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Additional comment by Dr. Jutkowitz:
Looking at the original films you can just
barely see that L5 does not lineup as part of that lateral
curve to the right. It is almost like L4 and 5 are in a
line and then there is a bit more of a bend at L3-4 suddenly
sharper bend at L3-2. I would have to see and measure the
laterals also to get exactly how many curves there are just
from one set of films, but the follow-up films show a typical
sequence of unwinding or untwisting layered curves.
When you see something like that flat spot
in a curve (like at L4-5), you can bet large amounts there
is an additional curve between the vertebrae involved in
the flat spot. (It can be a short curve but a curve nonetheless.)
The amount of mechanical stress in these curves that are
pulled flat by compensations is just as important or, often,
more important than the large obvious one. Without a technology
of unwinding or untwisting these ENTIRE sets of curves there
is no chance to "straighten" a scoliosis.
It is like when you twist a rubber band over
and over until the twists start twisting on themselves into
a double layered twist.
What is happening here is that the twists
at L4-5 and L5-sacrum are being twisted even further by
the large twist (to compensate) so they are pulled straight
like a bent spring that straightens when it is stretched
even though the twist is still there mechanically creating
even greater stress on that area.
This is the reason treatment of scoliosis
has been such a failure in chiropractic, osteopathy and
even medicine. It is also the reasons for the severe reactions
of patients who have their spine forced "straight"
by surgery. When people have those reactions, as they do
in most cases, they have not been straightened but wound
up or twisted up more tightly.
With Advanced BioStructural Correction
you are reducing the twist and the body unwinds or untwists
like a big spring as seen in the above sequence of films.
That is why doctors all over the world are so successful
with more conditions than you might think using ABC
get for your practice today. How to Learn ABC
In the case above there is more than one
curve in that flat spot. There is a curve between L5 and
the sacrum that remains unseen until you notice the way
L5 does not go on the second film and the direction the
spine takes starting at L5 in the last film. Once you know
about it and what to look for you can see it on the first
film. (That is why you need the laterals too; you can make
a more complete determination on that first set when you
have a full set of measurements in three dimensions. You
can make a winning bet that L5 did not line-up smoothly
with L4 on the lateral, though it may seem to on the first
AP film.)
That curve to the right in the lower lumbars
of the first films is actually three curves:
1. L5 or so going right - not seen until the
second and third film as discussed above.
2. L4 going left - seen most obviously on
the second film.
3. L3 going left on L4 (which is seen more
obviously in the curve of the second film as she improves
and the body untwists to the left at that point -- This
is not seen obviously unless you know what to look for but
would be on a film taken a short time after the second --
which was not taken. It is not as obvious as the lowest
curve to the right -- L5 not going left but you can notice
L3 does not lineup with L4 going left. It is a separate
and additional curve.)
Note that the above is only a partial discussing
of what is occurring on these films as it does not discuss
the layered curves above the L3-L2 point.