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Scoliosis

SCOLIOSIS:

Scoliosis (from Greekskolíōsis meaning “crooked”)[1] is a medical condition in which a person’s spine is curved from side to side, shaped like an “s”, and may also be rotated. To adults it can be very painful. It is an abnormal lateral curvature of the spine. On an x-ray, viewed from the rear, the spine of an individual with a typical scoliosis may look more like an “S” or a “C” than a straight line. It is typically classified as congenital (caused by vertebral anomalies present at birth), idiopathic (sub-classified as infantile, juvenile, adolescent, or adult according to when onset occurred) or as neuromuscular, having developed as a secondary symptom of another condition, such as spina bifidacerebral palsyspinal muscular atrophy or due tophysical trauma.

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Cause

In the case of the most common form of scoliosis, adolescent idiopathic scoliosis, there is no clear causal agent [6]. Various causes have been implicated, but none have consensus among scientists as the cause of scoliosis. The role of genetic factors in the development of this condition is widely accepted[7]. Scoliosis is more often diagnosed in females and is often seen in patients with cerebral palsy or spina bifida,which is a birth defect that involves the incomplete development of the spinal cord and its coverings[8][citation needed], although this form of scoliosis is different from that seen in children without these conditions.

Symptoms

Patients aged from 18 or older are less likely to worsen their case due to their mature spines and body system. Pain is often common in adulthood, especially if the scoliosis is left untreated.[citation needed] Though doctors do not always recommend surgery as the solution to scoliosis, it is still the most efficient way to completely strengthen the spine. Scoliosis surgery is often performed for cosmetic reasons rather than pain alone as the surgery cannot guarantee pain loss but it can stabilize a curvature and prevent worsening therefore improving one’s quality of life. Pain can occur because the muscles try to conform to the way the spine is curving often resulting in muscle spasms. Some of the severe cases of scoliosis can lead to diminishing lung capacity, putting pressure on the heart, and restricting physical activities.

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Patients who have reached skeletal maturity are less likely to have a worsening case. Some severe cases of scoliosis can lead to diminishing lung capacity, putting pressure on the heart, and restricting physical activities.

The symptoms of scoliosis can include:

  • Uneven musculature on one side of the spine
  • rib prominence and/or a prominent shoulder blade, caused by rotation of the ribcage in thoracic scoliosis
  • Uneven hips / leg lengths
  • Asymmetric size or location of breast in females
  • Slow nerve action (in some cases)

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Surgery

File:Amanda-Scoliosis.JPGSurgery is usually indicated for curves that have a high likelihood of progression (i.e., greater than 45 to 50 degrees magnitude), curves that would be cosmetically unacceptable as an adult, curves in patients withspina bifida and cerebral palsy that interfere with sitting and care, and curves that affect physiological functions such as breathing.

Surgery for scoliosis is done by a surgeon who specializes in spine surgery. For various reasons it is usually impossible to completely straighten a scoliotic spine, but in most cases very good corrections are achieved.

Prognosis

The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are that larger curves carry a higher risk of progression than smaller curves, and that thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, patients who have not yet reached skeletal maturity have a higher likelihood of progression (i.e., if the patient has not yet completed the adolescent growth spurt).

Scoliosis Research Society

The Scoliosis Research Society is a professional organization of physicians and allied health personnel. Their primary focus is on providing continuing medical education for health care professionals and on funding/supporting research in spinal deformities. Founded in 1966, the SRS has gained recognition as one of the world’s premier spine societies. Strict membership criteria ensure that the individual Fellows support that commitment. Current membership includes over 1,000 of the world’s leading spine surgeons as well as some researchers, physician assistants, and orthotists who are involved in research and treatment of spinal deformities. The purpose of the Scoliosis Research Society is to foster the optimal care of all patients with spinal deformities.[20]

See also

Search Wikimedia Commons Wikimedia Commons has media related to: Scoliosis

References

  1. ^ Online Etymology Dictionary. Douglas Harper, Historian. Accessed 27 December 2008. Dictionary.com http://dictionary.reference.com/browse/scoliosis
  2. ^ Christopher Good, M.D “The Genetic Basis of Adolescent Idiopathic Scoliosis,” Journal of the Spinal Research Foundation, Spring 2009 Vol 4.1 http://www.spinemd.com/publications/articles/the-genetic-basis-of-adolescent-idiopathic-scoliosis
  3. ^ Kouwenhoven, J & Castelein, R, 2008, ‘The Pathogenesis of Adolescent Idiopathic Scoliosis’, Spine, vol. 33, no. 26, pp. 2898-2908. 10.1097/BRS.0b013e3181891751
  4. ^ Ogilvie JW, Braun J, Argyle V, Nelson L, Meade M, Ward K, 2006, ‘The Search for Idiopathic Genes’, Spine, vol. 31, no. 6, pp. 679-81. March 2006
  5. ^ [1]
  6. ^ Texas Scottish Rite Hospital for Children: [2]
  7. ^ Gao X, Gordon D, Zhang D, Browne R, Helms C, Gillum J, Weber S, Devroy S,Swaney S, Dobbs M, Morcuende J, Sheffield V, Lovett M, Bowcock A, Herring J, Wise C (2007). [http://www.ncbi.nlm.nih.gov/pubmed/17436250?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum “CHD7 gene polymorphisms are associated with susceptibility to idiopathic scoliosis.”]. Am J Hum Genet 80 (5): 957-65.PMID 17436250.

January 27, 2010 - Posted by | Blood, Bones, Cells, Muscles

3 Comments »

  1. Thanks for the information on scoliosis. There is more to effective scoliosis treatment than just bracing and surgery. Please check out the FixScoliosis forum if you are interested in finding out more.

    Comment by FixScoliosis | March 28, 2010 | Reply

  2. Jesus can certainly heal any condition of scoliosis. Check out our website http://healethee.wordpress.com/ and submit a prayer request for anyone you know with this condition. Also check out our healing videos of people being healed of different disabilities. Jesus can do the same for scoliosis patients.

    Comment by Joel | July 17, 2010 | Reply

    • I know that nothing is impossible to God Almighty. But what I’m saying in medical side. Hope you’ll understand me… Thanks!

      Comment by Engr. Ardy Motos | July 25, 2010 | Reply


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