Last update: 24/01/2019, Dr. Miguel B. Royo Salvador, Medical Board number 10389. Neurosurgeon and Neurologist.
Idiopathic scoliosis (I.SCO) consists of a lateral deviation of the spine due to an unknown cause. It is more frequent in females and is mostly observed in the age of growth.
Fig. 5.- Magnetic Nuclear Resonance (MRI) with the coronal section of the spine in case of idiopathic scoliosis. Here, the spinal canal can be seen with the spinal cord going from convexity to convexity inside the vertebral canal, indicating the existence of an important caudal force caused by the cord traction.
Scoliosis’ pathology can be expressed in various clinical symptoms combinations; most frequent in our caseload are: lumbago, thoracic back pain, headaches, gait alterations, back blocks and paraesthesia.
– According to conventional theories:
Scoliosis is brought about by an imbalance of the paravertebral muscular mass, ligamentous anomaly, proprioceptive postural disorders, the spine’s reaction to forces such as gravity or ligamentous muscle action, inborn error of metabolism, neurological alterations and others.
– According to Filum System® health method:
Idiopathic scoliosis is the result of an avoidance or compensation mechanism of the spine’s reaction to the caudal cord traction, produced by a tense Filum Terminale. This traction force is not evident in the complementary tests such as MRIs.
Other idiopathic spine deviations share the same above-mentioned cause. These idiopathic spine deviations include hyperkyphosis, hyperlordosis, rectification of the spinal curvature, vertebral rotation (Rotoscoliosis) and reversal of the spinal curvatures; sharing the same biomechanical meaning.
For the diagnosis and follow-up of idiopathic scoliosis, it is essential to view an x-ray of the entire spine, in front and profile views, called Scoliogram.
Scoliosis can be defined as secondary when the spine has deviated in the frontal or anteroposterior view and this deviation can be attributed to a known cause, such as a tumour, trauma, infection or other.
The risk factors influencing the development of idiopathic scoliosis are the following:
Depending on the degrees of curvature of the spine deviation, Scoliosis can eventually cause not only collateral damage in the rest of the body but also difficulties and dysfunctions that can increasingly affect the life of the sufferer. Some of the major complications are:
Since Hippocrates first described Scoliosis as a disease, many attempts have been made to straighten the spine by all possible means; with manipulation, physiotherapy, tractions, braces etc. All these methods were not enough and now surgical straightening of the curved spine is performed by applying metal prostheses.
All treatments are symptomatic and are aimed at correcting the consequence of the disease -the curved spine- since the underlying cause is unknown.
Since 1993, with the publication of Dr Royo-Salvador’s doctoral thesis, a new etiological treatment has been designed which acts on the cause of the disease. This publication relates the caudal traction of the entire nervous system by the Filum Terminale as a cause of idiopathic scoliosis among other diseases. When the Filum Terminale is sectioned surgically according to Filum System® (FS®), the responsible caudal cord traction force is eliminated.
At the Institut Chiari & Siringomielia & Escoliosis de Barcelona, a special health method, the Filum System®, has been designed, which includes the minimally invasive surgical technique to take away the traction force applied by a tense Filum Terminale. This technique has been applied to over 1400 patients and no serious complications have been observed. A subjective change in perception of a spinal release has been observed in all the cases: the bending attitude of Scoliosis disappears in most cases and the spine curvature improves if it is less than 40º. In cases with spine curvatures greater than 40º, we recommend the application of the conventional therapies to mitigate the action of gravity on the spine.
1. Eliminates the cause of Idiopathic Scoliosis.
2. With the minimally invasive surgical technique of the Institut Chiari & Siringomielia & Escoliosis de Barcelona, the surgical time is only 45 minutes. The technique requires few hours of hospitalization, the postoperative period is brief and involves no limitations, and admission to ICU and blood transfusions are not required.
3. Its application means 0% mortality rate, with no sequelae in more than 1400 cases.
4. It improves the symptoms and halts the progression of the Scoliosis of less than 40 degrees, and slows down the evolution of idiopathic scoliosis of more than 40º.
5. Spontaneously, after the SFT, in many cases, the elimination of the bending attitude of Scoliosis and the correction of some degrees in the curvatures are observed.
6. The application of the Filum System® significantly increases the effectiveness of conventional therapies.
7. In cases with curvatures greater than 40º, and if spinal fusion is required, paraplegia due to the operative traction force is avoided when the forceful straightening of the spine takes place during the surgical procedure.
At Institut Chiari & Siringomielia & Escoliosis de Barcelona, our medical team treats Idiopathic Scoliosis from a neurological and neurosurgical perspective. In this disease, the spinal cord suffers a traction force and hence it is tensed and tight inside the spinal canal. With the application of the Filum System®, the spinal cord traction originating from the tight Filum Terminale is eliminated and the spine curving force of Scoliosis disappears. The simple sectioning of the ligament takes away the traction force on the spinal cord and it stops sending the bending stimulus to the spine, stopping the progression of Scoliosis.
After the Sectioning of the Filum Terminale according to Filum System®, the evolution depends on the degrees of curvature of the spine misalignment. The progression of the Scoliosis curves comes to an halt (for angles 10º- 40º) or can continue progressing (for angles 40º and more) but with slower pace than it would do without the diagnostic criterion and treatments of Filum System®. A decrease in the symptoms and signs is observed in most cases.
In all cases, our medical team will assess the most appropriate post-operative indication for each patient: rehabilitation, corrective muscle stimulation, physiotherapy, braces or spinal fusion.
At our centre, patients suffering not only from Idiopathic scoliosis as a single disease but also associated with the Arnold-Chiari Syndrome Type I and / or Syringomyelia have been operated. The progression of the disease has stopped and improvements have been obtained. In some case, the results have been spectacular, especially in the cases with curves of than 40 degrees.
– Case no. 17584. Clear decrease in the Scoliosis curve in case of an operated patient – Pre-operative image from 2014 and Post-operative image from 2015.
To learn more, we recommend a visit to the section “Testimonials: Idiopathic scoliosis”. Please note that all published testimonials are for informative purposes only and express the opinions of their authors.
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