Doctor insights on:
How To Measure Degree Of Scoliosis
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
No: No, they cannot.Get a more detailed answer ›
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
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
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?
My disabled 13 years old son was diagnosed with thoracolumbar scoliosis to the left. It measures about 16, 5 degrees. And there is elevated position of the right iliac crest. Does he need to wear some brace or it would be enough to do some exercises?
Depends: On full examination and his ability to tolerate a rigid brace if indicated. A flexible brace will not be effective ...Read more
I have been diagnosed with scoliosis. Are there cheaper, alternative ways instead of surgery for corrective measures?
Depends: Scoliosis is variable, with the majority of affected patients with curves below 15%, few if any related symptoms and no need for treatment. For those whose lung functions are compromised by the change in the shape of the chest cavity, surgery would be the usual remedy.Bracing is usually limited to the growing teen to redirect the drift, adults would have little benefit. Each case is different ...Read more
I have scoliosis stetching down from T6 to S4. It has been measured at 21°. Is running bad for my back?
No: So a 21 degree curve In an adult will usually not progress and does not usually cause any problems. You can continue all activities as tolerated and do not need to do anything differently than you would if you did not have it. ...Read more
No but it is a: Fairly classic presentation which as long as it remains under 50 degrees, you will be able to avoid surgery. You should not have any physical restrictions in terms of activities you may want to do. At age 19 and being female, your are skeletally mature. If a curve exceeds 50 degrees, the risk if progression in adulthood is a degree a year 75% chance. ...Read more
End vertebrae: A Cobb angle is measured by taking a line parallel to the end vertebrae of a scoliosis curve and a second line parallel to the vertebrae on the other end, and then measuring the angle between those two line. If the spine is perfectly straight, the cob angle would be zero. A Cobb angle of 12 degrees represents a very mild curve. ...Read more
Scoliometer: The degrees are measuredoff standin full length xrays not the scoliometer level thingy is for screening purposes to help with you need a xray treatment descions ar made offcobb measurements on standing xray 10 degrees is not severe but needs a xray to make treatment decsions. ...Read more
Yes if it is a: Typical teenage related onset one known as idiopathic scoliosis at your age there is very small chance of progression unless it is in lower back or lumbar spine. If there, then a higher risk of low back pain with age & with degenerative changes with age, & with possible loss of bone density then a further risk of progression after middle age. Speak to your orthopedist about ways to minimize risk. ...Read more
Yes: The simple answer is yes, scoliosis curves can be fixed and the spine straightened out. That being said, scoliosis surgery is a major surgery and usually reserved for patients that have large curves at least over the 45-50 degree range. Don't hesitate to see a specialist if you have further questions. ...Read more
See a massage therap: Scoliosis results when muscle balance is lost around the spine, and the stronger muscle pulls in its direction, then the rest of the spine bends as well. A good massage therapist can help relax the overworking muscle and help, it relax. If not treated, this will worsen ...Read more
Disability: Disability is usually determined based on function. It really doesn't have anything do do with the exact degree of curvature in the spine. Also, just to put it to perspective, at 23 years of age, one is fully skeletally mature and a 25 degree curve at that stage is not treated. Sorry for not answering your question directly. ...Read more
Yes there should be: No restrictions in terms of exercise with a typical idiopathic scoliosis of this size and exercise is beneficial to good back health and your health in general. Curves under 50 degrees by the end of growth are unlikely to progress. Cardiovascular conditioning, core strengthening and flexibility should all be part of your exercise routine ...Read more
My son is 20 with17 degree scoliosis. What mattress would u recommend? Thinking nova 12 inch memory foam on flatbed.
Best quality for $: Forget about his size curve, it does not factor into your choice of bed. You want a bed that is comfortable-usually a relatively firm mattress that is good quality for cost or has a good term warranty & return policy! All mattresses will wear out especially if not rotated regularly and if you are heavy or obese. Our ancestors slept on leaves, branches, grasses & even hides! ...Read more
Hello. I have scoliosis what can I do such exercices to avoid pain. This scoliosis is not bad but just for few degree?
(sorry, I was wrong with my last question) can a scoliosis of 22 degrees increase in adult life? Can the angle become higher?
Not usually: Although possible (in rheumatoid arthrits and other severe arthritic diseases), typically adult scoliosis does not progress as quickly as adolescent scoli. The worry is that you actually have adolescent scoliosis and it may progress. I suggest careful follow up by a spine surgeon. ...Read more
Can S shaped scoliosis over 25 degrees cause an even more uneven chest in girls during teen years?
Scoliosis involving: The thorax causes a prominence of the ribs on the back and then on the opposite side in the front which may be somewhat noticable with or without breast growth. Scoliosis tends to worsen during periods of growth, but most 17 year old girls have reached adult height, and their curve will most likely remain fairly stable. ...Read more
It varies: It varies in part on the nature of the curve and the type of surgery being done. Traditional scoliosis surgeries done for structural purposes alone are not traditionally done unless curves are over 45-50 degrees because curves less than that are not thought to progress or cause an increased risk of problems. Thank you for your question. ...Read more
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