Integration of three-dimensional spinal traction and conventional rehabilitation for structural correction in adolescent idiopathic scoliosis: a case report.

BACKGROUND

This study investigated the improvement in sagittal and coronal plane posture in a female patient with adolescent idiopathic scoliosis (AIS) and associated pain symptoms, following a multidisciplinary comprehensive therapeutic intervention.Case Presentation: The patient was a 12-year-old female who presented with several months of low back pain. A full-spine x-ray examination revealed cervical kyphosis, forward head posture (FHP), uneven shoulder height (with the left shoulder higher than the right), and a right-convex thoracolumbar scoliosis with a Cobb angle of 40°. The treatment utilized an innovative postural-based spinal rehabilitation, (PSR) which integrated various modalities such as postural correction training, muscle balance training, three-dimensional spinal traction (spinal 3D traction), and spinal manipulative therapy.

RESULTS

After 50 sessions over 32 weeks, the patient's postural deformity has showed marked improvement. FHP markedly decreased, thoracic positioning became more centered, shoulder leveling was restored, the right-convex thoracolumbar scoliosis Cobb angle decreased by 7° in the thoracic region and 17° in the lumbo-sacral region, the spinal rotation angle improved, and low back pain was greatly alleviated.

CONCLUSION

Postural deformities, including adolescent idiopathic scoliosis, can be effectively corrected through a multidisciplinary comprehensive a treatment plan based on PSR, combined with conventional physical rehabilitation training.