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Scoliosis and spinal deformity
Scoliosis is a disease characterized by an abnormal curvature to the spine, in which the vertebrae twist like a bent corkscrew. In less severe cases, scoliosis may cause the bones to twist slightly, making the hips or ribs appear uneven. When this occurs, the problem is more cosmetic and less of a health risk.
Scoliosis does present a health risk if bones are so
severely twisted that they compress vital organs, or if the spinal
deformity is so severe that spine health and posture is threatened.
If this happens, surgery may be necessary. If left untreated, severe
cases of scoliosis can shorten a person's life span.
The exact cause of scoliosis is unknown. Only 1-4 percent of the population
has this condition. It is more common in women than men and most
often affects adolescents between the ages of 10 and 18. A child's
likelihood to develop scoliosis is much higher if their parent or
a sibling has it. Scoliosis can also develop over time in mid- to
late childhood, usually before puberty. In other cases, the disease
is congenital, meaning a person is born with a vertebral abnormality
that causes it.
Sometimes, the symptoms of scoliosis are visible. For instance, the
child may have uneven shoulders, chest, hips, shoulder blades, waist,
or a child may have a tendency to lean to one side. In other cases,
there are no visible symptoms. To diagnose a child with scoliosis,
have them touch their toes. If either one or both shoulder blades
are prominent, the waist is shifted or ribs are uneven, scoliosis
may be present. For a child or teenager, your pediatrician often
screens for scoliosis. There are school screening programs as well.
Outlined below are some of the diagnostic tools that your physician may use to gain insight into your condition and determine the best treatment plan for your condition.
There are roughly three tiers of treatment for adolescent scoliosis. General scoliosis treatment options include observation, bracing, and if the curve is large and progressive, surgery. Patients with pain and function issues can be treated with therapy, as well as physiatry (physical medicine and rehabilitation physician-supervised programs). Sometimes, shoe inserts (orthotics) are prescribed for those whose legs are uneven.
For adults, the emphasis is on function and movement. Bracing is used only as a temporary pain relief measure; it cannot correct the curve in an adult. Treatment focuses on medications and physical therapy. If other problems exist that are caused by the scoliosis (sacroiliac dysfunction, flatback, spinal stenosis, nerve root pinching), there are many non-operative treatments for each of these issues.
Surgery may be required in order to correct the spinal curve. Surgery is usually only recommended for large, progressive curves or in those patients who have nerve pain that steadily worsens. These surgeries can be extremely complicated, and a person should invest a great deal of time in selecting a spine surgeon who subspecializes in using the most current (fourth generation) corrective techniques. As with any spine surgery, finding a doctor with experience in this specific type of surgery is key.
As with any disease, the sooner the problem is discovered,
the more treatment options there are available to arrest the progress
of the condition.
How can I tell if I have scoliosis?
Your doctor will take X-rays of your spine which will reveal whether or not scoliosis is present as well as how severe it may be.
When is scoliosis considered dangerous to my health?
Scoliosis can be life-threatening when bones are so severely twisted that they compress vital organs. Surgery is most likely the best option in such cases. If left untreated, severe cases of scoliosis can shorten a person's life span.
What are some of the nonsurgical ways to treat scoliosis?
There are some nonsurgical ways to treat scoliosis such as physical
therapy, exercise, bracing, shoe inserts and medication. However, only
a spine surgeon can determine if any of these options might apply to
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