Doctor insights on:
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. ...Read more
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. ...Read more
What type of scolios: Idiopathic adolescent or neuromuscular or degenerative curve how old is patient? ...Read more
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. ...Read more
Can you tell me if a combined incidence of hiatal hernia, osteoporosis and thoracolumbar scoliosis, what to do?
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. ...Read more
My disabled 13 years old son was diagnosed with thoracolumbar scoliosis to the left. It measures about 16, 5 degrees. And there is elevated position of the right iliac crest. Does he need to wear some brace or it would be enough to do some exercises?
Depends: On full examination and his ability to tolerate a rigid brace if indicated. A flexible brace will not be effective ...Read more
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. ...Read more
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. ...Read more
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?
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
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
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
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