Introduction
Everyone’s spine has natural curve which round our shoulders and make our lower back curve slightly inward (Common Scoliosis Questions). Scoliosis is an abnormal curvature of the spine (Taylor, 2011, p394). Scoliosis can also be defined as a lateral (towards the inside) curvature of the spine with increased convexity (the quality or state of being curved outward) on the side that is curve (Taylor, 2011, p601). There are several less common types of scoliosis, but the four major different types of scoliosis are congenital scoliosis, early onset scoliosis, idiopathic scoliosis, and neuromuscular scoliosis. The spinal curves cannot be corrected simply by learning to stand up straight like poor posture.
History
Little is known about the history deformities of the spine (Vasiliadis, 2009). Curvature of the spine is a disorder that has plagued the
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It affects eighty-five percent of people. Idiopathic scoliosis frequently runs in families and there is a growing body of evidence that genetics plays a major role (What Causes Scoliosis, 2008). Congenital scoliosis is when scoliosis is present at birth when the vertebrae is irregularly formed. Central nervous system disorders (cerebral palsy), muscle diseases (muscular dystrophy), or genetic diseases (Down syndrome) may cause scoliosis. Infections and fractures containing the spine, may cause scoliosis. The risk factors for scoliosis are age, gender, and family history. The usual age is typically between 9 and 15 years, which signs and symptoms begin during growth spurt prior to puberty. Both boys and girls develop mild scoliosis at about the same rate, yet, girls have a much higher risk of the curve worsening and requiring treatment (Scoliosis, 2012). Scoliosis is maybe hereditary, but most children with scoliosis do not have a family history of the disease (Scoliosis, 2012). If there is a family history of scoliosis, 20% will develop the
In conclusion, scoliosis may vary from your family and genetics also comes from bad posture and balance. Scoliosis does vary in different types and is mostly to be seen in males rather than females. During the process of having scoliosis you may have lower/upper back and neck pain. If you do not know whether you have scoliosis or not you may see a physician to determine so. As a result , surgery is the only long lasting way to cure scoliosis and doctor’s visits is the only way to prevent
After a quick x-ray I wait for the doctor for what seems like hours, when she finally enters the room she looks in my eyes and says the exact word I was praying not to hear... “unfortunately”. My heart drops, she continues, “The x-rays showed a significant change in your curve.” I sit there, staring at the doctor, pale faced and in shock. When you have scoliosis, your spinal curve is measured in degrees, at around a 20 degree curve you would be
There are three different types of musculoskeletal disorders that effect the spinal column: Lordosis, Kyphosis, and Scoliosis. Scoliosis effects the largest amount of people and also effects the widest range of ages. There are three different types of scoliosis and they are categorized by the age at which the deformity developed. Infantile scoliosis develops from birth to 4 years old, juvenile scoliosis develops from 4 to 9 years old, and adolescent scoliosis develops from 10 to 18 years. Scoliosis is most commonly developed in the adolescent stage, it compromises approximately 80 percent of all scoliosis cases (Baaj, 2017). Any
Hi my name is Dr. Allen and I am from the Pediatric Orthopedic Department. Today I want educate you on the most common diseases and conditions that we see here in this department. Our first condition we will discuss is Kyphosis (curvature of the spine). Kyphosis (curvature of the spine) is a condition in which the curve in the spine is measuring 50 degrees or greater. Kyphosis (curvature of the spine) can be congenital (present at birth) or it can be something that develops later in life. If a child is not born with the curvature in the spine, the cause of Kyphosis (curvature of the spine), can be a number of things ranging from Spina bifida (split spine), Osteogenesis
King will be talking about how dangerous football is. There will be knee cartilagae tears. I will also be talking about spine injuries. The final thing is death. Thatnis all.
The person posture I will be discussing is using a laptop. The laptop is located on their lap, with the screen about 8 inches from the face. The person I’m observing is also sitting in a chair with a flexible back and a headrest. Even though there is a large backrest, the person is hunched over towards the computer screen. This created a huge curvature in the back, especially in the thoracic region. There is a greater kyphosis curvature within the thoracic region also affects the other regions of the spine. The lumbar spine seems to have a less lordosis curvature as this person is hunching over to look at the computer screen. The cervical have more a greater lordosis curvature compared to a normal sitting posture. The person is sitting
When scoliosis is found in children with the curve being between twenty-five and forty-five and is still professing then the child may be given a back brace to try and prevent the curve to get larger. The back brace cannot correct curvature in a child's back, but it will stop the profession of the curve (bracing). Most people with scoliosis do not have to wear a back brace. One in every six scoliosis patient show sign that their curve may increase a lot during a child's growth spurt. When a curve starts to progress majorly than there is more likely for surgery (wearing). The last option would be surgery.
Ogura Y, Kou I, Miura S, et al. A functional SNP in BNC2 is associated with adolescent idiopathic scoliosis. The American Journal of Human Genetics. 2015; 97(2): 337-342. doi: 10.1016/j.ajhg.2015.06.012
In almost all cases, scoliosis does not require invasive treatment. A doctor will monitor the curves in a growing adolescent. The doctor may take period x-rays, and the patient may need a periodic examination. If the spinal deformity increases, the patient may need to be evaluated by an orthopedic surgeon.
Your clinical vignette of your patient illustrates the involvement of leg-length discrepancies (LLDs) to the spinal posture. Assessment of any existing LLDs is an important part of a musculoskeletal examination, especially with scoliosis, low back pain, and total hip replacement patients. Landauer (2013) affirmed the need for evaluation of LLDs in the diagnosis and treatment of scoliosis.
Both the age and maturity of the patient as well as the severity of the condition dictate the therapeutic treatment (4). Conservative treatments are often implicated during the beginning stages of skeletal maturity because there is an increased amount of bone remodeling and greater chance of successful halt of curve progression (4). Once a patient has reached skeletal maturity, conservative treatments are often ineffective and more invasive and radical therapies must be utilized (4). In conjunction with skeletal maturity assessment, Cobb angles are also used as an indicator of treatment options (1). Patients who are skeletally immature and have a Cobb angle of less than 20 degrees often are simply monitored and observed periodically (1). A spinal brace is indicated in growing adolescents when the curve is between 25 and 45 degrees (4). The goal of bracing is to arrest progression of the curve, therefore bracing is not effective in curves that are not likely to progress or when limited growth remains (1). Different types of braces are available. While the Milwaukee brace, which provides longitudinal traction between the skull and pelvis, was used quite often in the past, it has largely been replaced by the Boston brace (4). The Boston brace utilizes similar mechanics as the Milwaukee brace, but it has an increased acceptance rate of patients because it is less conspicuous and can be easily hidden under clothing (4). The Charleston bending brace is another alternative, but is typically only prescribed for nighttime wear and is best suited for single curves in the thoracolumbar or lumbar region of the spine (4). Although brace treatment is standard of care in most patients with scoliosis, its effectiveness varies in different patients. Patient compliance is the single most important factor when determining
Depending on the severity of the curvature, different treatment methods are implemented to attack this abnormality of the spine. Although the effectiveness of using plastic back braces to deter the curvature is still to be determined, doctors still generally use this method for smaller curves. In recent years, doctors have been employing a minimally invasive surgical approach for larger curves, one that requires surgeons to only make a few small incisions along the spine, rather than the traditional two-foot incision along the spine. This technique is by far the most radical treatment since the first scoliosis surgery took place in the early 1900s.
Many people may wonder exactly what scoliosis is. Scoliosis is a sideways curvature of the spine that is greater than ten degrees. Mild scoliosis ranges from ten to twenty degrees. Intermediate scoliosis ranges from twenty to seventy degrees, and severe scoliosis is any curve greater than seventy degrees. Though cases of scoliosis are found equally among both male and females, females scoliosis tends to be more severe (Board). Scoliosis can be present at birth, congenital. There are a few different types of scoliosis; functional, structural, and idiopathic structural. In functional scoliosis the problem does not originate the spine. The curvature in functional scoliosis is flexible,
Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”
When there is a difference in shoulder heights, the head is not centered, there is a difference in hip position, and if there is a difference in shoulder blade height or position, that child has the trait of scoliosis. A simple test to find other traits is to have the child stand straight or bend to touch their toes. If the arms are hanging at different positions or when they are bending one side of the back is at a different height, then they may have scoliosis. If the scoliosis gets very severe, not usually found in children, then the ribcage may start to press against the lungs and heart, leading to heavier breathing to get air