Response
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Richard A. Feely
In our September 2017 case report,1 we described a patient with progressive infantile idiopathic scoliosis (IIS) managed with osteopathic manipulative treatment. The possibility of spontaneous resolution of the patient's scoliosis curve was explained and accepted as the null hypothesis. Yes, the majority of IIS cases resolve spontaneously,2,3 and the majority of IIS cases are nonprogressive.4 As specified, the patient in the case report had progressive IIS, which made spontaneous resolution less likely.
We agree that the angles should have been labeled using the Cobb angle and not rib vertical angle difference. At the time the literature search was performed for this article, the Scoliosis Research Society used rib vertical angle difference, which is why it is mentioned as a common unit of reporting. Osteopathic physicians and surgeons indeed more commonly use the Cobb angle, and it would have been helpful if these data had also been included.
References
1. Feely RA , KapraunHE. Progressive infantile scoliosis managed with osteopathic manipulative treatment. J Am Osteopath Assoc. 2017;117(9):595-599. doi:10.7556/jaoa.2017.114Search in Google Scholar PubMed
2. Infantile scoliosis. Scoliosis Research Society website. http://www.srs.org/professionals/online-education-and-resources/conditions-and-treatments/infantile-scoliosis. Accessed March 7, 2017.Search in Google Scholar
3. Wynne-Davies R . Infantile idiopathic scoliosis: causative factors, particularly in the first six months of life. J Bone Joint Surg Br. 1975;57(2):138-141.10.1302/0301-620X.57B2.138Search in Google Scholar
4. Sankar WN , SkaggsDL. Pediatric orthopaedics: pediatric spine. In: WieselB, SankarWN, DelahayJN, WieselSW, eds. Orthopaedic Surgery: Principles of Diagnosis and Treatment. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.Search in Google Scholar
© 2018 American Osteopathic Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in the same Issue
- LETTERS TO THE EDITOR
- Response
- OMT MINUTE
- Osteopathic Lymphatic Pump Techniques
- STILL RELEVANT?
- The Rule of the Artery Is Supreme. Or, Is It?
- LETTERS TO THE EDITOR
- Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
- AOA COMMUNICATION (REPRINT)
- Official Call: 2018 Annual Business Meeting of the American Osteopathic Association
- Proposed Amendments to the AOA Constitution, Bylaws, and Code of Ethics
- ORIGINAL CONTRIBUTION
- Medical Students’ Knowledge, Attitudes, and Behaviors With Regard to Skin Cancer and Sun-Protective Behaviors
- Lymphatic Pump Treatment Mobilizes Bioactive Lymph That Suppresses Macrophage Activity In Vitro
- JAOA/AACOM MEDICAL EDUCATION
- Oral Health Training in Osteopathic Medical Schools: Results of a National Survey
- CASE REPORT
- Perplexing Rash: Challenges to Diagnosis and Management of Mycosis Fungoides
- Laparoscopic Adjustable Gastric Band Erosion Into the Stomach and Colon
- THE SOMATIC CONNECTION
- Safety of Chiropractic Manipulation in Patients With Migraines
- Effect of HVLA on Chronic Neck Pain and Dysfunction
- Effects of Adding Cervicothoracic Treatments to Shoulder Mobilization in Subacromial Impingement Syndrome
- Manipulation Under Anesthesia Thaws Frozen Shoulder
- Treating Patients With Low Back Pain: Evidence vs Practice
- Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
- Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
- Reducing Cesarean Delivery Rates and Length of Labor by Addressing Pelvic Shape
- Remote MFR Increases Hamstring Flexibility: Support for the Fascial Train Theory
- CLINICAL IMAGES
- Minocycline-Induced Hyperpigmentation
- Massively Enlarged Leiomyomatous Uterus
Articles in the same Issue
- LETTERS TO THE EDITOR
- Response
- OMT MINUTE
- Osteopathic Lymphatic Pump Techniques
- STILL RELEVANT?
- The Rule of the Artery Is Supreme. Or, Is It?
- LETTERS TO THE EDITOR
- Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
- AOA COMMUNICATION (REPRINT)
- Official Call: 2018 Annual Business Meeting of the American Osteopathic Association
- Proposed Amendments to the AOA Constitution, Bylaws, and Code of Ethics
- ORIGINAL CONTRIBUTION
- Medical Students’ Knowledge, Attitudes, and Behaviors With Regard to Skin Cancer and Sun-Protective Behaviors
- Lymphatic Pump Treatment Mobilizes Bioactive Lymph That Suppresses Macrophage Activity In Vitro
- JAOA/AACOM MEDICAL EDUCATION
- Oral Health Training in Osteopathic Medical Schools: Results of a National Survey
- CASE REPORT
- Perplexing Rash: Challenges to Diagnosis and Management of Mycosis Fungoides
- Laparoscopic Adjustable Gastric Band Erosion Into the Stomach and Colon
- THE SOMATIC CONNECTION
- Safety of Chiropractic Manipulation in Patients With Migraines
- Effect of HVLA on Chronic Neck Pain and Dysfunction
- Effects of Adding Cervicothoracic Treatments to Shoulder Mobilization in Subacromial Impingement Syndrome
- Manipulation Under Anesthesia Thaws Frozen Shoulder
- Treating Patients With Low Back Pain: Evidence vs Practice
- Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
- Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
- Reducing Cesarean Delivery Rates and Length of Labor by Addressing Pelvic Shape
- Remote MFR Increases Hamstring Flexibility: Support for the Fascial Train Theory
- CLINICAL IMAGES
- Minocycline-Induced Hyperpigmentation
- Massively Enlarged Leiomyomatous Uterus
