COMPENSATION VS. CORRECTION IN THE TREATMENT OF STRUCTURAL SCOLIOSIS

It is submitted for consideration:

That the current methods of direct application of force to the scoliotic contracture do not produce the desired degree of correction, and that they, by virtue of the resulting relaxation, aggravate the problem of maintenance of correction.

That, on the other hand, the realignment of the spine by compensation attains a satisfactory degree of body symmetry and of proper redistribution of weight without relaxation of the spine; that this method, therefore, does not interfere with maintenance of position, but enhances it by alleviating gravital stresses.

That, furthermore, a number of cases realigned by compensation may be expected to hold their equilibrium indefinitely by their own muscle power.

Finally, that those spines in which subsequent stabilization by operative means will be necessary, are, by virtue of this realignment by compensation without relaxation, in better position to hold after operation than those operated upon in state of decompensation.

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