Idiopathic Scoliosis is a spinal deformity that involves an irregular curvature of the spine. This condition can appear and progress during any growing period in healthy children or young adults, affecting more girls then boys. During these growing periods the spine of the child can be considered developing in the shape of an “S” or a “C” (Rigo, Villagrasa, & Gallo, 2010, para. 1). There are three different types of idiopathic scoliosis that can affect a specific age group. The first is infantile which affects children ages 1-3, the second is juvenile which affects ages 3-10, and lastly there is adolescent type which affects children after the age of 10 to after the onset of puberty (Edgar, 2002, p. 270). These groups are categorized by when …show more content…
According to Schlösser, T. C., van der Heijden, G. G., Versteeg, A. L., and Castelein, R. M. (2014), from the Department of Orthopedic Surgery of University Medical Center Utrechet, “Studies suggest that the abnormal spinal curvature may be related to hormonal problems, abnormal bone or muscle growth, nervous system abnormalities, or other factors that have not been identified” (p. 5). This condition can also be a result of some genetic or environmental problems (Wajchenberg et al., 2010, para. 2). Due to this idea, researchers mainly suspect that many genes are involved in the start of this condition. While some genes may contribute to this disorder, others are a deciding factor as to how severe the spinal curvature and if it will continue to progress or not. Idiopathic Scoliosis can affect more than one family member, or only one in a family, leaving the inheritance pattern of idiopathic scoliosis unclear. Due to this pattern, heredity could also be considered another factor because researchers have found a connection to the 19p13.3 chromosome, which has the highest gene density of all chromosomes (Wajchenberg et al., 2010, para. 4). Regardless of all the studies on the genes, there have only been a few clear and consistent …show more content…
Like stated earlier, these curves develop in the shapes of an ‘S’ or ‘C’ (Rigo et al., 2010, para. 1). Most curves tend to affect the thoracic and the lumbar parts of the spine, according to Ibrahim, D. A., Myung, K. S., & Skaggs, D. L. (2013), from Children’s Orthopedic Center (p. 830). The thoracic is found in the upper back and goes from the base of the neck to the bottom of the rib cage, while the lumbar is just below that. The curve will go to one side of the thoracic and the other side for the lumbar or they both will go the same way. The curve is measured by the Cobb method. According to Langensiepen et all. (2013), from Paediatric Rehabilitation at the University of Cologne, this is how the Cobb method is used to find the angle and degree of the curvature. First, one must decide where the end-vertebrae of the curve is which are the upper and lower limits of the curve that are tilted most severely. Then, draw a line along both the endplates. When these lines intersect, it will give you the angle of interest. From that angle, may can estimate the degree of rotation of the vertebra by looking at the relation of the pedicles, a stub of bone that helps form the vertebral arch, to the midline (p. 2361). Any curves with degrees under 20 is considered a mild cases and requires only observation, while curves over 20 degrees require some sort of
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
Only vertebral segments at rest and end range were analyzed for the purpose of this study. The intervertebral angle was measured using the National Institute of Health Image software. Intervertebral angles are defined as the distance between two end plates. The difference between end range and resting intervertebral angles was defined as segmental lumbar motion. An increase in spinal extension denoted a positive value, whereas a negative value was denoted by a decrease in spinal extension.
In a normal skeletal structure, the adult vertebral column shows four slight bends called normal curves when it is viewed from the side. The vertebral column consists of seven cervical vertebrae, twelve thoracic vertebrae, five lumbar vertebrae, a sacrum and a coccyx. The curve of the vertebral column help maintains the upright position, protect the vertebrae from fracture and absorb shocks during walking. However, osteoporosis results in three types of abnormal curves of the vertebral column which is kyphosis, lordosis, and scoliosis. Kyphosis is a condition of an outward curvature of the spine causing hunching of the back where it is common among females with advanced osteoporosis. Meanwhile, lordosis is an excessive inward curvature of the
Diagnosis is made based on an increase of the ratio of deoxypyridinoline to pyridinoline crosslinks in urine measured by high-performance liquid chromatography, as well as family history, and clinical examination. There is also a connection to the gene PLOD1. Kyphoscoliosis type is classified in order of occurrence by; joint laxity, severe hypotonia at birth, delayed gross skill development, progressive scoliosis, scleral fragility, tissue fragility, thin scars, easy bruising, spontaneous aortic rupture. Treatment involves, management of scoliosis by an orthopedic surgeon, physical therapy to strengthen large muscle groups, bracing of joints, pads and helmets for active sports. Cardiovascular monitoring, routine checkups, avoidance of high impact sports, monitoring during
Scoliosis is a condition were the spine, which is normal straight, is curved to the left, right or in some cases both left and right. Idiopathic scoliosis has no known cause, 80% of all cases of scoliosis are idiopathic (Gennari et al. 2015). This curvature can cause problems with the heart, lungs, and cause back pain due to the stress on the spine. Ten to twenty percent of people experience back pain during growth in adolescence (Gennari et al. 2015). Those who suffer from idiopathic scoliosis are twice as likely to experience back pain when compared to patients without scoliosis (Théroux et al. 2015). Idiopathic scoliosis affects between 2% and 3% of the world population (Théroux et al. 2015).
Scoliosis is an abnormal curvature of the spine that if left untreated can lead to medical complications. A healthy spine the small bones called vertebrae align in a series to compose the spine. Ligaments and muscles connected to the spine provide stability while allowing movement. The curve in the neck area is called the cervical spine, the second curve forms the thoracic spine located in the upper back, the third curve forms the lumbar spine located in the lower back. Scoliosis causes an abnormal side to side curve of the spine, this effects the structure and posture of the body. One hip or one shoulder blade may seem higher than the other. Shoulder blades may stick out and the body may lean to one side. Scoliosis is a progressive condition
While the etiology of adolescent idiopathic scoliosis is unknown, a genetic contribution is suspected (8). Twin and family history studies have shown that familial adolescent idiopathic scoliosis may possibly be linked to the X-chromosome and have a dominant pattern of inheritance (9). Other factors such as growth hormone secretion, paraspinal musculature, connective tissue structure, vestibular function, and melatonin secretion may each collectively play a role in the etiology of idiopathic scoliosis (2). No clear evidence supports any one factor plays a dominant role in the pathophysiology of the condition (2).
The examination of clinician behavior is an intriguing view on the situation. The dominant perspective of spinal surgery has developed as the golden standard for scoliosis patients. In contrast, the author was able collect high level studies that promote exercises as a form of
Twins and family have reliable indication of genetic involvement to the disorder. On the other hand, no genetic factor remained knew which precisely produce or incline people to the idiopathic type of scoliosis (Fleming, 2006). Investigators have established that scoliosis is a multifaceted trait. In isolation, there are prospective to be manifold inherited, ecological, and hypothetically supplementary issues that interject to the etiology of the stipulation. Scoliosis is found in men and women; however, in women the curve of the spine will progress, whereas in a men it will not. Women will get treatments more often than men
According to Honeyman from Raising awareness of Scoliosis among children's nurses “Between 80% and 85% of Scoliosis has no known cause, although there may be some genetic traits of the condition”(Honeyman Raising awareness 26(5) 30-37). Scoliosis is a disease of the spine. Most people do not know about Scoliosis. “There are about roughly 3% of adolescents that are born with Scoliosis”(Honeyman Raising Awareness 26(5) 30-37). There is a lot of differences between the types of Scoliosis. There are ways to correct Scoliosis. Scoliosis is a lifetime disease. With most cases of Scoliosis, it is only presented in babies and children and some teens. Scoliosis has many different types and they mostly present in young children, but there are some
using the same technique as for the conventional radiographs(X-ray), by using multiplanar reconstruction technique through the midsection of each vertebral body for the MRI and the digital reconstructed radiograph for the CT scan. The same levels were used for each patient on the three different imaging methods. (Brink et al. Scoliosis and Spinal Disorders 2017)
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.).”
What is Scoliosis? Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt and puberty which also is a disorder that causes an abnormal curve of the spine, or backbone. The curve is usually S or C-shaped. Some scoliosis does not typically cause problems, only severe cases can interfere with breathing otherwise there’s no pain. Which can be caused by conditions such as cerebral palsy and muscular dystrophy? The cause of most scoliosis is unknown. Scoliosis was developed by Hippocrates who is a Greek physician of the Age of Pericles which is considered one of the most outstanding figures in the history of medicine. Scoliosis has multiple types based on the cause and age of the person. How to prevent scoliosis? Unfortunately scoliosis isn’t preventable due to a disorder people are born with.