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Doctor insights on: Levoscoliosis Of The Thoracolumbar Spine

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How to treat levoscoliosis of the thoracolumbar spine?

How to treat levoscoliosis of the thoracolumbar spine?

Depends: It depends on how large the curve is, what symptoms you have, what your goals are. See a spinal specialist who cares for scoliosis to evaluate you and give you options.

Dr. Thomas Dowling
1,081 Doctors shared insights

Scoliosis (Definition)

A condition where patients have an abnormal curvature of ...Read more


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I have mild levoscoliosis of the thoracolumbar spine, l5-s1. How to treat this. Thank you?

I have mild levoscoliosis of the thoracolumbar spine, l5-s1. How to treat this. Thank you?

Scoliosis treatment: Levoscoliosis implies that you have a curvature of your spine that points to your left. The l5-s1 disc is often associated with a compensatory fractional curve. Typically, treatment tends to be conservative - pt, medications, and on occasion, spinal injections. Bracing is typically reserved for children with scoliosis who are still growing. Surgery is reserved for only severe cases of scoliosis.

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8 year old begin complaining of back pain and xray shows 11 degrees of levoscoliosis of thoracolumbar spine from approximately T9 through L3?

8 year old begin complaining of back pain and xray shows 11 degrees of levoscoliosis of thoracolumbar spine from approximately T9 through L3?

Cause or effect??: Mild scoliosis as described will not generally cause pain. However, pain can cause a kid to splint or twist toward the direction of pain & produce an x-ray with that appearance. A history and exam could better reveal the importance of this finding. If it is true scoliosis at 8 it is worrisome as it usually worsens in the pre-teen/teen years if it is not treated.

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24 y/o F. XR of thoracolumbar spine showed rotatory scoliosis (18°) & minimal spondylitic spurring on T12. Please explain this.

24 y/o F. XR of thoracolumbar spine showed rotatory scoliosis (18°) & minimal spondylitic spurring on T12. Please explain this.

Idiopathic scoliosis: Firstly, who determined 18? I would not trust the radiology report, it should be done by a scoliosis surgeon. Otherwise, all this means is that you had typical adolescent scoliosis with a reasonable curve but below the threshold for surgery and arguable even bracing, although I brace kids at 15 degrees. Your curve will not progress since you are skeletally mature.

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I injured my lower back pushing a car out of snow. I had a back x-ray, is showed mild osteophytosis in the thoracolumbar spine, what does that mean?

I injured my lower back pushing a car out of snow. I had a back x-ray, is showed mild osteophytosis in the thoracolumbar spine, what does that mean?

Osteophytosis?: The term means you have multiple bone spurs along the spine segment you had xrayed. Alone, osteophytes are not particularly worrisome. They document wear ; tear on your back which should be no surprise if you are pushing cars and are 67. If you have local back pain you probably more likely have a muscular injury from exertion. If pain radiates into legs, MRI would be more helpful.

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Degenerative changes to the thoracolumbar spine including the costovertebral joints. Could someone explain?

These are most: Likely normal age related changes that can be accelerated by being obese, a smoker or having a family history of arthritis. Generally, these are more apparent in men v women at an earlier age but more prevalent as we enter middle age with this increasing with age. Most do not have symptoms.

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Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery?

Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery?

Lumbar scoliosis: Simple. Incision made in back to visualize spine to be fused. Length of incision appropriate for fusion. The facet joints are removed and the bone prepared for fusion. At l5-s1, facet and disk removed, and spacer placed into disk along with bone graft. Multiple laminectomy and facet excisions (osteotomy) to make spine more flexible. Rods/screws placed to maintain correction. Bone graft placed.

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What is thoracolumbar scoliosis?

What is thoracolumbar scoliosis?

A curved spine: Scoliosis means an abnormal curvature of the spine. Thoracolumbar means that it involves both the thoracic spine or mid back and the lumbar spine or low back.

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What does it mean to have rotatory thoracolumbar scoliosis?

What does it mean to have rotatory thoracolumbar scoliosis?

Scoliosis is very 3D: Scoliosis is always a three dimensional deformity; the spine is not only curved when you look from the front, but it is also rotated. It is the amount of rotation that makes the curve the most visible when you bend forward and look at it. The rotation is what produces the 'so-called' rib hump.

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What can be done for osteoporosis and thoracolumbar scoliosis?

What can be done for osteoporosis and thoracolumbar scoliosis?

Prevention: Weight bearing exercise, proper nutrition and limited sun exposure helps to prevent osteoporosis. Even if present already, there are medications to help this condition. Osteopenia is not osteoporosis but a relative low bone mass that makes you a higher risk for osteoporosis. Finally, physical therapy and corrective posture devices will help scoliosis. Surgery is last resort for severe cases.

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Hi doctors, was just wondering what is "thoracolumbar scoliosis"?

Hi doctors, was just wondering what is "thoracolumbar scoliosis"?

Idiopathic scoliosis: Idiopathic scoliosis which usually affects preteens and teens initially has thoraco lumbar configuration with thoracic curve mainly to right and lumbar curve mainly to left (s-shaped).

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Could you tell me about spinal anatomy I have scoliosis and a thoracolumbar curve with?

Check NIH website: This national institutes of healthy (nih) website has excellent material for the general public/patients to learn more: http://www. Niams. Nih. Gov/health_info/scoliosis/scoliosis_ff. Asp if you are concerned that you may need treatment for your scoliosis, talk to your regular doctor and see if a referral to an orthopedic surgeon might be helpful for further evaluation and/or treatment. Good luck.

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What are the treatment options for thoracolumbar scoliosis?

What type of scolios: Idiopathic adolescent or neuromuscular or degenerative curve how old is patient?

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Thoracolumbar Xray shows 3 degree levoscoliosis in mid thoracic region with 4 degree levoscoliosis in the lumbar. Is two levoscoliotic curves normal?

No but: This is likely due to an intervening dextroscoliosis (opposite curve). Doctors will measure it differently, so it is best reviewed by a specialist. Scoliosis is not normal but is mild in you so should not limit your activity. Without seeing the exact nature of the scoliosis on the x-ray, I cannot comment further.

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I have mild levoconvex thoracolumbar scoliosis and I was wondering if that could have been caused by the spinal tap for meningitis.

No, definitely not: No. Spinal tap can be you acute and subacute headaches but will not change the curvature of the spine.

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Is it possible to have hiatal hernia, osteoporosis and thoracolumbar scoliosis at the same time?

Is it possible to have hiatal hernia, osteoporosis and thoracolumbar scoliosis at the same time?

Yes: It is possible to have that particular list of medical problems at the same time, but there is not necessarily as cause and effect relationship among them. The scoliosis may be a contributing factor for the hiatal hernia however.