Adolescent Scoliosis is a common form of Scoliosis affecting children between
the age group of 9 and 15 years. In this condition, the bones of the spine
rotate in such a manner that it appears like the letter ‘C’
or ‘S’ instead of a straight line. It generally affects the
thoracic spine (upper or middle parts) but can also occur in the lumbar
spine (lower). Adolescent Scoliosis can have physiological, aesthetic
as well as long- term health problems if the degree of curve increases
over the time.
The exact cause for the onset of Adolescent Scoliosis is usually not known
and, therefore, it is also referred to as Adolescent Idiopathic Scoliosis.
Family hereditary is believed to be a major cause of this deformity. Poor
nutrition in the formative years, hormonal changes at the onset of puberty,
disorders of the central nervous system, bad posture etc. are some of
the factors that may lead to or aggravate the condition.
- Protruding ribs on either side
- One hip is more prominent or raised higher than the other
- Prominent tilting of one shoulder
- Uneven waistline
- Improper gait
- Visible hump at the back near the ribs while bending
- One arm appears to be longer than the other
A physical examination such as the standard Adam’s Forward Bend Test
may be conducted by the
orthopedic doctor to identify apparent signs of Scoliosis.
- X-ray or MRI may be conducted to view the imaging of the posterior, anterior
and lateral positions of the spine. It also helps to assess and measure
the discrepancy in the limb length.
The method of treatment adopted by the spine specialist largely depends
on the severity and location of the curve. The age of the child further
determines the chances of progression of the deformity. The following
treatment methods may be suggested for Adolescent Scoliosis:
- If the child is almost grown up and has less than 25 degree curve, he/she
may be simply put under regular observation to rule out the progression
- If the curve is between 25-45 degrees, wearing a brace to prevent further
deterioration may be recommended till the child is fully grown.
- Surgical intervention to realign the vertebra may be suggested when the
curve is more than 45 degrees and bracing is not effective. Metal rods,
screws and wires may be used to hold the bones in place until they fuse
into a single bone and are completely healed.
We, at OrthoTexas, provide comprehensive treatment for Adolescent Scoliosis.
To schedule an appointment with our
spine surgeons in Allen, TX, you can call at (972) 727-9995.