Doctor insights on:
What Do You Do When Your Surgeon Says That He Cannot Correct Your Scoliosis Curvature At All
Short leg cause scoliosis, sciatica, stenosis, disc bulge. Lift on now, still hurts. Surgeon says too young for fusion surgery that chiro wants? I'm 32.
Scoliosis: The indications for scoliosis surgery are based on the degree of the deformity and not the age of the patient. When the curve is greater than 40 degrees or progressive in nature then surgery is recommended. Consider a second opinion with a surgeon who specializes in spinal deformities. ...Read more
Spine surgeon evaluated me. Said my scoliosis not bad enough to cause pain. Getting bone scan. Very worried about this being something serious. Chances?
Probably not serious: Back pain not usually associated with scoliosis. Low back pain can be caused by muscular and bone issues. Spondylolysis, a stress fracture in posterior part of lumbar vertebra 4 or 5, can be associated with scoliosis. Movement of one vertebra forward on another if bilateral fractures.Bone scan is the right test for detecting fractures and other causes of pain. Correlate with other imaging for rx. ...Read more
My chest X-ray showed I have scoliosis but my dr doesn't know the angle of curve. He referred me to see a surgeon am I going to need surgery im only 19?
See below.: Scoliosis angle can be easily measured off radiographic studies. Ask your doc to ask the radiologist who interpreted the film to measure the degree of curvature of the spine. Surgery will depend upon many factors which can be discussed at time of your referral. Surgeon will also be able to measure the angle of scoliosis. ...Read more
Ortho / neurosurgeon: Orthopedists treat both scoliosis & herniated discs. However, you want to see and ortho-spine specialist & not just any ortho. Neurosurgeons also specialize in the treatment of back problems, particularly herniated disc's. It's usually just pt preference. In your case with a history of a meningioma it would be prudent to discuss these issues with your neurosurgeon first & then decide on the doc. ...Read more
Can surgery be used to treat congenital scoliosis in children? My child was born with congenital scoliosis. Can she have surgery to correct it, or does she have to wait until she's an adult? .
Talk to MD: You have to find out wether the scoliosis is affecting the child. In severe cases scoliosis can cause pain and interfere with breathing. In minor cases it is detectable on examination, but is not interfering with the patient's lifestyle. If it is the latter case you may not need surgery at all. Talk to your md about options. ...Read more
Type of spine curve: There are multiple reasons for scoliosis &one is known as a congenital type which is when there is a deformity of the bones (vertebra) of the spine that one is born with & leads to an early curvature of the spine. Some don't need surgery & others do. They tend to not respond to bracing & can be very progressive in terms of a rapidly worsening curve & may be associated with other medical issues. ...Read more
Orthopedic follow up: Congenital scoliosis should be followed closely by an orthopedic doc that treats scoliosis. The issue is usually that one side of the spine grows faster than the other due to failure of one or more segments to separate or form. It progresses over time as the child grows. ...Read more
Not typically: Not typically. The two exception to that are if the curve has been allowed to progress to an exceptionally large degree that it effects lung or cardiac function, which is quite rare nowadays. Or two, if the patient has other associated conditions with the scoliosis such as congenital heart or kidney problems which can be seen in a small percentage of cases. ...Read more
I'v a 10 yrs. Old daughter who has an s shape congenital scoliosis more than 45*, there was no noticable progress & no pain. What are the options?
Early and often care: Although there has been no progression yet, with your daughter at age 10 and either early in puberty or not even entering puberty yet, now is the time to be very aggressive about monitoring for changes and intervening early. This is not a little 10 degree curve - she is already at 45, and you don't want much progression before you would get agressive with early therapies. See spine doctor often! ...Read more
No: No, they cannot.Get a more detailed answer ›
Depends severity: Congenital scoliosis can progress like idiopathic scoliosis during periods of growth. Spinal surgery depends on severity of curve. Surgery would be indicated with congenital scoliosis other body systems affected. Cardiac, kidney, and bowel abnormalities have increased incidence with congenital scoliosis. ...Read more
20years ago had l-4 spinal fusion for congenital scoliosis now as an adult uncontrollable pain. What do you recommend?
Work up: You need to see a spine specialist to get some tests done to see if you have adjacent levels degeneration. Usually pt and injections are first course of treatment. ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Oral maxillo-facial surgeon says I cannot ever have an implant for a certain missing molar (no walls). He could do a sinus lift. Is this worthwhile?
17 yr-old competitive golfer with right low back deep burning pain on and off for 7 months. CT and 2 MRIs were negative. What to evaluate next.....?
Nerve root: Although CT/MRI are good for obvious nerve damage, muscular and soft tissue injuries are not as easily to pinpoint, as well as stretching of nerve roots and the resultant pain - I suggest symptomatic treatment including appropriate physical therapy, rest, and medication, if appropriate from your provider if choice ...Read more
Idiopathic scoliosis: Idiopathic (spontaneous without a cause) scoliosis is not a painful condition. Back pain in scoliosis is similar to that of people with a straight spine unless lumbar curves exceed 30-50 degrees and thoracic curves exceed 50-70 degrees. Curve progression occurs with aging by about. 5 degree per year. It is not likely to "compress organs" or cause breathing, heart or neurologic probs unless severe. ...Read more
I have had spinal fusion for scoliosis, however 4 years later I did not fuse and the rods both broke. Pain and curvature have intensified. I am 45.
Seek help: Seek help from your spine surgeon. He will advise you as to when to have the revision surgery. ...Read more
Can mild scoliosis be cured completely? I've been told I have scoliosis, but it's not severe. Will treatment cure the problem completely, or will I always have some curvature? .
No: There is really no "cure" for mild scoliosis from the structural perspective. Non surgical treatments do not straighten the curve and we do not do surgery for mild curves. But the reason all that is ok is because mild curves are not really usually associated with problems. Even the incidence of back pain is similar in someone with a mild curve as it is in someone with a straight spine. Thanks. ...Read more
See below: The normal curves in the spine are called lordosis and kyphosis. In the neck and low back, we typically have a lordosis and in the thoracic spine which is the middle part, we have a kyphosis. It is possible to have extremes of both lordosis and kyphosis which are not normal for example, women or men with severe osteoporosis may have an excessive kyphosis in the thoracic spine. ...Read more
Several: Normally when viewed from the back, the spine is straight. When the spine is curved greater than 10 degrees, it is called scoliosis. The other curves of the spine basically describe curvatures in other planes. For example, when viewed from the side, there is a normal range of curvatures that can be seen. A kyphotic deformity is an excessive curve in the sagittal plane. Thank you. ...Read more
15 degrees: Under 15 degrees is called spinal asyemtry is a common normal variant. ...Read more
No: Spine curvature under 10 degrees is considered within normal anatomic variation and is typically not clinically detected unless someone is looking for it. If it is symptomatic therapy may help with symptoms but it will not reverse the curvature. Typically this level of curvature is not symptomatic. ...Read more
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