Treatment For Scoliosis

The spine has normal curves which gives the convexity of the thoracic spine and concavity of the lumbar spine. In scoliosis, there is abnormality in the normal curvature of the spine with associated rotation of the vertebra.

Scoliosis may start in infancy but more prevalent in adolescents. Epidemiology shows that female are more likely to have scoliosis than males with a ratio of 2:1. For curves greater than 30 degrees, the ratio increases to 8-10; with females greatly affected than males.

Idiopathic scoliosis is the most common type. The etiology remains unknown, but is believe to be hereditary.
Body asymmetry is very common in scoliosis, though it may not be noticeable in mild cases. In severe cases, body deformity, back pains, postural weakness and in extreme cases heart failure may also be present. Most of the time, scoliosis needs frequent follow up to avoid worsening. In severe cases, surgical intervention may be needed under a qualified orthopedic surgeon who is best qualified for these types of condition.

Non-Operative Treatment

The non-operative treatment starts with the diagnosis, with the use of X-ray and wearing spinal brace to correct the deformity. Physical therapy rehabilitation has shown little effect for scoliosis.

Why Surgery?

The following are the reasons for indication of surgical treatment for scoliosis:

1. To avoid progressive increase in the angle of curvature.
2. Is the method of choice once bracing failed.
3. For improvement of appearance.
4. To relieve muscular fatigue and pain.

Scoliosis Surgery

Most of the time, spinal fusion is done to correct scoliosis, this is done through bone grafting, spinal rods and implants. The rods are placed in the spine through hooks to straighten the spine. Bone grafts are then placed to aid in the fusion of the spine. After a few months, the grafts heal and become solid. Normal range of motion will still be achieved in areas that were not fused.