Scoliosis can originate from having one shorter leg, muscular diseases, polio, hip dislocation, or can arise after accidents; however, generally there is no known reason for scoliosis. 90% of patients show no signs of an imminent problem or pathology, and this type is called idiopathic scoliosis. This type of scoliosis can arise at any age.
Scoliosis generally originates as the cases below:
This is the most frequently observed type of scoliosis, generally viewed as having arisen from familial genetic characteristics. It is oftentimes seen in female children in their puberty, between ages 10-13.
Scoliosis in puberty does not cause pain and is hard to detect. Although high angle scoliosis is also seen in boys, girls tend to experience progressive scoliosis more often. Scoliosis might have begun forming a couple of years before it is detected. It should be remembered that scoliosis might develop at any stage of growth, therefore the child's spine should be checked regularly.
Idiopathic scoliosis can form in three age stages, and are classified accordingly. Scoliosis that emerges until 3 years after birth is called early childhood scoliosis.
At ages 3-8, it is called juvenile idiopathic scoliosis. It is not easy at times to clearly distinguish between these periods. Adolescent idiopathic scoliosis is the most frequent form of the deformity, seen at ages 9-13.
Congenital scoliosis (scoliosis observed at birth) is generally seen in early ages. It originates from a flaw related to the formation of the spine, or when vertebrae are set together.
In other words, the vertebrae are either numerically or developmentally deficient or insufficient. This type of scoliosis should be diagnosed and treated immediately, as it can progress rapidly.
This type of scoliosis can develop as a result of muscular deformation due to infant cerebral palsy, or progressive neurological diseases of the neuromuscular system. These cases of scoliosis is progressive and they affect hip development, limiting the child'd walking potential. In addition, this type of curvature, especially limiting the ability to stand, causes pain inducing asymmetry of the ribs.
The diagnosis can be determined after a specialized physician examines the child. An important sign is the bump that the higher ribs on either side of the spine create when the child bends forward.
In order to diagnose the case exactly, the physician may need to measure the unbalanced spine using a water level. This spinal asymmetry is measured by a scoliometer, and a graph might be needed for affirmation for deviations higher than 5 degrees. Graphs taken standing are needed to determine exactly the scoliosis' location, angle and risk.
The most important aspect in scoliosis treatment is early diagnosis. The deformation diagnosed in early stages and low angles can be treated by bracing and chances of surgical operation decrease.
Etiketler: scoliosis, Neuromuscular scoliosis, Congenital scoliosis, Idiopathic scoliosis