Nozzles are used in conjunction with almost all reaction engines. Vehicles using nozzles include jet aircraft, rockets and personal watercraft. While most nozzles take the shape of a cone or bell, some unorthodox designs have been created such as the aerospike. Some nozzles are intangible, such as the electromagnetic field nozzle of a vectored ion thruster.Continuous track is sometimes used instead of wheels to power land vehicles. Continuous track has the advantages of a larger contact area, easy repairs on small damage, and high maneuverability. Examples of vehicles using continuous track are tanks, snowmobiles and excavators. Two continuous tracks used together allow for steering. The largest vehicle in the world, the Bagger 288, is propelled by continuous tracks. Propellers (as well as screws, fans and rotors) are used to move through a fluid. Propellers have been used as toys since ancient times, however it was Leonardo da Vinci who devised what was one of the earliest propeller driven vehicles, the "aerial-screw". In 1661, Toogood & Hays adopted the screw for use as a ship propeller. Since then, the propeller has been tested on many terrestrial vehicles, including the Schienenzeppelin train and numerous cars. In modern times, propellers are most prevalent on watercraft and aircraft, as well as some amphibious vehicles such as hovercraft and ground-effect vehicles.
The Harrington rod obviates the need for prolonged casting, allowing patients greater mobility in the postoperative period and significantly reducing the quality of life burden of fusion surgery. The Harrington rod was the precursor to most modern spinal instrumentation systems. A major shortcoming was that it failed to produce a posture wherein the skull would be in proper alignment with the pelvis, and it did not address rotational deformity. As the person aged, there would be increased wear and tear, early onset arthritis, disc degeneration, muscular stiffness, and acute pain. "Flatback" became the medical name for a related complication, especially for those who had lumbar scoliosis.In the 1960s, the gold standard for idiopathic scoliosis was a posterior approach using a single Harrington rod. Post-operative recovery involved bed rest, casts, and braces. Poor results became apparent over time.In the 1970s, an improved technique was developed using two rods and wires attached at each level of the spine. This segmented instrumentation system allowed patients to become mobile soon after surgery.In the 1980s, Cotrel-Dubousset instrumentation improved fixation and addressed sagittal imbalance and rotational defects unresolved by the Harrington rod system. This technique used multiple hooks with rods to give stronger fixation in three dimensions, usually eliminating the need for postoperative bracing. Evolution
There are links between human spinal morphology, bipedality, and scoliosis which suggest an evolutionary basis for the condition. Scoliosis has not been found in chimpanzees or gorillas. Thus, it has been hypothesized that scoliosis may actually be related to humans morphological differences from these apes.