154005Scoliosis in Children and Adolescents

154005

Scoliosis in Children and Adolescents

Scoliosis in Children and Adolescents

A condition in which the spine is tilted to the side of 10 degrees or more is most common in adolescence. and occur in females more than males and often have no symptoms

Scoliosis It is a condition in which the spine is tilted to the side by 10 degrees or more, which is most common in adolescence. It occurs in females more than males in a ratio of 10:1 , with 80 percent of the condition still unable to determine the exact cause. However, in some cases it can be found in patients with cerebral palsy or in patients with neuromuscular disorders.

In general, the patient is asymptomatic. But in some cases, it can result in serious problems. for example If there is a curvature of the spine more than 60 degrees or more, the size of the space inside the chest will decrease. This makes the lungs unable to expand fully. Trouble breathing or shortness of breath And if the inclination is greater than 90 degrees, it increases the risk of respiratory and circulatory failure.

Usually , a spinal surgeon will monitor your child for the condition. by viewing X-ray photographs to track whether the bias is increasing or not If there is an increased inclination Doctors may treat the patient with a back brace to prevent further tilt. But if the inclination of the spine is more Surgical treatment may be considered to suppress the severity of the consequences.

Symptom

Two shoulders are not equal
One shoulder blade is more convex than the other
The waist or hips are unequally tilted.
One side of the back is more convex than the other. when bending forward

When should you see a doctor?

The patient should see a doctor for Undergo an examination to confirm the condition and seek treatment if any of the above-mentioned abnormalities is observed physically.

Causes

It is not currently possible to determine the exact cause of the condition. But it is often found that it may be genetically related. because it can be passed on from generation to generation In addition, certain diseases can cause this condition as well, including:

Certain neuromuscular disorders, such as cerebral palsy or muscular dystrophy
birth defect As a result, the growth of the spine is abnormal.
Breast surgery in infanc
a previous spinal injury or infection
spinal cord disorder

Complications

Breathing difficulties – as the spine bends more than 60 degrees, there is a narrowing of the space inside the chest. This makes the lungs unable to expand fully.
Chronic back pain – For people with childhood symptoms, it tends to become chronic as they get older. especially when the person is not receiving treatment. or found that the bias is very abnormal

Concern about shape – scoliosis can cause significant changes. When symptoms become more severe, such as hip and shoulder imbalance Anterior rib protrusion The waist and torso are tilted out to the side. Patients with scoliosis often have anxiety about their body shape.

Diagnosis

The doctor will take a detailed history. And in the physical examination, the patient will stand with his back and bend forward with his hands free. To compare the convexity of the shoulder blades and ribs on both sides. Your doctor may perform a neuromuscular exam to look for neuromuscular disorders. Or check the reflexes that may find abnormalities.

X-ray diagnostics

General X-rays can help diagnose the condition. and can also indicate the severity of this condition In addition, when such conditions are detected Your doctor may perform additional tests with magnetic resonance imaging (MRI) to determine the cause of the condition.

Treatment The

A course of treatment will depend on the severity of the disease. If a patient has mild scoliosis, no treatment is usually needed. Your doctor will schedule periodic follow-up appointments until you are sure that there is no further bias. but if found to have a greater inclination Doctors may consider treatment by recommending that the patient wear a back brace to avoid further inclination. But if such bias is found to result in future disabilities for the patient Your doctor may consider surgical treatment to stop the bias before future complications arise.

Factors in Consideration of Treatment Guidelines

Age of bone growth – if the spine is at the age where it has stopped growing The risk of developing greater bias is reduced. degree or degree of inclination

Gender – Girls are at greater risk of severe disease than boys.

Using a back support

A doctor may suggest a way to use a back brace if the patient’s bones are still in the process of growing. and symptoms of moderate severity Using the device will not help the treatment, but it can help keep symptoms from getting worse. Most of them are made of plastic material. and can be adapted to shape proportions It does not appear when wearing clothes. The device is wrapped around the underarms, ribs, lower back and hips and must be worn for 20-23 hours a day. In which children who wear back support will be able to participate in various activities normally. It can be worn when doing sports. or doing other activities

The use of the back support ends when the child stops growing. Girls usually stop growing at age 14 and boys at age 16 , depending on the individual.

Surgery

Surgery is aimed at suppressing greater bias. as well as stretching the crooked vertebrae close to the normal anatomy of the spine Currently, there are surgical methods to correct this condition as follows:

Surgical correction of scoliosis using a special metal rod that can be stretched – if the spine is found to be severely skewed since childhood A spinal surgeon uses a special metal bar incision along the spine. which this special metal bar can be extended The purpose of this treatment is to allow the vertebrae to grow along the slat of the weld. This makes it possible to correct the scoliosis of the spine along with the growth of the spine.
Vertebral scoliosis correction surgery – A spine surgeon will perform a scoliosis correction and then join the joints after the scoliosis has been corrected. This will prevent the spine from bending again after undergoing surgery.
Non-spinal scoliosis correction surgery – The spine surgeon will make a small incision on the side of the body. and insert the screw through the open wound Then, a flexible, high-strength cable is inserted at the pre-attached screw site. To stretch the crooked bone back in a straight position close to normal. This method will not lose the ability of the spinal joint after surgery.
Lifestyle Modifications and Self-Care Tips
No activity was found to be the cause. Or it can help make the spine curvature. Patients with such disorders are able to perform routine activities, including exercising normally.

Coping and helping scoliosis patients

Coping with scoliosis can be difficult during adolescence. which the said age Usually you have to deal with both physical and emotional changes. This results in feelings of insecurity and fear of such disorders.

However, if adolescents have feelings of insecurity or fear of life from a crooked spine. should attend group therapy To help you accept the disease that occurs. Using a back support or further surgery Children should be encouraged to have the courage to speak to their friends. or looking for other help

Preparation before seeing the doctor

Many schools have pre-examination procedures to look for scoliosis. If such abnormalities are found You should bring them to your doctor for confirmation if you suspect the condition.

How to prepare before your appointment