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Scoliosis
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"Scoliosis is the most deforming orthopedic problem confronting children. It is
a potentially progressive condition that affects children during their active
growth phase and essentially subsides upon completion of spinal growth, leaving
the child with a permanent deformity. Early recognition and early treatment can
be effective in halting its progress and in many cases result in improvement.
The effects of scoliosis in the child and its persistence into adulthood are
primarily cosmetic. However, pain can be significant even after therapy and
severe scoliosis can result in cardiopulmonary complications that can decrease
life span."
Scoliosis, a term used by Hipocrates, means abnormal curvature of the spine.
When looking at someone from behind, the spine curves either like a "C" or like
an "S." The curve is named by the side of convexity, ie. if the curve looks
like an "S," the top curve would be left and the bottom curve would be right.
There are many theories as to the cause of scoliosis, but the true causative
factor remains unknown. It is now estimated to be present in 1.4 per thousand
of the population, with approximately 2 percent of the adult population
demonstrating some degree of spinal curvature. "The most important factor in
ensuring early diagnosis of scoliosis is to routinely examine all growing
children at regular periods during growth. These periods should preferably be
at six-month intervals from early childhood until full maturity with greater
attention during the rapid growth phases that usually occur from ages 8 through
12.
Early diagnosis depends on an awareness of its possibility with the hope that
early diagnosis will ultimately reveal early minimal scoliosis and result in
early referral for treatment."
The initial examination of the patient consists of observation from the back,
front and side in the standing and bent forward position. If a significant
scoliotic curve is discovered, X-rays are taken of the involved area of the
spine from the front and side. A measurement is taken to determine the severity
of the curve. Both the degree and rapidity of progression of the curve
determine the proper treatment of the patient.
Bring your children in and let us check them today!
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