Each person’s spine has a curvature. This is essential to help carry the weight of the body, maintain balance, move and walk properly. However, 3 out of 100 people suffer from curvature of the spine, called scoliosis. This deviation of the column achieves a curve in the form of ‘S’ and in the wrong direction.
Causes of scoliosis
These are the causes that generate this pathology:
Idiopathic scoliosis or of unknown cause:
This is the most common type of scoliosis. The origin is unknown and most frequent. 85% of scoliosis are idiopathic and, for the most part, occur in adolescence.
Neuromuscular scoliosis:
Generated by poor muscle control, muscle weakness or paralysis due to diseases such as cerebral palsy, muscular dystrophy, spina bifida, among others.
Congenital scoliosis:
In which there is an abnormality in the formation of the vertebrae. Only half a vertebra can be formed or there is a fusion, that is, a bone union between one vertebra and the other, and that generates scoliosis.
Degenerate Scoliosis:
In this case there is significant degeneration of spinal structures related to aging. Disc degeneration, facet joint degeneration, weakness of muscles or nerve entrapment can cause this form of scoliosis.
Scoliosis develops gradually and may not produce any symptoms or pain, so it is the doctor or the parents who often identify this condition. It is suspected when one of the shoulders looks taller than the other or the pelvis appears to be inclined, which is may not be obvious.
Types of scoliosis
There are several types based on the cause and age when the curvature develops. It is twice as common in girls as in boys. It can be seen at any age, but it is more common after 10 years. This condition is often hereditary ie runs in families, however, there is no correlation in the severity of curvature from one generation to another.
There are other possible causes of scoliosis that include spinal tumours such as bone osteoma. This is a benign tumour that can appear in the spine and produces pain that causes the person to lean to the opposite side of the tumour, to relieve pressure and, consequently, pain. This effort can produce spinal deformity.
Symptoms
-Abnormal spinal curvature to one side (lateral).
-Shoulders and hips not aligned.
-May cause Back pain.
-Fatigue.
The diagnosis of scoliosis can be determined with a physical examination performed by a specialist and confirmed by means of a spine x-ray.
Surgery
Surgery is indicated only in certain very specific cases.
The surgery seeks to straighten the spine and reduce the curvature. For this, multiple screws are installed in the column, which have to be joined together by bars.
The development of new techniques allows reducing the risk of neurological damage since during surgery the specialists are monitoring the spinal cord at all times.
This procedure is indicated after analyzing several factors such as the patient’s age, the degree of curvature or deformity of the spine, whether or not there is pain and the skeletal maturity of the individual.
At the London Spine Unit, we have some of the best specialists to diagnose and treat this condition. Book an appointment to get a checkup.
Other links
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What is Adolescent Idiopathic Scoliosis ?
What are the types of scoliosis?
There are several types based on the cause and age when the curvature develops. It is twice as common in girls as in boys. It can be seen at any age, but it is more common after 10 years. This condition is often hereditary ie runs in families, however, there is no correlation in the severity of curvature from one generation to another.
What are the symptoms of scoliosis?
The symptoms are abnormal spinal curvature to one side (lateral), shoulders and hips not aligned, it may even cause back pain and fatigue.
When is surgery indicated?
Surgery is indicated only in certain very specific cases. The surgery seeks to straighten the spine and reduce the curvature. For this, multiple screws are installed in the column, which have to be joined together by bars. This procedure is indicated after analyzing several factors such as the patient's age, the degree of curvature or deformity of the spine, whether or not there is pain and the skeletal maturity of the individual.