Scoliosis is a sideways curvature of the spine that happens most often during the growth spurt just before puberty. While scoliosis can be caused by conditions like cerebral palsy disease and muscular dystrophy, the reason of most scoliosis is not known. About 3% of adolescents have scoliosis disease. Most cases of scoliosis are nominal, but some spine deformities continue to get more serious as children grow. Chronic scoliosis can be disabling. An especially spinal severe curve can minimize the amount of space within the chest, making scoliosis complex for the lungs to function properly. Children who have slight scoliosis are monitored closely, generally with X-rays, to see if the curve is getting worse. In many cases, no treatment of scoliosis disease is necessary. Some children will require to wear a brace to stop the curve from worsening. Others may require surgery to keep scoliosis from worsening and to straighten chronic cases of scoliosis.
Symptoms of Scoliosis Disease
Signs and symptoms of scoliosis disease may contain:
1) Uneven shoulders
2) A one-shoulder blade that comes more prominent than the other
3) Uneven waist
4) One hip higher than the other
If a scoliosis symptoms curve gets worse, the spine will also rotate or twist, in addition to curving side to side. This makes the ribs on one side of the body to stick out farther than on the other side.
Scoliosis Disease Causes
Doctors do not know what causes scoliosis, although it comes to involve hereditary factors, because the disorder tends to run in families. Less common types of scoliosis caused by:
1) Neuromuscular conditions, like cerebral palsy or muscular dystrophy
2) Birth defects influencing the development of the bones of the spine
3) Injuries to or infections of the spine
Complications of Scoliosis Disease
While most people with scoliosis have a simple form of the disorder, scoliosis complications, including:
1) Lung and Heart damage: In chronic scoliosis, the rib cage may press against the lungs and heart, making it more complex to breathe and more robust for the heart to pump.
2) Back problems: Adults who had scoliosis as children are more likely to have chronic back pain than are people in the overall population.
3) Appearance: As scoliosis worsens, it can form more noticeable changes, including uneven hips and shoulders, prominent ribs, and a shift of the waist and trunk to the side. Individuals with scoliosis disease sometimes become self-conscious about their appearance.
Scoliosis Disease Diagnosis
The doctor will primarily take a detailed medical history and may ask questions about recent growth. During the physical test, the doctor may have your child stand and then bend send from the waist, with arms hanging loosely, to see if one side of the rib cage is more prominent than the other. The doctor may also do a neurological test for the diagnosis of Scoliosis disease:
1) Muscle weakness
3) Abnormal reflexes
4) Imaging test: Plain X-rays can ensure the diagnosis of scoliosis and disclose the severity of the spinal curvature. If a doctor suspects that an underlying condition such as a tumor is causing scoliosis, he or she may suggest additional imaging tests, such as an MRI.
Treatments of Scoliosis Disease
Most children with scoliosis have nominal curves and probably would not require treatment of scoliosis with a brace or surgery. Children who have nominal scoliosis may require daily checkups to monitor if there have been changes in the curvature of their spines as they increase. While there are guidelines for theoretical, moderate, and severe curves, the decision to start treatment of scoliosis is always made on an individual basis. Factors to be considered contain:
1) Sex: Girls have a much greater chance of progression than do boys
2) Curve pattern: Double curves, also called as S-shaped curves, tend to worsen rarely than do C-shaped curves.
3) Location of the curve: Curves positioned in the center section of the spine worsen rare than do curves in the upper or lower parts of the spine.
4) Maturity: If a child’s bones have stopped growing, the chance of curve progression is little. That also means that braces have the most effect in children whose bones are still increasing.