Scoliosis is an unnatural curvature of the spine condition that is generally associated with children, but it can occur in adults too. You may have heard it being referred to as adolescent idiopathic scoliosis. Typically it happens when the condition is not detected during childhood or if it progresses aggressively. Scoliosis causes the spine to curve to either the left or right, creating an S shape. There are different types of scoliosis, namely :
Idiopathic scoliosis
Congenital scoliosis
Neuromuscular scoliosis
Degenerative or adult scoliosis
Uneven shoulders- one shoulder blade is more prominent than the other
One hip that is higher than the other
One prominent shoulder blade
Head is not centered directly above the pelvis
Changes in look or texture of skin overlying the spine
Neck and back pain
Difficulty breathing (in severe cases)
Early diagnosis and treatment helps to prevent curve progression and deformity. Scoliosis left untreated may progress, leaving the spine abnormally curved, stiff, and sometimes rigid. This makes treatment difficult and increases the risks for serious complications. Below are few tests to diagnose Scoliosis conditions -
Magnetic resonance imaging (MRI)
Computerized (or computed) tomography (CT scan)
Bone Scan
There are two main non-surgical options for children with scoliosis: observation of the curve and bracing.
Based on the patient's age, number of remaining growing years, curve size, curve pattern, likely rate of curve progression, and appearance, the doctor will develop a treatment plan. The doctor will then decide on which treatment option is best for the patient – observation or bracing.
Most young patients with idiopathic scoliosis are required to see their doctor every 3 to 4 months to monitor the curve and see if it is getting worse.
Bracing is usually recommended for adolescents who have curves greater than 20 degrees and at least 2 years of growth remaining. Bracing is used to stop or slow the growth of the curve as well as to improve spinal deformity.
The non-surgical treatment options differ slightly for adults with scoliosis. Bracing is generally not recommended for adults because bracing will not help in stopping the curve in adults and also, because it usually does not help in controlling pain. Instead, medication for inflammation and pain, moist heat, and exercise are recommended for them.
Doctors recommend surgery for children with scoliosis if their progressive scoliotic curves are greater than 40 degrees. The goal of spine surgery for this condition is to prevent the curve from worsening, restore the spine to a more normal appearance and alignment, and also to address any heart or lung function problems or back pain that is caused by the scoliosis.
The most common surgical procedure for scoliosis is spinal fusion using spinal instrumentation. Using a combination of hooks, rods, screws, cables, and cages, the spine back is moved into a more normal alignment carefully by the surgeon. Next, a bone graft is put in, usually using bone from the patient's body, or a biological substance, which will help in stimulating growth of the bone, so that the bones in the spine fuse together as time passes.
Surgery may also be recommended for adults with scoliosis, but the reasons for this are different. Unlike scoliosis surgery for children, it is not correcting the curve that is the most important goal of surgery. Instead, the main goal is to try to stop the curve from getting worse later.
Excellent Outcomes and Affordable Cost is assured.
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