Doctor insights on:
What Does It Mean To Have Cervicothoracic Scoliosis
Curve in spine: Cervical is neck. Thoracic is chest. Lumbar is lower back. Cervicothoracic scoliosis means there is a curve in the chest and neck part of the spine. The next information needed is the angle of the curve. Scoliosis can be a minor or a major issue depending on the severity of the curve. Learning good body mechanics and stretches can keep discomfort (muscular) to a minimun. ...Read more
Translation: The spine at the neck usually has a gentile curve forward then back creating a bow like appearance when seen from the side. Lack of cervical lordosis means it has lost this curve. Cervicothoracic is just a term locating what they see as a slight curve (side to side) in the upper back. ...Read more
Could it be Klippel-feil syndrome? At 12yrs old, learned I have congenital (45degree) cervicothoracic scoliosis w/congenital cervical fusion.
X-ray: mild left convex cervicothoracic scoliosis w/reversal of upper cervical lordosis. Minimal subluxation is evident at c3-4 level. Should I worry?
Scoliosis: Mild scoliosis, min subluxation may not mean anything depending on actual numbers. Many people can have very small spinal asymmetry. Reversal of lordosis may be a sign of spasm. Either way I think you are getting the idea that one would need to see the actual films. An even more important question is why you got the films in the first place: your symptoms and your neuro exam. ...Read more
C7-t1 there is a right lateral recess disc protrusion mildly indenting the right ventral cervicothoracic cord. What does this mean?
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
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
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
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
If a person has cervicothoracic hypermobility wouldn't manual release of the muscles be contraindicated because increased muscle tone is protective?
Unsure of Q: I'm not aware of a condition called cervicothoracic hyper mobility! Please enlighten me... Sounds like you may have " loose joints" or generalized ligamentous laxity. A scapulothoracic strengthening program may be indicated but I would see an ors first for exam. Good luck! ...Read more
This is not a formal: This term "biphasic" is not a normal term when used to describe a scoliosis. There are several different types of scoliosis classified on their causes (idiopathic, congenital, neuromuscular) & then we describe scoliosis based on its location and appearance on radiographs or x-ray (thoracic, thorcolumbar, lumbar, cervical, - single curve, double curve, major curve, minor curve, kyphoscoliosis, etc. ...Read more
Meaning: It means that in the coronal plane (looking straight at your spine from the front- as opposed to saggital or from the side); you have a curve facing the right with the peak of the curve being at C7. The underlying pathology and many other factors can determine whether it is normal or not. ...Read more
Direction of curve: Acurve has an apex convex side and a concave side inside thc c. ...Read more
Not sure: The magnitude of a curve is measured in degrees, less than 10 is normal. Skeletal maturity can be assigned a risser sign, between 0 and 5. There is a genetic test called the scoli score which can help predict curve progression which ranges from 0 to 200. ...Read more
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. ...Read more
No,: Marfan's is diagnosed using major and minor criteria: major (enlarged aorta/ tear, dislocation of lens of the eye, specific skeletal abnormalities, dural ectasia. Minor (myopia, stretch marks, loose joints, arched palate, long thin face) if family history is positive, you need to have 1 major and one minor criteria. If no family history you need 2 major and 1 minor criteria/ different parts /body. ...Read more
Depends: It can be cause or effect. In other words, if a scoliosis curve extends particularly low, it can be cause an obliquity of the pelvis like you are describing. On the other hand, having an uneven pelvis, as can occur when one leg is longer than the other, can contribute to scoliosis as well. Thank you for the question. ...Read more
Osteoarthritis: Osteoarthritis refers to the normal wear and tear in joints that occurs basically in everyone as they age. Scoliosis refers to a curvature of the spine. Both conditions can vary widely in severity, and if mild they really don't mean anything bad or life changing. Talk to your doctor about the severity of the findings. ...Read more
Hi doctors, can you tell me what is scoliosis and what does it mean when on your childs school exam it says "positive" at scoliosis?
Curve of spine: Scoliosis is curvature of spine. Curvature sometimes can be found on physical exam at schools. Then child should be examined by orthopedic surgeon with radiographic examination for assessment of severity of scoliosis. Some curves mild and do not progress. Other curves can become severe enough to require surgery and spinal fusion with metal rods. ...Read more
Got a scoliosis my left shoulder is lowr than right. It hurts too. Does it mean im im danger? Does some people live with this normaly?
I been in meloxicam for 2 years now for scoliosis. Every early in the morning I woke up coz my hearth bet faster. Does it mean im in danger??
No: But stop the Meloxicam and see if the palpitations (fast heart rate) go away ...Read more
Check for scoliosis: Scoliosis screening is done in schools for adolescents to check for any obvious abnormal spinal asymmetry or curvature on physical examination. This may include a "hump" along the ribs - especially seen with forward bending, having 1 shoulder higher than the other, tight hamstrings, abnormal scoliometer measurement, etc. If an abnormality is suspected, then a referral to a physician is given. ...Read more
I have posterior spurring at the L2-3 & L3-4 levels. And scoliosis convex to the left. What does this mean?
Welcome to aging!: Most humans over the age of 40 will have small overgrowths of bone at the edge of the vertebra (spine bone); these are called "osteophytes " or "spurring" Many studies have shown that the presence/absence of spurring does not correlate very well with the presence/ absence of back pain. Scoliosis = abnormal curve of the spine; this curve may alter muscle mechanics which can predispose to backache ...Read more
Hard to say: Scoliosis is a curvature of the spine and is not usually used to describe any other part of the body. So to say scoliosis of the upper limbs is not a common way to describe any deformity of the arms. All that being said, it may have been someone's attempt to describe a curvature of the arms, or you may not have understood what was said. Thank you for the question. ...Read more
Ask your surgeon: It is important to ask your surgeon all your detailed questions. ...Read more
Hemisacralization on the left side of L5. What does it mean? My x-ray result for scoliosis. I have dextroconvex & levoconvex scoliosis. Both minimal.
Fusion: The sacrum is the bottom if the spine. It is a solid bone and does not move. The lowest mobile space in the spine is the disc between the lowest lumbar vertebrae (L5) and the sacrum. Some patients are born with all or part of the L5 vertebrae fused to the scaring making it immobile as well. This then leaves 23 instead of the normal 24 motion segments in the spine. ...Read more
Does uneven waist means Scoliosis?? My 12 year old daughter has uneven waist. Is this normal?? We can't really take her to the doctors at the moment..
Scoliosis: Scoliosis is suspected in some children with uneven waist folds, uneven shoulder or hip height. This is of less significance in children who have completed most of their growth, e.g. girls who have started menstruating. Younger children are of greater concern. A physical exam and possibly x-rays to evaluate any abnormal spinal curvature are needed. Good luck to you. ...Read more
Potentially: Possibly, scoliosis sually begins with a rotation of the vertebrae. This causes a rib hump, otherwise known as an asymmetric trunk rotation. There are also patients with neuromuscular conditions such as cerebral palsy that have muscular imbalance and can have scoliosis. Please consider being checked, a simple xray will definitively answer the question of whether or not you have scoliosis. ...Read more
Scoliosis: Yes uneven waist, one side flat & the other in an angle could be a sign of scoliosis, look at her back while she bends down you can see a curve of the spine or one side is more prominent than the other, she might need to do spine X ray to know if she has it & the degree of the curve, based on that hr Dr might refer her to an orthopedic, it is very important to maintain proper posture. Good luck. ...Read more
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