The patient presented to our office on 01/17/2001. The is an 84 year
women who has "had spinal curvature all her life." She had a noticeable
thoracic kyphosis, with a positive rib hump on Adams maneuver. Radiographs 
taken on 1/17/01 reveal the nature and extent of spinal deformity. The patient
has advance osteoporosis, current meds include fosamax, antenol, synthroid, os cal,
centrium silver. Medical history was otherwise unremarkable. 

Notable spinal distortions: There is a unique disc/endplate
deformity @ T10-T12. We used this as a radio-anatomical constant for control of
projectional and positional distortion. The anterior inferior corner of T2 was used to
construct a plumb line. The films were taken in the seated position with the patient
assuming a relaxed neutral posture.

Spinal mensuration: The thoracic apex was determined to be @ T10. There  is a hyper-kyphosis
of the thoracic spine. The distance of the gravitational plumb line (T2) to a line drawn tangent
to the thoracic apex measures 12.25 cm. A tangent was constructed parallel  to the  posterior
aspect of T5 vertebral body and drawn to the vertical  line. This angle represents the forward kyphosis.
This angle measured 53 degrees.

The patient was treated using ABC™ technique. She received 17 adjustments over a 3 month period.

Follow-up films were taken 3/30/2001


The pre-treatment film and post treatment films were overlaid. The osseous abnormalities at
T10-12 were identical indicating that the patient positioning and central ray projection was
consistent between studies. The thoracic apex changed from T10 to T8 on these follow-up films.
The plumb line to thoracic apex distance decreased from 12.25cm to 9cm. The angle of the upper
thoracic kyphosis (T5 to Vertical) was 29 degrees. This indicates a reduction of thoracic kyphosis
of some 24 degrees.
 

The patient will continue to receive ABC™ treatments and a third set of films is planned 
after about 20 more adjustments.