{"title":"Unilateral multifidus hypoplasia as a potential cause of adolescent idiopathic scoliosis: A hypothesis","authors":"Yong Tang, Lei Zhou, Jihong Jiang, Yangsheng Wang, Changwei Chen, Feng Zhu","doi":"10.1016/j.mehy.2024.111549","DOIUrl":null,"url":null,"abstract":"<div><div>Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity featuring lateral curvature of one or more spine segments with vertebral rotation. It involves coronal, sagittal, and axial plane abnormalities, leading to the spine losing its natural curvature. It is commonly observed in adolescents aged 10 to 17. Despite extensive research, the pathogenesis of AIS remains complex. This paper proposes a novel hypothesis that unilateral hypoplasia of the multifidus muscle may contribute to the development of AIS. We review existing studies on multifidus muscle dysfunction in AIS and present results supporting our hypothesis. Further research is necessary to validate this hypothesis and explore its implications for the diagnosis and management of AIS.</div></div>","PeriodicalId":18425,"journal":{"name":"Medical hypotheses","volume":"194 ","pages":"Article 111549"},"PeriodicalIF":2.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical hypotheses","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306987724002925","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Unilateral multifidus hypoplasia as a potential cause of adolescent idiopathic scoliosis: A hypothesis
Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity featuring lateral curvature of one or more spine segments with vertebral rotation. It involves coronal, sagittal, and axial plane abnormalities, leading to the spine losing its natural curvature. It is commonly observed in adolescents aged 10 to 17. Despite extensive research, the pathogenesis of AIS remains complex. This paper proposes a novel hypothesis that unilateral hypoplasia of the multifidus muscle may contribute to the development of AIS. We review existing studies on multifidus muscle dysfunction in AIS and present results supporting our hypothesis. Further research is necessary to validate this hypothesis and explore its implications for the diagnosis and management of AIS.
期刊介绍:
Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.