The article presents biomechanical etiology of the so-called idiopathic scoliosis [adolescent idiopathic scoliosis – AIS] (1995–2007). Development of scoliosis is connected with “gait” and permanent habit of “standing at ease” on the right leg. New classification of AIS describes: “S” shaped scoliosis in group I epg, “C” scoliosis – in group II/A epg and “S” scoliosis – in group II/B epg and also “I” shaped scoliosis – in group III epg (etiopathological group) which were distinguished in years 2001–2004 / 2006. In all children with so-called idiopathic scoliosis was found limited adduction of the right hip or even abduction contracture of this hip often connected with flexion and external rotation contracture. The contracture, or only difference in adduction (smaller in the right hip), is connected with the “syndrome of contractures” in newborns and babies described by many authors but thoroughly and very exactly by Prof. Hans Mau. The new classification makes clear therapeutic approach to every etiopathological group of scoliosis and gives us possibility to introduce causative prophylaxis.

Medical University of Lublin University Pediatric Hospital Chodźki St 2 20 093 Lublin Poland tel fax 081 741 56 53 E mail www ortopedia karski lublin pl

Objasnění biomechanických příčin tzv. idiopatické skoliózy (1995-2007). Nová klinická a radiologická klasifikace

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