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Doctor insights on: Thoracolumbar Scoliosis

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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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Dr. Edward Hellman
584 doctors shared insights

Abnormal Curvature Of The Spine (Definition)

Scoliosis is the term given for a curvature of the spine in the coronal plane that is ...Read more


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

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.

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Can you tell me if a combined incidence of hiatal hernia , osteoporosis and thoracolumbar scoliosis, what to do?

Activities/Exercises: Would be helpful for all the 3, as hh is usually seen with weight issues, so reducing the wt with activities/exercises would benefit it. The osteoporosis can be improved upon by such activities as well, + calcium/vit d. The tl scoliosis may also be affected in a good way with exercises. You will need to see an orthopod to ensure its stable/not progressing. See the pcp. Good luck.

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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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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 is congenital scoliosis?

What is congenital 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.

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What can I do about congenital scoliosis?

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.

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Please explain if it is possible to correct congenital scoliosis thru minimally invasive method?

This depends how: Severe the scoliosis is. If it is mild, postural and bracing can help correct it slightly. However, if it is advanced, there is not much that can be done with minimally invasive procedures.

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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!

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Is it true that congenital scoliosis is life threatening?

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.

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I have congenital scoliosis surgery question, any suggestions?

Yes: Yes you could see an orthopedic surgeon with a specialty for the treatment of scoliosis. Also, if you list your specific question on healthtap, i will try to look for it and answer it if i can. Thank you.

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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? .

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?

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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.

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How dangerous is congenital scoliosis for 14 yr old?

How dangerous is congenital scoliosis for 14 yr old?

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.

Dr. Thomas Dowling
1,075 doctors shared insights

Scoliosis (Definition)

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