Scoliosis Deformity—Etiological Aspects, Management and Rehabilitation

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 October 2025 | Viewed by 402

Special Issue Editor


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Guest Editor
Department of Orthopaedics and Traumatology, "Tzaneio" General Hospital of Piraeus, Zanni and Afendouli 1, GR-185 36 Piraeus, Greece
Interests: spinal deformity; idiopathic scoliosis; diagnosis; school screening; bracing; physiotherapeutic specific scoliosis exercises (PSSEs); growth modulation; operative treatment
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Special Issue Information

Dear Colleagues,

The unclear understanding of the etiology of idiopathic scoliosis (IS) is the main reason for study of this deformity within the wider scope of its management. This management includes prevention, including school scoliosis screening, non-surgical treatment in the form of physiotherapeutic specific scoliosis exercises (PSSEs), bracing or a combination of these two, and finally surgical treatment. All these areas of study are relevant to this Special Issue, and any progress experienced within the above areas is useful for individuals with scoliosis. The quality of life of children and adolescents with IS has recently resulted in a number of publications based on its management. Due to the advancements mentioned above, it is expected that new articles based on the most sophisticated types of treatment will be submitted, as well as new relevant questionnaires to assess the QoL.In all publications, IS is described as a three-dimensional deformity. In reality, it is four-dimensional if the survival time parameter is considered, as individuals with the deformity will have the deformity until death. The importance of this comment is particularly pertinent in operated patients, as this group—treated with the current very powerful posterior spinal fusion systems—show a significant percentage of the so called “adjacent level disease” in long term follow-up, often leading to a revision of these operations. Furthermore, the reported complications, using any other modern surgical technique, may encourage the study of IS etiology of so that the treatment will eventually be etiological rather than symptomatic as it is today, minimizing complications, procedures, hospitalizations, and the burden on families.

In this Special Issue entitled “Scoliosis Deformity—Etiological Aspects, Management and Rehabilitation”, we welcome the submission of articles pertinent to the above topics.

I look forward to receiving your contributions.

Dr. Theodoros B. Grivas
Guest Editor

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Keywords

  • idiopathic scoliosis
  • spinal deformity
  • diagnosis
  • physiotherapeutic specific scoliosis exercises (PSSEs)
  • surgical treatment
  • non-surgical treatment

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Published Papers (1 paper)

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11 pages, 1681 KiB  
Opinion
The Contribution of the Double Rib Contour Sign and the Rib Index to the Study of Scoliogeny, Thoracic Deformity, Progression, Outcome of Treatments and Costoplasty for Idiopathic Scoliosis
by Theodoros B. Grivas, Anastasios G. Christodoulou, Evangelos A. Christodoulou, Galateia Katzouraki, Marios G. Lykissas, Panayiotis J. Papagelopoulos, Elias C. Papadopoulos, Sotirios Papastefanou, Nikolaos Sekouris, Panayotis N. Soucacos, Konstantinos C. Soultanis and Elias Vasiliadis
Healthcare 2025, 13(9), 1014; https://doi.org/10.3390/healthcare13091014 - 28 Apr 2025
Viewed by 180
Abstract
This opinion article refers to the “double rib contour sign” and to the rib index (DRCS and RI), to their reliability study results in the chest radiographs of a control group and to their validity study results. These two parameters were introduced by [...] Read more.
This opinion article refers to the “double rib contour sign” and to the rib index (DRCS and RI), to their reliability study results in the chest radiographs of a control group and to their validity study results. These two parameters were introduced by the first author in this report. The introduction of the Segmental Rib Index (SRI) and its relation to spinal deformity is also discussed. The RI has been confirmed to be a strong surrogate for scoliometric readings in idiopathic scoliosis (IS). The clinical applications of the RI are analyzed for the following: (a) the documentation of deformity; (b) the assessment of physiotherapy outcomes (PSSEs); (c) the documentation of the outcomes of brace treatment; (d) the documentation of the pre- and post-operative assessment of thoracic deformity correction in different types of instrumentation; (e) its usage in prognosticating accelerated deterioration in skeletally mature adolescent idiopathic scoliosis (AIS) curves of 40–50 degrees; and (f) its usage in the recognition of the proper rib level for thoracoplasty/costoplasty. The emerging etiological–scoliogenic implications from the use of the DRCS and RI are described. The rotation of the trunk and vertebral bodies as interrelated, but distinct parameters are finally analyzed. Full article
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