Scoliosis Correction

We use a  Berry Translation Table in conjunction with mirror image

adjustments and mirror image exercises to naturally correct some types of

thoraco-lumbar scoliosis curves. This table is the most comfortable and one

of the most effective tables used for scoliosis correction. Traction times

typically last 10 to 27-minutes for maximal correction. Most of our patients

will read a book or take a nap while tractioning. We have had significant

scoliosis corrections using this table in conjunction with Mirror-Image

Adjustments and Mirror-Image Exercises.

Clinical Research

Radiographic Pseudoscoliosis in Healthy Male Subjects Following Voluntary Lateral Translation (Side Glide) of the Thoracic Spine

Deed E. Harrison, DC, Joseph W. Betz, DC, Rene Cailliet, MD, Christopher J.

Colloca, BS, DC,

Donald D. Harrison, PhD, DC, MSE, Jason W. Haas, DC, Tadeusz J. Janik, PhD,

MSE

ABSTRACT. HarrisonDE, Betz JW, Cailliet R, Colloca CJ,

Harrison DD, Haas JW, Janik TJ. Radiographic pseudoscoliosis in

healthy male subjects following voluntary lateral translation (side

glide) of the thoracic spine. Arch Phys Med Rehabil 2006;87:

117-22.

Objective: To determine projected Cobb angles associated

with trunk list (side shift) posture, hypothesizing that the side

shift “scoliotic” curvature would be similar to true scoliotic

curvature in the early stages.

Design: Anteroposterior (AP) radiographs of volunteers in

neutral, in left, and right lateral translations of the thoracic cage

(trunk list) were digitized.

Setting: Computer laboratory.

Participants: Fifteen healthy male volunteers.

Interventions: Not applicable.

Main Outcome Measures: Cobb and Risser-Ferguson angles

determined from digitizing vertebral body corners from

T12 to L5 on 51 AP lumbar radiographs.

Results: Using the horizontal displacement of T12 from S1,

subjects could translate an average of 54.0mm to the left and

52.5mm to the right. The average digitized Cobb T12-L5 angle

produced for the 30 translated postures was 16°. Angles ranged

from 2.6° to 27.0°. Risser-Ferguson angles averaged 10° between

T12 and L5. Statistical correlations were found between

Cobb L1-5 and translation to the left (P.015), Cobb T12-L5

and translation to the right (P.024), Risser-Ferguson angle

and translation to the left (P.021), and the lumbosacral angle

to the right and trunk translation to the right (P.027).

Conclusions: During lateral translation of the thorax (trunk

list), coupled lumbar lateral flexion resulted in the appearance

of a pseudoscoliosis on AP radiographs. For this trunk list

posture, Cobb angles are considerable (16°) and increase as the

magnitude of trunk translation increases. Differentiating true

structural scoliosis from this pseudoscoliosis would be clinically

important. The small coupled axial rotation in trunk list is

in contrast to the considerable degree of axial rotation observed

in structural idiopathic scoliosis.

Clinical Research

Evaluation of the assumptions used to derive an ideal normal cervical spine

model.

OBJECTIVES: To evaluate the accuracy of anatomical assumptions made to

derive a geometrical, ideal, normal model of the upright, static, sagittal

cervical spine, to make comparisons with other spinal models and to discuss

the implications of a normal cervical model. STUDY DESIGN: (a) Data were

collected from 400 lordotic lateral cervical radiographs and compared with

the predictions of a geometric normal cervical lordotic model. Angels of

intersecting tangent lines, drawn at posterior vertebral body margins, were

measured at each disc space and between C2 and C7. Height-to-length ratios

and an anterior weight-bearing distance were measured. (b) Literature

reviews were obtained through Medline and Chirolars. RESULTS: Modeling: the

400 sample subjects varied from the geometric model by approximately 5%.

CONCLUSIONS: Two typical geometric configurations of the cervical spine were

identified as a normal circular lordotic arc of 34 degrees and an ideal

normal of 42 degrees. Literature reviewed establishes cervical lordosis as a

desirable clinical outcome of care. Harrison DD, Janik TJ, Troyanovich SJ,

HarrisonDE, Colloca CJ. J Manipulative Physiol Ther. 1997 May;20(4):246-56.