Doctor insights on:
Rotatory Levo 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?
I have minimal scoliosis, dextro 5 & levo 7.what bothers me is my left rib sticking out & hurts when I lay on my side & find it hard to breathe now.
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
Curvature of spine: Scoliosis is an abnormal curvature of the spine. Depending on the degree, it can be without symptoms or it can cause a very noticeable deformity. You may want to see a chiropractor or orthopedic doctor if your primary care doctor suspects scoliosis. Some cases can be treatable with non surgical intervention. ...Read more
Curved spine: It is a lateral (side to side) curvature of the spine. Mild cases usually aren't a biggie, but severe cases can cause pain and many other problems. It is best to catch it early to determine if correction is necessary. ...Read more
The most common: Symptom of scoliosis is an abnormal curve of the spine. Often this is a mild change and may be first noticed by a friend or family member. Those affected may notice that their clothes do not fit as they did previously or that pant legs are longer on one side that the other. Scoliosis may cause the head to appear off center or one hip or shoulder to be higher than the opposite side. ...Read more
Typically not: The classic idiopathic scoliosis is a painless spinal deformity unless it becomes large enough to affect the body' s balance and then one can get muscular pain similar to the act of holding a weight with you arm out v close to your body. Also, if the curve involves the lumbar or low back spine, it can increase the rate of degeneration there leading to back pain as a result of that degeneration. ...Read more
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
It varies: Many describe pain under the right scapula and low back ache if the spine is unbalanced but some have no pain at all it varies wifly progressive curves are often painful at the apex only potentially progressive curves are worth fusing. ...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
Only if: Only if scoliosis is flexible & due to another reason that is forcing the spine to bend, ie spasm being generated by another issue like a kidney stone. If it is a type of scoliosis known as congenital or idiopathic, the answer is surgery if indicated but curve may not be fully corrected & does not need to be usually. Bracing for idiopathic scoliosis during growth may control curve progression. ...Read more
Unknown: The cause of scoliosis, in most cases, is unknown. It is likely multifactorial, meaning that a combination of genetics, environment, growth, etc. Play into an individual's risk of having scoliosis. There are some cases which are due to neuromuscular diseases like tethered cord syndrome, but these are the exception and not the rule. ...Read more
Scoliosis: Hello. Many patients have the incidental finding of scoliosis on x-rays. Fortunately just because scoliosis may be seen, it does not mean that a patient will experience pain because of it. Most curves are mild. For those that are NOT mild, seeing a scoliosis spine specialist is in order to prevent other issues- especially to the lungs over time. ...Read more
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