The Journal of Bone and Joint Surgery, Vol 64, Issue 1 59-62, Copyright © 1982 by Journal of Bone and Joint Surgery, Inc
Scoliosis associated with limb-length inequality
T Papaioannou, I Stokes and J Kenwright
We reviewed the records and physical findings of twenty-three young adults
who had had significant untreated limb-length inequality, present since
childhood. The spine was studied radiographically and clinically before and
after neutralization of the discrepancy of limb lengths with a lift.
Movements of the spine also were measured. A significant asymmetry of
lateral flexion of the spine remained in nearly all of the patients after
neutralization of the discrepancy. The lumbar scoliosis associated with the
limb-length inequality was compensatory and non-progressive, but
abnormalities of the Cobb angle and of axial rotation remained in the young
adults. No relationship was found between the underlying cause of the
anisomelia or its duration and the severity of the spinal abnormality. The
scoliosis was minor in patients with discrepancies of less than 2.2
centimeters. No patients complained of significant discomfort in the back,
nor were degenerative radiographic changes evident there.
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