Doctor insights on:
Is Scoliosis Fatal
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
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
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
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Varies: Small and moderate sized curves are not usually harmful. Curvatures that progress beyond 60 degrees can begin to affect pulmonary function tests and by 90 degrees can cause clinical signs of cardiac and respiratory compromise. Thank you for the question. ...Read more
Depends: Scoliosis is a curvature of the spine in the coronal plane. The majority of cases of scoliosis are mild and do not cause symptoms and do not need treatment. Curvatures greater than 45 degrees usually relentlessly progress, and surgery is really the only cure for large curves. Thank you for your question. ...Read more
Yes: Scoliosis may be structural or idiopathic in nature. Idiopathic is easily the most common. Usually diagnosed in adolescence. It requires frequent evaluation & if curve is progressing may require bracing, exercise, and at times surgery. With structural cases it may caused by herniated discs, muscle spasm, fractures, etc. Treatment of the underlying problems will correct the scoliosis. ...Read more
See a doctor: You first need to have a specialist evaluate the size of the curve and possibly any other reasons for the curve. Then, depending on how mild or severe the curve is there are many options. Thy range from exercise and stretching, to brace wear, and if severe and progressive, surgery. ...Read more
Varies: There are two components to scoliosis treatment. One is based on the structural issues of the curve and the second is based on the symptoms a patient might have from their scoliosis. Structural treatment is based upon the age of the patient and the size of the curve. Symptomatic treatment is based upon how much trouble the person is having with their back and treatment options are multiple. ...Read more
Can be subtle: In many cases, the findings on a patient with even a large scoliosis curve can be subtle. This is in part why schools will screen for scoliosis. The most common findings are an asymmetry in the hips and pelvis, an elevation of one shoulder, and a rib hump, otherwise known as an asymmetric trunk rotation. Most adolescents have no symptoms at all unless they have really large curves. Thank you. ...Read more
Scoliosis: Scoliosis is a combined angular and rotatory malalignment of the spine. It is autosomal dominant with mixed expression, more common in females. Bracing can slow progression in very early stages. Surgery can help more severe curves that progress. Long term breathing problems are the medical issue. Cosmesis is the primary parental concern. ...Read more
It is a deformity of: The spine & are several types or categories with it appearing that the spine is curved &/or twisted. The categories are defined by the causes &/or age of onset. The typical one in teenage years is idiopathic scoliosis. This is assessed by seeing your physician. Causes can be tumor, a neurologic syndrome, an orthopedic syndrome, a congenital type or idiopathic which is multifactoral. ...Read more
Depends: There are different types of scoliosis. Some will almost always worsen. Others are at risk to worsen while a person is young, but are more stable when the skeleton is mature (adult). Even then, there can be slow progression if the curve is moderate at maturity. Mild curves may not worsen at all. Consult with a scoliosis specialist about your curve (if you have scoliosis). ...Read more
Many types: The most common is idiopathic (exact cause unknown, but it runs in families, so it is genetic). It can be caused by degeneration (aging), especially in the low back. It can be caused by neurological problems like cerebral palsy and spinal cord injury (in children). Congenital scoliosis is from abnormalities of spine formation in the womb. It can occur with some forms of spine trauma besides cord. ...Read more
Varies: It varies based upon the size of the curvature and the degree of symptoms. From purely a structural perspective, curvatures less than 45 degrees usually don't progress, but larger ones do. So, for example, in the case of an adult with a 70 degree curve, surgery is the only option that can keep a curve from progressing. From a symptomatic perspective, there are many non operative things that help. ...Read more
Usually none-: Sometimes one will note that a shoulder or hip area is higher than the other or the chest looks different. That is if the curve is of sufficient size or rotated. Otherwise, there are no symptoms with a typical idiopathic scoliosis unless severe and then it could affect lung and heart function. If there are symptoms, then look for a cause other than scoliosis & that may also be causing the curve. ...Read more
Xray: There are some physical findings in various degrees in a patient who has scoliosis and this includes an asymmetry of the shoulders, an obliquity of their pelvis and a "rib hump" (asymmetric trunk rotation) on forward bending. The most definitive test is an xray. Scoliosis is defined as a curve of the spine in the coronal plane of greater than 10 degrees, and this can be readily seen on an xray. ...Read more
Nobody is: Perfectly symmetrical. If there is substantial difference between the two sides, you should consult with an orthopedic surgeon. ...Read more