Figure: X-ray showing scoliosis (curved spine)
Some Possible Associated Symptoms with Scoliosis include(s):
Scoliosis refers to a medical condition where the spine is bent or curved to the side. Scoliosis can
sometimes be seen in young children but more commonly seen in the adolescents. The commonest type of
scoliosis in the young is adolescent idiopathic scoliosis or AIS. It often involves the thoracic spine and
the curve is noticed in the mid-back. A hump on one side of the back if often noticed by either the patient
or their parents.
In the elderly, scoliosis often involves the lumbar spine (lower spine). This occurs due to degeneration of the spine and thus, this type of scoliosis is called degenerative scoliosis. In other cases, scoliosis can sometimes be secondary to other medical conditions including tumours.
Treatment for scoliosis depends on the type and degree of scoliosis. For adolescent idiopathic scoliosis
(AIS), the curve(s) can often be observed if they are mild. Progression of the scoliosis curves occur
before and during the growth spurt and starts to slow done as one becomes older and is reaching skeletal
maturity. In patients with AIS where the curves are moderate, bracing may sometimes be done for treatment
of scoliosis in order to minimise progression of the curves during the rapidly growing phase. Once the
patient stops growing, the brace is discontinued. In patients with rapidly changing or large curves,
surgical treatment of scoliosis may sometimes be required. Multiple screws are often used to straighten the
curve and maintain correction. Surgical treatment of scoliosis can result in good correction of the curve.
Patients with degenerative scoliosis often present with back pain. Treatment of degenerative scoliosis often involves medications and physiotherapy. In some patients, degenerative scoliosis cause compression of the nerves in the spine. In some of these cases, surgical treatment of degenerative scoliosis may involve decompression laminectomy alone (where the nerve is freed) or a decompression laminectomy with spinal fusion (where the nerve is freed and 2 of the spinal bones are joined together using screws). Surgical treatment of degenerative scoliosis can give good results in selected patients.
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