Re: curve changes

[Guest guest]

Well, I don't have an answer to your questions, but Ian has a thoracolumbar curve and I was told he was phase II. Well, I've been told he has a thoracic curve, but his mri says thoracolumbar...so, I guess I am at a loss here.

So, does this make you think he was/is resolving on his own????

Noelle (12-2-01)Ian (8-15-04)

curve changes

I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this....

Always thinking,

mom to and Jake

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[Guest guest]

what the heck is a phase I and phase II curve? i have never even heard these from sanders or our ortho? can you explain please? lexi has a thorocolumbar curve but i have never heard of phases. thanks!

tracey

curve changes

I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this....

Always thinking,

mom to and Jake

Use Photomail to share photos without annoying attachments.

[Guest guest]

it sounds like i don't know any more than you do!! lol i hope he is resolving and getting better but i don't know the answer to that question.

tracey

curve changes

I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this....

Always thinking,

mom to and Jake

Use Photomail to share photos without annoying attachments.

[Guest guest]

Mehta published a paper "The Rib-Vertebra Angle in the Early Diagnosis Between Resolving and Progressive Infantile Scoliosis" that discusses phases. According to her research, if/when the rib head overlaps its corresponding vertebrae in an x-ray this is called Phase 2. If there is no overlapping, it is called Phase 1. Phase 2 is "the hallmark of definitive progressive scoliosis". This is why I'm pushing the docs so hard to find out if Jake has ever been in Phase 2. So far no one can tell me if he definitely has progressive scoliosis or resolving scoliosis. It's frustrating to keep coming up with no answer.... Hope this helps, mom to and JakeTracey <pthahn@...> wrote: what the heck is a phase I and phase II curve? i have never even heard these from sanders or our ortho? can you explain please? lexi has a thorocolumbar curve but i have never heard of phases. thanks! tracey curve changes I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any

of you had any thoughts on this.... Always thinking, mom to and Jake Use Photomail to share photos without annoying attachments.

Use Photomail to share photos without annoying attachments.

[Guest guest]

wow ....... did not know that. guess i should pay more attention!! hope you get the answer you are looking for and hope that it isn't phase II i was just always told that any reading over the 20o mark is the sign of progressive scoliosis. i would be curious to know if lexi has ever actually been in phase !! myself. of course i would have to get sander's to give me that info as our ortho here probably doesn't believe in anything mehta says.....jacka** that he is. i should just ask him though and see what he says :-)

there is nothing i love more than pushing that man's buttons :-P

tracey

let us know what you find out

curve changes

I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this....

Always thinking,

mom to and Jake

Use Photomail to share photos without annoying attachments.

Use Photomail to share photos without annoying attachments.

[Guest guest]

I can't be 100% certain about this...but here's what common sense is telling me...if the RVAD exceeds 20 then we know it is to be considered progressive....would this not mean that all cases where the RVAD exceeds 20, that they are all Phase II? Just kinds thinking out loud, wondering what everyone else thinks. Jen Viveiros <jviv314@...> wrote: Mehta published a paper "The Rib-Vertebra Angle in the Early Diagnosis Between Resolving and Progressive Infantile Scoliosis" that discusses phases. According to her research, if/when the rib head overlaps its corresponding vertebrae in an x-ray this is called Phase 2. If there is no overlapping, it is called Phase 1. Phase 2 is "the hallmark of definitive progressive scoliosis". This is why I'm pushing the docs so hard

to find out if Jake has ever been in Phase 2. So far no one can tell me if he definitely has progressive scoliosis or resolving scoliosis. It's frustrating to keep coming up with no answer.... Hope this helps, mom to and JakeTracey <pthahn@...> wrote: what the heck is a phase I and phase II curve? i have never even heard these from sanders or our ortho? can you explain please? lexi has a thorocolumbar curve but i have never heard of phases. thanks! tracey curve changes I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar

region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this.... Always thinking, mom to and Jake Use Photomail to share photos without annoying attachments. Use Photomail to share photos without annoying attachments.

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[Guest guest]

that makes sense to me. however for instance, lexi is right now at about 20o and holding and her ribcage is completely even. i am ASSUMING by what you showed from mehta about the rib head overlapping its vertebrae the ribcages would be even in phase 1. even a month ago when she was at 25o her ribcage showed to be even as well....if the phase 1 and 2 have to do with the ribs somehow when she was at 25o and her ribs were even, hypothetically she would have been phase1 ( ? ), but still progressive by measurement at 25o (?) who knows......this is why i guess we should leave it up to the pros!! lol i am going to ask our brace guy tomorrow what he knows about all of this just out of curiousity. thinking like this is going to make my head explode! lol although i completely understand and agree with what you are saying.

tracey

curve changes

I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this....

Always thinking,

mom to and Jake

Use Photomail to share photos without annoying attachments.

Use Photomail to share photos without annoying attachments.

TravelFind great deals to the top 10 hottest destinations!

[Guest guest]

In the same paper I mentioned earlier, there are some cases of resolving scoli (17% of cases studied) where the RVAD did exceed 20. I don't understand all of the variables and don't pretend to understand half of what I read. There are some things that jump right out at me, and for some reason I just wanted to know if Jake was ever in Phase 2 for that is usually a clear indicator of progressive scoli -- just my take on it after reading tons of files. Not sure if this paper is in the file section of this group or another one that I frequent. While I do put a lot of stock in what Mehta has written and what she herself told me, there are questions even she can't answer (big shock for me). I haven't met anyone who could answer all my questions, and that is very hard for me to swallow. My mind never stops, mom to and Jake

<jenstewart73@...> wrote: I can't be 100% certain about this...but here's what common sense is telling me...if the RVAD exceeds 20 then we know it is to be considered progressive....would this not mean that all cases where the RVAD exceeds 20, that they are all Phase II? Just kinds thinking out loud, wondering what everyone else thinks. Jen Viveiros <jviv314@...> wrote: Mehta published a paper "The Rib-Vertebra Angle in the Early Diagnosis Between Resolving and Progressive Infantile Scoliosis" that discusses phases. According to her research, if/when the rib head overlaps its corresponding vertebrae in an x-ray this is called Phase 2. If there is

no overlapping, it is called Phase 1. Phase 2 is "the hallmark of definitive progressive scoliosis". This is why I'm pushing the docs so hard to find out if Jake has ever been in Phase 2. So far no one can tell me if he definitely has progressive scoliosis or resolving scoliosis. It's frustrating to keep coming up with no answer.... Hope this helps, mom to and JakeTracey <pthahn@...> wrote: what the heck is a phase I and phase II curve? i have never even heard these from sanders or our ortho? can you explain please? lexi has a thorocolumbar curve but i have never heard of phases. thanks! tracey curve changes I just received an e-mail back from Dr. Khoury. One of my questions was whether or not Jake's first and/or second x-ray (from Nov 2004) showed his ribs to be in Phase I or Phase II. He checked it

out and let me know Jake then had a double major curve and both were Phase I. His x-ray from ETTP (Nov 2005) showed only one curve in the thoracolumbar region and does not appear to be Phase II -- although according to him docs do not consider "Phases" when looking at thoracolumbar curves. Has anyone ever heard this? And just what does it mean that he went from a double major curve to a single thoracolumbar curve? Khoury did mention that the apex of the curve moved "up". And this is an indication of what? I know these are good questions for Khoury, and believe me when I say he will hear them all next week. Just wondering if any of you had any thoughts on this.... Always thinking, mom to and Jake Use Photomail to share

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