What Does Scoliosis Mean?
What Does Scoliosis Mean? Scoliosis is a disorder of the spine that causes the bone to bend sideways, often occurring in children who are still in its infancy or puberty.
Scoliosis causes lateral curvature (to the side) in the normally vertical vertebral spine. When viewed from the side, the spine shows a mild outward curvature on the upper back and shows a mild degree of inward curvature in the lower back.
What causes scoliosis?
There are many types and causes of scoliosis, including:
- Congenital scoliosis. Caused by bone abnormalities at birth.
- Neuromuscular scoliosis. The result from abnormal muscle or nerve. This scoliosis is often seen in people with spina bifida (the condition of the spinal cord outside of the bone) or cerebral palsy or in those with various conditions accompanied by paralysis.
- degenerative scoliosis. This may be the result of trauma (from injury or illness) that leads to the breakdown of bone structure, due to previous major surgery, or osteoporosis (bone thinning).
- idiopathic scoliosis. The most common type of scoliosis, idiopathic scoliosis, has no specific cause that can be identified. There are many theories, but no exact cause has been found. There is strong evidence that idiopathic scoliosis is genetically inherited.
Who gets scoliosis?
Overall, girls are more likely to be affected than boys. The most common idiopathic scoliosis is in adolescent conditions affecting those aged 10 to 16. Idiopathic scoliosis may continue during the “growth spurt” period in adolescents, but it usually will not develop during adulthood.
Diagnosis and Treatment
Diagnosis of the scoliosis curve is mostly initially detected in school screening tests, by pediatricians or family doctors, or by parents.
Some hints that a child may have scoliosis include an unequally high shoulder between left and right, the bone of the scapula on the back that is more prominent on one side, the waist is not balanced between the left and right waist, or has a posture that leans to one side.
Diagnosis of scoliosis and the determination of the type of scoliosis is then made by examination of bone and X-rays to evaluate the magnitude of the curve.
What is the treatment of scoliosis?
The majority of teens with significant scoliosis with no known regularly observed cause (usually every four months to six months), including physical examination and low X-ray examination.
Treatments for scoliosis include:
- Braces. Bracing is a reinforcement that is used outside, like a hard and rigid shirt, for teen treatment options that have a spinal curve between 25 degrees to 40 degrees – especially if their bones are still going to grow and if they have at least 2 years of remaining growth. The purpose of bracing is to stop the development of the curve. This can provide temporary correction, but usually, the curve will get bigger when bracing is released.
- Operation. Scoliosis sufferers having an outer curve of 40 degrees to 50 degrees are often considered for scoliosis surgery. The goal is to make sure the curve is not getting bigger, but the imperfect operation straightens the spine. Scoliosis surgery usually involves combining metals with the spinal cord permanently – called spinal fusion. In young children, other techniques that do not involve fusion can be used because fusion stops spinal growth because it is attached to the spine. In this case, the clamp should always be worn after surgery.
Many studies have shown that electrical stimulation, exercise programs, and manipulation are not beneficial in preventing the development of scoliosis. However, people with scoliosis should remain active and fit.
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