Abstract

OBJECTIVE:

The purpose of this review is to elucidate the metabolic processes involved in the pathogenesis of adolescent idiopathic scoliosis (AIS) in light of research by the present authors as well as current literature.

METHODS:

Pathogenetic mechanisms involved in AIS were modeled as (a) a form of neuromuscular scoliosis (in conjunction with an adverse mechanical environment such as bipedality), in which hormonal and other chemical factors act as regulators of skeletal muscle tone and function; (b) as a consequence of an abnormality in growth of the spinal column (in conjunction with an adverse mechanical environment such as bipedality), in which hormones and other chemical factors act as regulators of growth; and (c) as a mechanical failure of one side of the vertebral column due to a defect in trabecular formation or mineralization (in conjunction with an adverse mechanical environment such as bipedality); in which hormonal and other chemical factors act as regulators of bone formation, mineralization and/or resorption.

RESULTS AND CONCLUSION:

Current evidence supporting these models individually or in combination is discussed.

Source: PubMed

 

Dr. Morningstar’s take: This is a highlight of the current etiological models of scoliosis development in which hormonal and other non-spinal factors are of central importance. Scoliosis is much more than an orthopedic spine problem.

 

 

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Dr. Morningstar
Dr. Morningstar graduated in 2002 from Palmer College in Davenport. He then moved to Grand Blanc, MI and opened his first clinic, the Grand Blanc Spine Center. A year later, he opened his second clinic, the Anchor Bay Spine Center, in New Baltimore, MI. Both of these clinics have now become the Natural Wellness & Pain Relief Centers of Michigan, one of the first multidisciplinary clinics offering comprehensive chiropractic, traditional medicine, pain management, acupuncture, anti-aging medicine, and functional medicine services in Michigan. There he serves as the Director of Chiropractic Services. Dr. Morningstar provides comprehensive chiropractic rehabilitation and functional medicine strategies for complex spine and neurological disorders such as Scoliosis, ADHD, and Fibromyalgia/Chronic Fatigue Syndrome.