Development of scoliosis
sentences: Conditions/terms: Child. Growing. Asymmetry created through
asymmetry of movement of hips. Asymmetry during gait and in
"standing at ease" - in children with scoliosis only/or mostly on the
 Development of scoliosis and stages
of the spine deformity - influences on "course and character of deformity" (description of pictures below).
of movement of both hips:
leads to the asymmetry of load during gait,
to the asymmetry of growth of the child,
leads to the asymmetry of development of the pelvis and spine e.g. to the
asymmetry of growth of vertebra body and processes (processi
Description of X-ray pictures of pelvis. Asymmetry of shape of
pelvis, shifting in "symphysis of pubis", oblique position of os sacrum, wedge
deformity of L-4, L-5. Here in bottom of spine (in pelvis) scoliosis begins to
develop. This is confirmation of biomechanical influences of development of
scoliosis and connection with "standing" and "gait"(!)
the asymmetry of forces/loading"
- it means -
compression/overload in concave side of curve decreases
growth - (in "Vicious Cycle")
to Wolff-Delpeche effect/law [the names quotes in Polish
literature] - or Heuter-Volkmann effect [in English
the scoliosis "S" - I epg - double curves scoliosis - 3D
deformity with stiffness of spine, with
gibbous costalis, with progression,
leads to "C" scoliosis - II/A epg - lumbar (L or L-S, or L-Th)
leads to "S" scoliosis - II/B
epg - double deformity - but this "S"
scoliosis is without stiffness of spine,
without gibbous costalis and without
progression (or very slight).
Every type of scoliosis begins at the age of 2 - 3 - 4 years
of life - when the child starts to be "active" and more walk and
 The asymmetry is connected with "The Syndrom of Contractures" -
Prof. Hans Mau.
[description of the pictures of pelvis
below] - mostly "Left sided Syndrome of Contracture" -
see down - (Mau, Tylman, Gardner, Burwell, Stokes, Saji&Leong,
Dangerfield&Coll., Willner, Wynne-Davies, Green&Griffin, McMaster,
Magoun, Dega, Haikkila, Hensinger, Howorth, King, Dunn,
Karski&Tarczynska&Frelek-Karska, Oleszczuk) and others.
In "Syndrom of
contractures" according to Prof. Hans Mau / Tubingen / Germany there are:
b/ torticollis muscularis,
c/ contracture of adductors
muscles in the left hip (later DDH),
d/ tilt / asymmetry of the
e/ "infantile scoliosis"
(only temporary deformity - it is not "so-called idiopathic scoliosis"),
f/ "Haltungsschwache" [in
German] (Mau) <=> "contracture of abductor muscles" (plus external
rotation contracture, plus often flexion contracture), of ligaments
and fascias in the frontal-lateral region of right hip (Karski 1995 - 2006
h/ bigger than normal
"varus deformity of shank in newborns" - later - one of causes in "etiology
of Blount Disease - T. M. Karski (2006) - see special LECTURES in this Web
Pictures of pelvis: oblique position of
pelvis as typical sign of "syndrome of contractures". This is caused by
"adductor muscles and soft tissue shortening of left hip" and "abductor muscles
and soft tissue shortening of right hip". Such X-ray picture in infants or
small children suggests / orders "the examination of spine in age of 3-4-5
years" to search / to look for scoliosis (!).
 "The Syndrome
of Contractures" in newborns and babies according to Professor Hans
Mau [Tubingen / Germany] explains the asymmetry of morphology
and also the functional asymmetry of the child's (newborns&babies)
See in German -
"Siebener [Kontrakturen] Syndrom" - [more in "Skoliose in Deutsch" or in
"Scoliosis in English" - or in "FOTOS / PHOTOS / WYKLADY / LECTURES" - next in subchapters "in green" with the word LECTURES (click on the
link on the left)].
"Left sided 'Syndrom of Contractures'" - in Poland concern 8 % of
children (coming from Ist foetus position - 85% - 90% of all
pregnacies - [Prof. Jan Oleszczuk - Gynaecologist,
1999, Lublin / Poland]).
"left sidet 'Syndrome of Contractures' explains - "The Geography of
Deformities in Scoliosis" - left/right sides of curves &
right side of gibbous costalis (Karski - 1995 -2004/2006).
(English) - Karski, 1995-2006. On this Web Site - more in "Scoliosis in
English" or in "Skoliose in Deutsch" but especially in "FOTOS / PHOTOS / WYKLADY / LECTURES" -
and next many LECTURES (click on the link on the