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Ian had a compensatory curve and he responded well. His was not a "true" curve though.

Noelle (12-2-01)

Ian (8-15-04)

To: infantile_scoliosis Sent: Thursday, October 1, 2009 6:16:50 PMSubject: double curves

Thank you for replies about bracing beyond the age of 3. I've just done what I should have done weeks ago and read the paper on derotational casting by et al. The prognosis really doesn't sound good for double curves does anyone know more about this please?It really worries me that when they come to fuse at the age of 10 that Abi won't have enough room for her organs if they have to fuse both the lumber and thoracic spine. Will aim to talk to the doctors about keeping Abi in cast as suggested.Thanks Sue

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Abi's is a compensatory curve and it has been pretty big but now fairly small as

she has good correction in cast but it just doesn't hold when out of cast. It

is good to know Ian responded well. Do you know how a compensatory curve

differs from a true curve?

thanks

Sue

>

> Ian had a compensatory curve and he responded well.  His was not a " true "

curve though. 

>  

>

> Noelle (12-2-01)

> Ian (8-15-04)

>  

>  

>

>

>

>

> ________________________________

>

> To: infantile_scoliosis

> Sent: Thursday, October 1, 2009 6:16:50 PM

> Subject: double curves

>

>  

> Thank you for replies about bracing beyond the age of 3. I've just done what I

should have done weeks ago and read the paper on derotational casting by

et al. The prognosis really doesn't sound good for double curves does anyone

know more about this please?

>

> It really worries me that when they come to fuse at the age of 10 that Abi

won't have enough room for her organs if they have to fuse both the lumber and

thoracic spine.

>

> Will aim to talk to the doctors about keeping Abi in cast as suggested.

>

> Thanks

> Sue

>

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A compensatory curve is not structural. A true/structural curve would have structural reasons for the curve. I found this definition online: Structural curves are defined as those curves that incompletely straighten on side-bending. Compensatory curves straighten significantly on side bending and function to produce spinal balance. Usually, a double major curve will have curves of the approx. the same size.

Basically, the compensatory is the body's way of compensating and trying to keep the head and trunk aligned. Initially Ian did not have a compensatory curve and he always looked like he was leaning to one side when he walked...as he developed the compensatory curve we thought he was getting better because he looked straighter to us since his head and pelvis were now aligned.

Noelle (12-2-01)

Ian (8-15-04)

To: infantile_scoliosis Sent: Fri, October 2, 2009 8:30:17 AMSubject: Re: double curves

Abi's is a compensatory curve and it has been pretty big but now fairly small as she has good correction in cast but it just doesn't hold when out of cast. It is good to know Ian responded well. Do you know how a compensatory curve differs from a true curve?thanks Sue>> Ian had a compensatory curve and he responded well. His was not a "true" curve though. > > > Noelle (12-2-01)> Ian (8-15-04)> > > > > > > ____________ _________ _________ __> > To: infantile_scoliosis @yahoogroups. com> Sent: Thursday, October 1, 2009 6:16:50 PM> Subject: [infantile_scoliosi s] double curves> > > Thank you for replies about bracing beyond the age of 3. I've just done what I should have done weeks ago and read the paper on derotational casting by et al. The prognosis really doesn't sound good for double curves does anyone know more about this please?> > It really worries me that when they come to fuse at the age of 10 that Abi won't have enough room for her organs if they have to fuse both the lumber and thoracic spine. > > Will aim to talk to the doctors about keeping Abi in cast as suggested.> > Thanks > Sue>

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Thank you for that. As Abi is in cast I can't check the side bending but we do

have an Xray of her 6 months before her first cast so will get it out to have a

look and see if she had the thoracic curve then.

Do you think the 'double curves' in the paper on derotation from are

only structural rather than compensatory?

Sue

> >

> > Ian had a compensatory curve and he responded well.  His was not a " true "

curve though. 

> >  

> >

> > Noelle (12-2-01)

> > Ian (8-15-04)

> >  

> >  

> >

> >

> >

> >

> > ____________ _________ _________ __

> > From: suzyinoxford <sue@>

> > To: infantile_scoliosis @yahoogroups. com

> > Sent: Thursday, October 1, 2009 6:16:50 PM

> > Subject: [infantile_scoliosi s] double curves

> >

> >  

> > Thank you for replies about bracing beyond the age of 3. I've just done what

I should have done weeks ago and read the paper on derotational casting by

et al. The prognosis really doesn't sound good for double curves does

anyone know more about this please?

> >

> > It really worries me that when they come to fuse at the age of 10 that Abi

won't have enough room for her organs if they have to fuse both the lumber and

thoracic spine.

> >

> > Will aim to talk to the doctors about keeping Abi in cast as suggested.

> >

> > Thanks

> > Sue

> >

>

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I do think they are structural in his paper if I had to guess. The compensatory curve generally goes away when the major curve is treated.

Noelle (12-2-01)

Ian (8-15-04)

To: infantile_scoliosis Sent: Fri, October 2, 2009 10:08:00 AMSubject: Re: double curves

Thank you for that. As Abi is in cast I can't check the side bending but we do have an Xray of her 6 months before her first cast so will get it out to have a look and see if she had the thoracic curve then.Do you think the 'double curves' in the paper on derotation from are only structural rather than compensatory? Sue> >> > Ian had a compensatory curve and he responded well. His was not a "true" curve though. > > > > > > Noelle (12-2-01)> > Ian (8-15-04)> > > > > > > > > > > > > > ____________ _________ _________ __> > From: suzyinoxford <sue@>> > To: infantile_scoliosis @yahoogroups.

com> > Sent: Thursday, October 1, 2009 6:16:50 PM> > Subject: [infantile_scoliosi s] double curves> > > > > > Thank you for replies about bracing beyond the age of 3. I've just done what I should have done weeks ago and read the paper on derotational casting by et al. The prognosis really doesn't sound good for double curves does anyone know more about this please?> > > > It really worries me that when they come to fuse at the age of 10 that Abi won't have enough room for her organs if they have to fuse both the lumber and thoracic spine. > > > > Will aim to talk to the doctors about keeping Abi in cast as suggested.> > > > Thanks > > Sue> >>

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Trying to catch up on posts so sorry if someone already responded to this but...a compensentory curve should not have rotation. If it's a rotating curve then it will have to be treated. ~Noah 4 years old9 months of casting in SLC; Currently on 1 1/2 years of bracingAnd Mariella 8 months old currently waiting and watching at 11*

To: infantile_scoliosis From: poohlvr1020@...Date: Fri, 2 Oct 2009 07:30:37 -0700Subject: Re: Re: double curves

I do think they are structural in his paper if I had to guess. The compensatory curve generally goes away when the major curve is treated.

Noelle (12-2-01)

Ian (8-15-04)

From: suzyinoxford <sueweinstocks (DOT) freeserve.co.uk>To: infantile_scoliosis Sent: Fri, October 2, 2009 10:08:00 AMSubject: Re: double curves

Thank you for that. As Abi is in cast I can't check the side bending but we do have an Xray of her 6 months before her first cast so will get it out to have a look and see if she had the thoracic curve then.Do you think the 'double curves' in the paper on derotation from are only structural rather than compensatory? Sue> >> > Ian had a compensatory curve and he responded well. His was not a "true" curve though. > > > > > > Noelle (12-2-01)> > Ian (8-15-04)> > > > > > > > > > > > > > ____________ _________ _________ __> > From: suzyinoxford <sue@>> > To: infantile_scoliosis @yahoogroups. com> > Sent: Thursday, October 1, 2009 6:16:50 PM> > Subject: [infantile_scoliosi s] double curves> > > > > > Thank you for replies about bracing beyond the age of 3. I've just done what I should have done weeks ago and read the paper on derotational casting by et al. The prognosis really doesn't sound good for double curves does anyone know more about this please?> > > > It really worries me that when they come to fuse at the age of 10 that Abi won't have enough room for her organs if they have to fuse both the lumber and thoracic spine. > > > > Will aim to talk to the doctors about keeping Abi in cast as suggested.> > > > Thanks > > Sue> >>

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