Scoliosis and Other Spine Problems

Scoliosis

The spine should be straight looking from the back. It is scoliosis if there is any deviation making it curved.

Scoliosis is most common between the age of 10 to 16. The cause is unknown. It may be related to genetics, hormonal imbalance, development and posture. The male to female ratio is 1:7.

Description: http://www.pro-med.com.tw/edu/whatisscoliosis.files/image001.jpg

Besides curvature, there is also rotational deformity giving rise to a hump.

Description: http://www.pro-med.com.tw/edu/whatisscoliosis.files/image002.jpg 

Examination
The Adam’s test is to inspect the back with the patient bend forward 90 degrees. One side is higher than the other side if there is scoliosis.

The scoliometer can measure the amount of inclination

Description: http://www.tsrhc.org/img/Images/scoliometer.JPG

X ray will show the scoliosis and it can be measured by the Cobb method as shown below.

Description: http://www.planetc1.com/images/scoliosis-xray-female.jpg

Description: http://www.pro-med.com.tw/edu/whatisscoliosis.files/image010.jpg

Treatment depends on the severity of the curve and the maturity of the patient. Small curve below 20 degrees are treated by physical therapy and regular monitoring. Curves between 20 to 40 degrees are treated by bracing. The night bracing is very effective in preventing progression and is readily accepted by most adolescents. Curves greater than 40 degrees may require operation.


Description: http://www.oppak.com/limbsnew/L0486CharlestonBendingBrace.jpg

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