Karpushin A.A. - scoliosis treatment by child and adults

Anatomical and physiological substantiation of our technique

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In the increased picture, light strips under the vertebrae are visible – the so-called “growth areas”. They are in every bone of the skeleton and, generally, wherever growth takes place in any part of the organism. In bones, the growth areas are cartilaginous formations that are sometimes called “sprout cartilages”. Increment in bone mass comes from these zones. The presence of zones of growth accounts for plasticity the child’s body. Such zones of growth are present in children only. In the future, they would progressively disappear – they fuse with the bulk of the bone, and the growth stops.

In the 19th century the German orthopaedist Guter noticed that, in scoliosis, vertebrae grow intensively on the convex side of the curvature, and on the concave side, on the contrary, the growth of the vertebra slows down. Irreversible changes in the structure of the vertebrae and ribs take place. This is due to the reaction of the growth cartilage to the external impact. In response to distraction, the cartilage begins to intensely produce a new bone, and under compression the bone growth slows down. Later, this physiological pattern was carefully studied by G.A. Ilizarov. He applied distraction and compression to treat injuries and orthopaedic diseases and, particularly, for limb lengthening.

Impacting the growth zone, we can speed up or, on the contrary, inhibit the bone growth. Our technique and structure are designed in such a way that distraction is generated on the concave side of the curvature and compression is generated on the convex side. Therefore, in conformity to the child’s body physiology, the growth rate of the left and right halves of the chest is equalized. Thus, by applying our technique, the scoliosis deformity is corrected, and a massive interference in the anatomy to straighten the spine and ribs becomes unnecessary.

During the surgical treatment of scoliosis, it is necessary to preserve the anatomy and physiology of the spine and to begin the treatment at the early stages of the disease in children, when the growth zone is actively functioning.

No element of the spine is damaged when applying our technique. The effectiveness of such an approach has been proved with over 100 operations. No complications whatsoever have been observed.
The technique is applicable for adults as well. Although the growth stopped in their case, the plasticity and ability of fibres to distract remains largely unaffected to the old age. The ability of adults to increase their muscle mass by way of performing exercises, to repeatedly reinforce the points of attachment of muscles to bones, to increase muscle strength, etc. is based on this principle.
A fixed structure is applied in case of adult patients, using which deformations in the course of operations are reliably corrected. In addition, our stable elastic structure for adults, being fixed, continues to gradually decrease the curvature after surgery without traumatic effects to bone skeleton.