=\"center\">\n<div id=\"attachment_1680\" class=\"wp-caption alignnone\" style=\"width: 250px;\">\n<p><img decoding=\"async\" class=\"img-rounded wp-image-1680 size-full\" title=\"escoliosis de frente\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_frente.jpg\" sizes=\"(max-width: 240px) 100vw, 240px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_frente.jpg 240w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_frente-225x300.jpg 225w\" alt=\"scoliosis - Front view Scoliogram\" width=\"240\" height=\"320\" \/><\/p>\n<p class=\"wp-caption-text\">Escoliograma frontal<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-md-4\" style=\"padding: 15px;\">\n<div align=\"center\">\n<div id=\"attachment_1679\" class=\"wp-caption alignnone\" style=\"width: 250px;\">\n<p><img decoding=\"async\" class=\"img-rounded wp-image-1679 size-full\" title=\"escoliosis de perfil\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_perfil.jpg\" sizes=\"(max-width: 240px) 100vw, 240px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_perfil.jpg 240w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliograma_de_perfil-225x300.jpg 225w\" alt=\"scoliosis - Profile view Scoliogram\" width=\"240\" height=\"320\" \/><\/p>\n<p class=\"wp-caption-text\">Escoliograma de perfil<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr \/>\n<h2><strong>Un altre tipus d&#8217;Escoliosi: la Secund\u00e0ria <\/strong><\/h2>\n<p style=\"text-align: justify;\">L&#8217;Escoliosi es pot definir com a secund\u00e0ria quan la columna vertebral desviada en visi\u00f3 frontal o *anteroposterior es relaciona amb una causa coneguda: tumoral, traum\u00e0tica, infecciosa o unes altres.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Factors de risc en l&#8217;Escoliosi idiop\u00e0tica<\/strong><\/h2>\n<p style=\"text-align: justify;\">Els factors de risc amb m\u00e9s influ\u00e8ncia en el desenvolupament de l&#8217;escoliosi idiop\u00e0tica s\u00f3n els seg\u00fcents:<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Antecedents familiars<\/strong>: La tracci\u00f3 caudal produ\u00efda per un Filum terminale excessivament tibant, que definim Malaltia del Filum i que pot causar el mecanisme de desviaci\u00f3 de la columna vertebral anomenada Escoliosi idiop\u00e0tica, consisteix en una patologia de tipus cong\u00e8nit, que es pot transmetre entre familiars.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Edat:<\/strong> L&#8217;Escoliosi idiop\u00e0tica comen\u00e7a a observar-se sovint durant el per\u00edode de creixement normalment m\u00e9s intens del cos hum\u00e0, la fase de la pubertat. Es pot observar tamb\u00e9 en l&#8217;edat infantil m\u00e9s primerenca o en l&#8217;adolesc\u00e8ncia avan\u00e7ada. En aquesta primera part de la vida, la tracci\u00f3 de la medul\u00b7la espinal pot augmentar sobtadament, provocant la desviaci\u00f3 vertebral.<\/li>\n<li><strong>Sexe:<\/strong> La majoria dels estudis actuals concorden que, malgrat que tants nens com a nenes poden patir escoliosi, les nenes tenen m\u00e9s risc d&#8217;un empitjorament durant el desenvolupament som\u00e0tic.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Graus de curvatura:<\/strong> M\u00e9s enll\u00e0 dels 40 graus d&#8217;Escoliosis idiop\u00e0tica, independentment de l&#8217;edat del pacient, a la curvatura de la columna vertebral exercida per un Filum terminale tens, s&#8217;afegeix la for\u00e7a de la gravetat durant la bipedestaci\u00f3. Per aix\u00f2 quan la curvatura de la columna vertebral supera els 40-50 graus de desviaci\u00f3 lateral, poden haver-hi empitjoraments, fins a arribar a escoliosis greus o severes, fins i tot de m\u00e9s de 70-90 graus.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Augment sobtat de la tracci\u00f3 medul\u00b7lar:<\/strong> Hem observat que despr\u00e9s d&#8217;un accident, caiguda o trauma de la columna vertebral amb una medul\u00b7la espinal que ja pateix cong\u00e8nitament la Malaltia del Filum, la tracci\u00f3 medul\u00b7lar pot augmentar. En aquestes circumst\u00e0ncies de major tracci\u00f3 medul\u00b7lar caudal, poden observar-se empitjoraments de la desviaci\u00f3 de la columna vertebral. L&#8217;accident en aquests casos no \u00e9s la causa de l&#8217;escoliosi, com en el cas de la de tipus traum\u00e0tic, sin\u00f3 que desencadena un empitjorament de la desviaci\u00f3 preexistent.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Complicacions de l&#8217;Escoliosi idiop\u00e0tica<\/strong><\/h2>\n<p>Depenent dels graus de curvatura de la desviaci\u00f3 vertebral, l&#8217;Escoliosi pot determinar amb el temps tant danys col\u00b7laterals en la resta de l&#8217;organisme, com dificultats i disfuncions que cada vegada m\u00e9s poden anar afectant la vida de l&#8217;individu que la pateix. Principalment les complicacions s\u00f3n:<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Dolor cr\u00f2nic:<\/strong> en l&#8217;Escoliosi els dolors en la columna, les cefalees, les dificultats de la marxa i els bloquejos de l&#8217;esquena o de les extremitats, poden arribar a ser cr\u00f2nics, augmentant en intensitat.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Est\u00e8tica:<\/strong> amb el desenvolupament de l&#8217;Escoliosi de m\u00e9s de 20-30 graus, es poden comen\u00e7ar a observar canvis posturals i f\u00edsics d&#8217;adaptaci\u00f3 de tot l&#8217;organisme a la desviaci\u00f3 de la columna, que van alterant l&#8217;aspecte i la posici\u00f3 del malalt, sobretot en l\u2019asimetria que va augmentant entre els dos hemicossos. Especialment durant la fase de l&#8217;adolesc\u00e8ncia, tals canvis, si s\u00f3n notoris, poden afectar el jove\u00a0 a nivell psico-social, a m\u00e9s de funcional.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Dany tor\u00e0cic:<\/strong> en una Escoliosi severa, la caixa tor\u00e0cica pot arribar a pressionar els pulmons i el cor, dificultant la funci\u00f3 respirat\u00f2ria i card\u00edaca.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Tractament de l&#8217;Escoliosi idiop\u00e0tica<\/strong><\/h2>\n<p>Des que es va descriure per Hip\u00f2crates l&#8217;Escoliosi com a malaltia, s&#8217;ha intentat redre\u00e7ar la columna vertebral per tots els mitjans possibles; amb la manipulaci\u00f3, fisioter\u00e0pia, traccions, cotilles i quan aquesta no ha estat suficient, es recorre actualment a la correcci\u00f3 quir\u00fargica mitjan\u00e7ant l&#8217;aplicaci\u00f3 de pr\u00f2tesis met\u00e0l\u00b7liques correctores de les curvatures.<\/p>\n<p>Tots els tractaments s\u00f3n simptom\u00e0tics i van dirigits a la correcci\u00f3 de la conseq\u00fc\u00e8ncia de la malaltia-les curvatures- , ja que es desconeix la causa.<\/p>\n<p>Des del 1993 amb la publicaci\u00f3 de la tesi doctoral del Dr. Royo Salvador, que relaciona la tracci\u00f3 caudal de tot el sistema nervi\u00f3s pel <em>filum terminale<\/em>, com a causa de l&#8217;Escoliosi idiop\u00e0tica entre altres malalties, s&#8217;ha dissenyat un nou tractament que en aquest cas \u00e9s etiol\u00f2gic o referit a la causa, ja que en seccionar quir\u00fargicament el <em>filum terminale<\/em> s&#8217;elimina la for\u00e7a de tracci\u00f3 medul\u00b7lar caudal responsable.<\/p>\n<p><strong>\u00a0<\/strong>A l&#8217;Institut Chiari &amp; Siringomielia &amp; Escoliosi de Barcelona s&#8217;ha intervingut quir\u00fargicament amb la secci\u00f3 del filum terminale <strong>(SFT)<\/strong> -mitjan\u00e7ant una t\u00e8cnica pr\u00f2pia m\u00ednimament invasiva-\u00a0 a m\u00e9s de 1400 pacients amb Escoliosi idiop\u00e0tica, no hem tingut cap complicaci\u00f3 greu i en tots els casos s&#8217;ha observat un canvi en la percepci\u00f3 subjectiva de la columna vertebral d&#8217;alliberament: l&#8217;actitud escoli\u00f2tica desapareix en la majoria dels casos i les curvatures milloren si s\u00f3n menors de 40\u00ba. En el cas de ser curvatures majors de 40\u00ba, recomanem l&#8217;aportaci\u00f3 de ter\u00e0pies convencionals per mitigar l&#8217;acci\u00f3 de la gravetat sobre la columna vertebral.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>La Secci\u00f3 del Filum Terminal<\/strong><\/h2>\n<div class=\"row\">\n<div class=\"col-md-12\">\n<div class=\"boxAdvantages barAdvantages\">\n<h3><strong>Avantatges<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">1. Elimina la causa de l\u2019Escoliosi idiop\u00e0tica.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">2. Amb la t\u00e8cnica quir\u00fargica m\u00ednimament invasiva pr\u00f2pia de l\u2019Institut Chiari de Barcelona, el temps quir\u00fargic \u00e9s de 45 minuts. Poques hores d\u2019ingr\u00e9s. Postoperatori curt i sense limitacions. Sense ingr\u00e9s en la Unitat de Cures Intensives. Sense transfusions de sang.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">3. La seva aplicaci\u00f3 suposa 0% de mortalitat, sense seq\u00fceles en m\u00e9s de 1400 casos.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">4. Millora els s\u00edmptomes i atura l\u2019evoluci\u00f3 en les Escoliosis de menys de 40 graus, i millora l\u2019evoluci\u00f3 en les Escoliosis idiop\u00e0tiques de m\u00e9s de 40\u00ba.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">5. Espont\u00e0niament, despr\u00e9s de la SFT s\u2019observa en molts casos l\u2019eliminaci\u00f3 de l\u2019actitud escoli\u00f2tica i la correcci\u00f3 d\u2019alguns graus en les curvatures.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">6. L\u2019aplicaci\u00f3 de ter\u00e0pies convencionals posteriorment a l\u2019aplicaci\u00f3 del Filum System\u00ae augmenta significativament la seva efic\u00e0cia.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">7. En els casos amb curvatures superiors a 40\u00ba i que requereixen una artr\u00f2desi vertebral, s\u2019evita la paraplegia per tracci\u00f3 operat\u00f2ria en redre\u00e7ar la columna vertebral de forma for\u00e7ada durant la intervenci\u00f3 quir\u00fargica.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>El nostre equip de l&#8217;Institut Chiari &amp; Siringomielia &amp; Escoliosis de Barcelona treballa amb l&#8217;Escoliosi idiop\u00e0tica des de la perspectiva neurol\u00f2gica i neuroquir\u00fargica. En aquesta malaltia es produeix un sofriment de la medul\u00b7la espinal, en estar tens i tirant dins del canal vertebral. Amb la secci\u00f3 del Filum Terminale s&#8217;elimina la tensi\u00f3 de la medul\u00b7la espinal i desapareix la for\u00e7a que generen les curvatures, procedent del Filum Terminale. Per descomptat, la simple secci\u00f3 d&#8217;aquest lligament fa que cessi la for\u00e7a a la qual est\u00e0 sotmesa la medul\u00b7la espinal i aquesta deixi d&#8217;enviar est\u00edmuls de flexi\u00f3 a la columna vertebral, aturant la progressi\u00f3 de l&#8217;escoliosi.<\/p>\n<p>Depenent dels graus de curvatura de la desviaci\u00f3 de la columna, amb la secci\u00f3 del filum terminale l&#8217;evoluci\u00f3 es det\u00e9 (10\u00ba-40\u00ba), o pot seguir progressant (40\u00ba i m\u00e9s), per\u00f2 m\u00e9s lentament del que faria sense el criteri diagn\u00f2stic i de tractaments del Filum System\u00ae. En la majoria dels casos s&#8217;observa la disminuci\u00f3 de s\u00edmptomes i signes.<\/p>\n<p>En tots els casos el nostre equip m\u00e8dic valorar\u00e0 la indicaci\u00f3 postoperat\u00f2ria m\u00e9s adequada per a cada pacient: <strong>rehabilitaci\u00f3, estimulaci\u00f3 muscular correctora, fisioter\u00e0pia, cotilla o fixaci\u00f3 vertebral.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Resultats de la Secci\u00f3 del Filum Terminale<\/strong><\/h2>\n<p style=\"text-align: justify;\">S&#8217;han operat pacients amb Escoliosis idiop\u00e0tica com a malaltia \u00fanica i, tamb\u00e9 associada a la S\u00edndrome d&#8217;Arnold Chiari I i\/o Siringomi\u00e8lia. S&#8217;ha aturat la malaltia en la seva evoluci\u00f3 i s&#8217;han obtingut millores, en alguns casos espectaculars, especialment els casos de menys de 40 graus de curvatura.<\/p>\n<p style=\"text-align: justify;\">&#8211; Cas 17584. Evident disminuci\u00f3 de la curvatura escoli\u00f2tica en un cas operat mitjan\u00e7ant el FS\u00ae- Imatge preoperat\u00f2ria del 2014 i postoperat\u00f2ria del 2015.<\/p>\n<p>&nbsp;<\/p>\n<div class=\"row\">\n<div class=\"col-md-4\" style=\"padding: 15px;\">\n<div align=\"center\">\n<p><img decoding=\"async\" class=\"img-rounded saligncenter size-full wp-image-3913\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliosis_antes_2014.jpg\" alt=\"Scoliosis case 2014\" width=\"auto\" height=\"320\" \/><br \/>\n2014<\/p>\n<\/div>\n<\/div>\n<div class=\"col-md-1\" style=\"padding: 15px;\"><\/div>\n<div class=\"col-md-4\" style=\"padding: 15px;\">\n<div align=\"center\">\n<p><img decoding=\"async\" class=\"img-rounded aligncenter size-full wp-image-3912\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliosis_antes_2015.jpg\" alt=\"Scoliosis case 2015\" width=\"auto\" height=\"320\" \/><br \/>\n2015<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<div class=\"row\">\n<div class=\"col-md-9\">Cas N\u00ba 17253<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"row\">\n<div class=\"col-md-3\">\n<div align=\"center\">\n<p><img decoding=\"async\" class=\"img-rounded wp-image-1610 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_escoliosis_idiopatica-2009.jpg\" alt=\"Escoliosis-2009_17253\" width=\"auto\" height=\"auto\" \/><\/p>\n<p class=\"wp-caption-text\">2009<\/p>\n<\/div>\n<\/div>\n<div class=\"col-md-1\"><\/div>\n<div class=\"col-md-3\">\n<div align=\"center\">\n<p><img decoding=\"async\" class=\"img-rounded wp-image-1609 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_escoliosis_idiopatica-2011-evolucion_02-e1433242450590.png\" alt=\"Escoliosis-2011_17253\" width=\"auto\" height=\"auto\" \/><\/p>\n<p class=\"wp-caption-text\">2011<\/p>\n<\/div>\n<\/div>\n<div class=\"col-md-1\"><\/div>\n<div class=\"col-md-3\">\n<div align=\"center\">\n<p><img decoding=\"async\" class=\"img-rounded wp-image-1609 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_escoliosis_idiopatica-2012-evolucion_03-e1433242463447.jpg\" alt=\"Escoliosis-2012_17253\" width=\"auto\" height=\"auto\" \/><\/p>\n<p class=\"wp-caption-text\">2012<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Per a m\u00e9s informaci\u00f3, aconsellem consultar l\u2019apartat\u00a0<a href=\"https:\/\/institutchiaribcn.com\/ca\/testimonis-escoliosi-idiopatica\/\"><strong>\u201cTestimonis: Escolio si idiop\u00e0tica\u201d.<\/strong><\/a>\u00a0Els recordem que tots els testimonis que apareixen, hi s\u00f3n a efectes divulgatius i tan sols recullen l\u2019opini\u00f3 de qui els d\u00f3na.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Bibliografia<\/strong><\/h2>\n<ol>\n<li>Royo-Salvador, M.B.; Fiallos-Rivera, M.V.; Salca, H.C.; Oll\u00e9-Fortuny, G. (2020),\u00a0<a class=\"external text\" href=\"https:\/\/link.springer.com\/epdf\/10.1186\/s12883-020-01743-y\" target=\"_blank\" rel=\"noopener noreferrer\">The Filum disease and the Neuro-Craniovertebral syndrome: definition, clinical picture and imaging features<\/a>, 20:175, BMC Neurology<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Siringomielia-escoliosis-malformacion-Arnold_Chiari-idiopatica.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Siringomielia<\/strong>, <strong>escoliosis<\/strong> y malformaci\u00f3n de <strong>Arnold-Chiari<\/strong> idiop\u00e1ticas, etiolog\u00eda com\u00fan (PDF).<\/a> REV NEUROL (Barc); 24 (132): 937-959.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/platibasia-impresion-basilar-retroceso-odontoideo.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Platibasia<\/strong>, impresi\u00f3n basilar, retroceso odontoideo y kinking del tronco cerebral, etiolog\u00eda com\u00fan con la <strong>siringomielia<\/strong>, <strong>escoliosis<\/strong> y <strong>malformaci\u00f3n de Arnold-Chiari<\/strong> idiop\u00e1ticas (PDF).<\/a> REV NEUROL (Barc); 24 (134): 1241-1250<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1997), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Nuevo-tratamiento-sirignomielia-escoliosis-malformacion-Arnold_Chiari.pdf\" target=\"_blank\" rel=\"noopener\">Nuevo tratamiento quir\u00fargico para la <strong>siringomielia<\/strong>, la <strong>escoliosis<\/strong>, la <strong>malformaci\u00f3n de Arnold-Chiari<\/strong>, el kinking del tronco cerebral, el retroceso odontoideo, la impresi\u00f3n basilar y la platibasia idiop\u00e1ticas (PDF).<\/a> REV NEUROL; 25 (140): 523-530<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador, J. Sol\u00e9-Llenas, J. M. Dom\u00e9nech, and R. Gonz\u00e1lez-Adrio, (2005) <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/results-filum-in-20-patients.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Results of the section of the <strong>filum terminale<\/strong> in 20 patients with <strong>syringomyelia<\/strong>, scoliosis and <strong>Chiari malformation<\/strong>&#8220;.(PDF).<\/a> Acta Neurochir (Wien) 147: 515\u2013523.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (1992), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/tesis_doctoral-Aportacion-etiologia-Siringomielia.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Aportaci\u00f3n a la etiolog\u00eda de la <strong>siringomielia<\/strong>&#8220;, Tesis doctoral (PDF).<\/a> Universidad Aut\u00f3noma de Barcelona.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/dr-royo\/filum-system-bibliography.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup>\u00ae<\/sup> Bibliography&#8221; (PDF).<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/ca\/filum-system-a-short-guide\/\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup>\u00ae<\/sup> A brief guide&#8221;.<\/a><\/li>\n<li>Royo-Salvador M.B., Fiallos-Rivera M. and Salca H. (November 20th 2019). Caudal Traction as a Pathogenetic Mechanism of Chiari Malformation Type I [Online First], IntechOpen, DOI: 10.5772\/intechopen.90044. Available from:\u00a0<a href=\"https:\/\/www.intechopen.com\/online-first\/caudal-traction-as-a-pathogenetic-mechanism-of-chiari-malformation-type-i\" rel=\"noopener noreferrer\">https:\/\/www.intechopen.com\/online-first\/caudal-traction-as-a-pathogenetic-mechanism-of-chiari-malformation-type-i<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":1645,"template":"","class_list":["post-15060","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Escoliosi idiop\u00e0tica: desviaci\u00f3 columna | Institut Chiari<\/title>\n<meta name=\"description\" content=\"Informaci\u00f3 sobre les causes de l\u2019escoliosi, s\u00edmptomes i enfocament terap\u00e8utic, incloent la teoria del Filum System.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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