4-12 Clase de Escoliosis
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Transcript of 4-12 Clase de Escoliosis
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ESCOLIOSISESCOLIOSIS
2006.- HDEZ CABRERA
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Definición
• Deformación raquídea que consiste en un desplazamiento relativo, progresivo de un constituyente (vértebra) respecto a su adyacente, produciéndose en los tres planos del espacio (frontal, sagital y horizontal) sin pérdida de la continuidad osteoligamentosa y desarrollándose sobre toda o parte de la columna vertebral, esencialmente durante el periodo de crecimiento.
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EVOLUCIÓN DE LAS ESCOLIOSIS Y DE LAS
ACTITUDES ESCOLIOTICAS
ESCOLIOSIS FUNCIONALES
ESCOLIOSIS ESTRUCTURADAS
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Clasificación
• Escoliosis idiopática: Representa aproximadamente el 70 % de todas las escoliosis.
• Infantil: por debajo de los 3 años de edad.• Juvenil: desde los 3 años al comienzo de la
pubertad (generalmente hacia los 10 años)• Del adolescente: desde los 10 años hasta la
madurez esquelética.
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Escoliosis idiopática
• Deformación más frecuente en población infantil, juvenil y del adolescente.
(Barnes et al, 1993; Bunnel, 1986; Burwell et al, 1992)
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Escoliosis estructurada
• 5º:– Goldberg (1980)– Lonstein (1982)
• 10º:– Sociedad para la Investigación de la
Escoliosis
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Rotación
• En cruces Moe
• En grados Perdriolle
• En porcentaje
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Clasificación de Ferrer, Ceballos y Palazón
• Idiopática.• Congénita.• Adquirida:
– Neurógena– Miógena– Osteógena– Toratógena– Metabólica
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Clasificación etiológica• Neuromuscular:
1. Neuropática:1. Motoneurona inferior (p. ej. poliomielitis)2. Motoneurona superior (p. ej. parálisis cerebral)3. Otras (p. ej. siringomielia)
• Neurofibromatosis: (enf. de Recklinghausen)• Mesenquimopatías:
1. Congénitas: (p. ej. sd. de Marfan, enf. de Morquio, artrogriposis múltiple congénita, diversos tipos de enanismo)
2. Adquiridas (p. ej. artritis reumatoide, enf. Still)3. Otras (p. ej. enfermedad de Scheuermann, osteogénesis
imperfecta)
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Clasificación por regiones anatómicas
• Curva cervical (apex entre C1- C6)• Curva cervicotorácica (apex entre C7-
T1)• Curva torácica (apex entre T2- T11)• Curva toraco-lumbar (apex entre T12-
L1)• Curva lumbar (apex entre L2- L4)• Curva lumbo-sacra (apex entre L5-S1)
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Clasificación según la gravedad de la curva
Grado Angulación
• Leve: 0- 30º
• Moderada: 30- 60º
• Grave: 60- 90º
• Muy grave: > 90º
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Anatomía Patológica
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TERMINOLOGIA
• Escoliosis no estructurada.• Idem transitoria.• Cifosis.• Cifoescoliosis• Lordoescoliosis.• Curva primaria estructrurada.• Curva mayor.• Curva menor.• Curva compensadora.• Angulo de la curva.• Vertebra superior.• Vertebra inferior.• Vertebra neutra,• Vertebra apex.• Vertebra intermedia.• Giba• Giba costal.• Giba lumbar o saliente paraespinal.• Oblicuidad pelvica
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La verdad que avances hay pocos.
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Clínica
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Test de Adams
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EXPLORACIÓN RADIOLÓGICA
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• Flechas laterales: Medidas en milimetros desde la apófisis espinosa de la vértebra ápex al hilo de la plomada.
• Así obtuvimos unos valores de las medidas objetivadas mediante su medición en cm con una sensibilidad aceptable
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Factores de Progresión
• Edad
• Sexo
• Madurez ósea
• Tipo de curva
• Angulación
• Acuñamiento
• Rotación
• Localización
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• Etiología
• Localización
• Edad
• Gravedad
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Formula de Lonstein y Carlson (1984)
• F.P.: (Ángulo de Cobb – 3* Risser)/ Edad Cronológico
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• Aunque otros autores defienden diferentes métodos de detección, el Test de Adams creo que es más útil, sencillo y económico para descartar la escoliosis.
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Número de casos
• 10.537 niños en 1983-84.– 124 escoliosis detectadas (> 5º Cobb)
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Moe y Perdriolle
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ANGULO METHA
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• Debemos seguir estudiando la Historia Natural de la escoliosis para evitar que curvas mayores de 45º lleguen a la cirugía.
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Flechas Laterales y Ángulo de Cobb
> 6 mm > 10º Cobb
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Tabla de evaluación de una escoliosis a partir de FL y AG
Flechas laterales (mm)
Altura de la giba (mm)
0 1 2 3 4 5 6 7 8 9 10
0 1.04 0.94 0.85 0.75 0.65 0.56 0.46 0.37 0.27 0.18 0.08
1 0.93 0.83 0.74 0.64 0.55 0.45 0.35 0.26 0.16 0.07 -0.03
2 0.82 0.72 0.63 0.53 0.44 0.34 0.24 0.15 0.05 -0.04 -0.14
3 0.71 0.61 0.52 0.42 0.33 0.23 0.14 0.04 -0.06 -0.15 -0.25
4 0.6 0.51 0.41 0.31 0.22 0.12 0.03 -0.07 -0.16 -0.20 -0.36
5 0.49 0.40 0.30 0.20 0.11 0.01 -0.08 -0.18 -0.27 -0.37 -0.48
6 0.38 0.20 0.19 0.10 0.00 -0.09 -0.10 -0.29 -0.38 -0.48 -0.57
7 0.27 0.18 0.08 -0.01 -0.11 -0.20 -0.30 -0.40 -0.49 -0.59 -0.88
8 0.16 0.07 -0.03 -0.12 -0.22 -0.31 -0.41 -0.50 -0.60 -0.70 -0.79
9 0.06 -0.04 -0.13 -0.23 -0.33 -0.42 -0.52 -0.61 -0.71 -0.81 -0.90
10 -0.05 -0.15 -0.24 -0.34 -0.44 -0.53 -0.63 -0.72 -0.82 -0.91 -1.01
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Tratamiento escoliosis idiopática en el crecimiento
• QUINESITERAPIA AISLADA.
– FORTALECER MÚSCULOS DEL TRONCO.– FLEXIBILIZACIÓN– EDUCACIÓN RESPIRATORIA– CORRECCIÓN POSTURAL (ACTITUD
METHA).QUINESITERAPIA ANTES Y DESPUES DE LA INTERVENCIÓN
ELECTROESTIMULACIÓN.
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TRATAMIENTO ORTOPÉDICO
• PRINCIPIOS:– ENDEREZAMIENTO ACTIVO-PASIVO-
MIXTO.– CORSES:
• YESO “EDF” ELONGACIÓN-DESROTACIÓN-FLEXIÓN.
• CORSES EN PLÁSTICO.– ELECCIÓN DEL CORSE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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tratamiento ortopédico
CORSES U ortesis:
Milwaukee
Boston
Lyones
Málaga
Cheneau.
tracciones.
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Corse apropiado
• Según:– EDAD– LOCALIZACIÓN.– ANGULACIÓN.– HÁBITOS DEL PRESCRIPTOR
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CHENEAU
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CTLSO
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CTLSO Y TLSO
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•TLSO
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tratamiento qx.
• Artrodesis:– Harrington.
• TSRH.
• Tenor.
• Colorado.
• Isola.
• MOS MIAMI,PLUS, ARRAY etc.
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VIAS: ANTERIOR Y POSTERIO
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GALVESTON
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Técnica qx.
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