Scoliosis – Treatment Causes Symptoms / Detailed Article
Scoliosis is a sideways curvature of the spine that most often precedes puberty during development. While scoliosis can occur due to conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. About 3% of adolescents have scoliosis.
Most cases of scoliosis are mild, but some spinal deformities become more severe as children grow. Severe scoliosis may be disabled. A particularly severe spinal cord can reduce the amount of space within the chest, making it difficult for the lungs to function properly.
Signs and symptoms of scoliosis may include:
- Uneven shoulder
- A shoulder blade that looks more prominent than the other
- Uneven waist
- One hip more than the other
- If a scoliosis curve worsens, there will be twisting or turning of the spine, also on the side. This causes the ribs on one side of the body to stick out from the other side.
Doctors have no idea what the most common type of scoliosis is – although it appears to involve hereditary factors, as the disorder runs in families. Less common types of scoliosis may be caused by:
Neuromuscular conditions such as cerebral palsy or muscle development
Birth defects affecting the development of spinal bones
Spinal cord injury or infection
Risk factors for developing the most common type of scoliosis include:
Ages. Signs and symptoms usually begin during development that occurs before puberty.
Gender. Although both boys and girls develop mild scoliosis at the same rate, girls are at a much higher risk of worsening of the curve and needing treatment.
family history. Scoliosis can run in families, but most children with scoliosis do not have a family history of the disease.
Treatment of scoliosis is based on the severity of the curve and the likelihood of the curve deteriorating. Some types of scoliosis are more likely to worsen, so the type of scoliosis also helps determine appropriate treatment. There are three main categories of treatment: observation, bracing (eg, thoracolumbosacral orthosis or TLSO back brace), and surgery. As a result, there are treatments available that do not involve surgery, but in some individuals, surgery may be their best option.
Functional scoliosis is caused by an abnormality elsewhere in the body. Such scoliosis is treated by treating that abnormality, such as a difference in leg length. A short wedge can be placed in the shoe to help prevent leg length and spine from bending. There is no direct treatment of the spine because the spine is normal in these people.