Adolescent idiopathic scoliosis (AIS) is a complex spinal deformity that affects millions of people worldwide. Severe scoliosis is thought to be progressive. This case study examines the benefits of a comprehensive, non-surgical treatment protocol developed by the Chiropractic Leadership, Educational Advancement, and Research (CLEAR) Institute. The 14-year-old male had been diagnosed with a severe case of AIS (Risser 2). He presented with a Cobb angle of 42.4°. After 13 months of consistent adherence to the Clear Life Scoliosis Reduction treatment plan, the patient's Cobb angle was reduced to 23.8° and was accompanied by a marked improvement in the patient's physical function, including increased mobility, chest expansion, and enhanced respiratory capacity. The success of this case study can be attributed to a holistic approach to scoliosis management, which recognizes the importance of addressing the underlying biomechanical factors, musculature imbalances, and postural abnormalities that contribute to the condition. While surgical intervention can be the treatment of choice for severe cases of AIS, the findings of this case further support the growing body of research that highlights the efficacy of non-surgical interventions in the management of AIS, giving patients and healthcare providers an alternative to explore. Further studies are needed to explore the long-term efficacy of this approach and its potential to become a mainstream treatment option.

Introduction: Adolescent Idiopathic Scoliosis (AIS) is a complex spinal deformity that affects millions around the globe. Prevailing theories limit the scope of the spinal deformity to only the scoliotic affected area. Objective: The aim of this study is to investigate the biomechanical relationship between cervical mechanics and AIS. Research is warranted to evaluate the specific mechanical correlations and potential contributory role of altered dynamic cervical alignment in the development or progression of scoliotic deformities. Methods: This study was designed as a cross-sectional, descriptive, and retrospective analysis. This study included 37 participants for analysis. Cervical Lateral (Neutral, Flexion, Extension), AP scoliosis radiographs with computer-aided quantitative measurements were recorded for cervical lordosis, cervical segmental instability, and scoliosis Cobb angles. Anterior head translation (AHT) was measured from C2 to C7. Global cervical shape was compared to known buckling patterning. Quantification of the scoliosis utilized the Cobb scoliosis method of measurement. Results: This study's data strongly support the hypothesis that all AIS patients exhibit a loss of cervical lordosis, with cervical instability contributing to abnormal biomechanics associated with cervical buckling. A high percentage of the participants measured abnormal segmental translation, highest at 70.3% C3-C4 (p=0.0011). A lower proportion of patients (21.6%, p=0.9999) met the threshold for segmental angulation. The majority of patients (33 out of 37; 89.2%) exhibited Order 1 buckling. Four patients (10.8%) demonstrated Order 2 buckling. Conclusions: This case series demonstrates a correlation between AIS participants, cervical instability, cervical hypolordosis, and cervical buckling. This study adds to the literature by reviewing the abnormal cervical mechanics in AIS patients.

Adolescent idiopathic scoliosis (AIS) remains a significant clinical challenge due to limited nonsurgical interventions and inconsistent treatment protocols. Current standard practices, including observation, rigid bracing, and spinal fusion surgery, often overlook patients with mild to moderate curvature, contributing to progression and decreased quality of life. This retrospective single case report evaluates a nonsurgical treatment integrating a cantilever traction system, weekly spinal mobilization, and reflexive engagement of the labyrinthine righting reflex (LRR) in an adolescent female patient. Following three months of intervention, the patient's mild Cobb angle reduced from 10.9° to 3.8°, accompanied by clinical improvements in posture, neuromuscular balance, and proprioceptive awareness. These observations suggest the potential of integrated conservative interventions addressing existing gaps in scoliosis care, particularly for mild AIS patients.

Adolescent idiopathic scoliosis (AIS) is a progressive three-dimensional spinal deformity often managed with physiotherapeutic scoliosis-specific exercises (PSSE), bracing, or spinal fusion. Emerging evidence suggests that multimodal, high-frequency non-surgical rehabilitation may produce measurable improvements in spinal alignment through combined biomechanical loading and neuromuscular re-education. This case series evaluates radiographic and functional outcomes in two AIS subjects (Lenke 5C) undergoing a two-week intensive CLEAR protocol followed by ScoliBrace® implementation. Two female adolescents, with a mean age of 12 years, presented with rapid curve progression and no prior exposure to bracing or scoliosis-specific therapy. Both completed a two-week, 20-session intensive CLEAR program incorporating mechanical traction, Mirror Image® positioning, proprioceptive neuromuscular training, whole-body vibration, and corrective exercise. ScoliBrace® fitting occurred during week two. Radiographs were obtained at baseline, immediately post-intensive care, and at 6- and 12-month follow-up. Functional outcomes included the Functional Rating Index (FRI), height, chest expansion, angle of trunk rotation, Stork balance testing, and Modified Cox measurements. Case 1 demonstrated a lumbar Cobb angle reduction from 35.7° pre-intensive to 21.7° post-intensive and 10.4° at 12 months (71% total reduction). Case 2 demonstrated a reduction from 38.9° to 24.7° post-intensive and 15.7° at 12 months (60% total reduction). Both exhibited corresponding improvements in functional metrics. A short-duration, high-frequency multimodal rehabilitation program combined with custom bracing may produce rapid and sustained radiographic improvements in AIS. These outcomes warrant further investigation through larger prospective studies.

Motor vehicle collisions frequently result in persistent spinal pain in older adults, particularly among patients with a history of lumbar surgery, where altered biomechanics and compensatory loading can complicate recovery. In this population, care is often directed toward symptom management despite limited evidence for durable improvement and higher risks associated with invasive interventions. Reports of successful conservative structural rehabilitation remain relatively uncommon.

Motor vehicle collisions (MVCs) are a frequent cause of cervical spine injury and may result in persistent neurological and structural sequelae in a subset of patients. Many individuals may improve with standard active management. Complex presentations involving sagittal malalignment and suspected segmental instability remain clinically challenging. The relationship between cervical alignment, dynamic motion behavior, and neurological status continues to be explored within contemporary spinal biomechanics literature. This case report describes a 28-year-old woman who presented with persistent neck pain, neurological deficits, and functional limitation following a motor vehicle collision. The patient had a history of moderate thoracic scoliosis. Initial examination revealed forward head posture, reduced cervical extension, right-sided C8 sensory disturbance, and right C5-C8 motor weakness. Radiographic analysis demonstrated reduced cervical lordosis and abnormal segmental angular and translational motion on flexion and extension imaging. The Functional Rating Index (FRI) score at baseline was 23, indicating substantial disability. The patient underwent a structured course of conservative spinal rehabilitation emphasizing sagittal alignment restoration, neuromuscular retraining, and segmental motion control over 17 visits. Follow-up evaluation at three months demonstrated normalization of dermatomal sensation and motor strength, improved cervical range of motion, and a reduction in functional disability with the Functional Rating Index decreasing to 3. Repeat radiographs showed increased cervical lordosis and decreased abnormal intersegmental translation. This case documents concurrent neurological and radiographic changes in a post-collision presentation occurring in the context of pre-existing scoliosis. Although causation cannot be established from a single case, the findings highlight the potential relevance of evaluating cervical alignment and dynamic motion behavior in patients with neurologically involved whiplash presentations.