Prof. V.Serdyuk (member of SICOT), Prof. Y.Suchin com Slide 1 ODESSA NATIONAL MEDICAL UNIVERSITY DEPARTMENT OF ORTHOPEDICS AND TRAUMATOLOGY WITH CHILDREN`S SURGERY.

Slide 2 INTRODUCTION TO PROBLEM. As we discovered, the nature of IS has a regular, biomechanical and reflex origin, based upon asymmetrical neurological activity of brains hemispheres. One sided contracture of spine`s extensors leads to violation of correct balance between spine and pelvis, its tilt to side of weak muscles and development of lateral spinal curves (Fig. 1, 2). Such a wrong body`s position is then fixed in Cerebellum as a” wrong “ reflex. Since surgical treatment is often followed with numerous complications, more and more doctors change their position from active surgery to nonsurgical treatment (braces, massage, swimming, physical exercises).Unfortunately, their efficacy is not high enough. MATERIALS. From 1996 till 2014 about 250 children, mostly with infantile and juvenile IS were under our control and outdoor nonsurgical treatment. We obtained 18 years experience with years of follow up. Since surgical treatment is often followed with numerous complications, more and more doctors change their position from active surgery to nonsurgical treatment (braces, massage, swimming, physical exercises).Unfortunately, their efficacy is not high enough. MATERIALS. From 1996 till 2014 about 250 children, mostly with infantile and juvenile IS were under our control and outdoor nonsurgical treatment. We obtained 18 years experience with years of follow up. Fig. 2. Pelvis tilt to right side is linked with hypertone of m.erector trunci sinister due to increased neurological activity of right cerebral hemisphere. Fig. 1. Pelvis tilt to left side is linked with hypertone of m.erector trunci dexter due to increased neurological activity of left cerebral hemisphere.

Slide 3 Fig. 3. A - A boy of 4 years. Kypho-scoliotic posture. Right sided contracture of spine's extensors. Relative shortening of left leg for 3 mm. B - Orthopedic insole of 3 mm height, put under left heel, excluded pelvis tilt, restored its horizontal position. Axis of spine became correct. METHOD OF TREATMENT. Our method of balance therapy is based upon restoration of horizontal position of pelvis, due to abolishing single side spasm of spine`s extensors and consequently restoration of correct spine`s axis. This method includes: 1.Prolonged wearing of orthopedic insoles of necessary height for compensation of relative shortening of one of the legs for restoration of vertical position of the body and formation of “correct” reflexion. This new body position Is then fixed in the brain and preserved in later life (Fig. 3). 2. Magneto-acoustic therapy with its anti-swelling, anti-inflammatory and analgesic effects, restoring microcirculation in affected areas, stimulating normalization of spinal cord function, cerebral and spinal blood circulation. (Fig. 4).

Slide 4 Fig. 5. Complex of detorsional exercises in cervical, thoracic and lumbar-sacral areas Fig. 4. Application of magneto-acoustic device on thoracic and lumbar- sacral areas of backbone. 3. Reduction of spinal muscles contracture, correction of their balance and axis of spine using complex of detorsional exercises (Fig. 5).

Slide 5 Clinical case 1 A - a child of 2 years. Scoliotic posture. Relative shortening of left leg for 3,5 mm. Thoracic curve is 10 degrees B - same patient. One year after treatment. Axis of spine is correct. Length of legs is identical С - same patient. Ten years after treatment. Axis of spine is correct. No signs of Scoliosis RESULTS. Achieved results are based on creation of the new “correct” reflex of vertical position of the body, which is preserved in further life.

Slide 6 Clinical case 2 B - same patient. 1,5 years after starting treatment. There is no shortening of the left leg. Axis of spine is correct. C - same patient. Follow up period 12 years. Body is symmetrical. No signs of Scoliosis. Length of legs is identical. A - A boy of 10 years. Scoliosis deformation -18 Kobba degrees. Relative shortening of left leg for 10 mm.

Slide 7 THANK YOU VERY MUCH FOR ATTENTION ! CONCLUSIONS: 1. Balance therapy of infantile and juvenile Scoliosis is effective nonsurgical method of treatment based upon creation of “correct” reflex of vertical body position, preserved in future. 2. Detailed information about this method of treatment you may find in our book “Scoliosis and spinal pain syndrome. New approach to the old problem”. Conflict of interest. The authors declare that they have no conflict of interest.