$Unique_ID{BRK01071}
$Pretitle{Musculoskeletal System and Connective Tissue}
$Title{What is "Scoliosis"?}
$Subject{scoliosis back development teenage}
$Volume{M-17}
$Log{
Scoliosis-Back View*0006301.scf
Scoliosis-Types of Curves*0006304.scf
Scoliosis-Heredity*0006305.scf}

Copyright (c) 1991   Tribune Media Services, Inc.


What is "Scoliosis"?


------------------------------------------------------------------------------

QUESTION:  Our school provides regular exams by the school nurse to make sure
that all is developing correctly.  After just such an exam, I received a note
from the nurse stating that my daughter was developing a condition named
"scoliosis", and required a physician's examination.  Please help me by
explaining this condition in your column.  Thank you.

------------------------------------------------------------------------------

ANSWER:  It is imperative that you take the advice of the school nurse and see
your physician.  Most of the cases of scoliosis (a medical name for curvature
of the spine) are discovered in just such school screening examinations and
medical referral is always indicated.
     No one is sure just what the cause of scoliosis is, but we do know some
important things.  Young girls fall prey to this condition about twice as
frequently as boys and their curvature is usually worse.  If there is a
history of scoliosis in the family, the chance of a child developing it is
about three times more likely.  Treatment will depend upon the amount of
curvature detected on x-rays.  If there's a curve of less than 20 degrees from
normal, most cases are merely observed closely without any treatment other
than a program of exercises, muscle stretching and strengthening.  When the
curvature is between 20 degrees and 40 degrees, patients are generally treated
with braces.  A great number of different types of braces are now being used
in the United States and the use of lightweight plastic has made this type of
treatment much more acceptable to youngsters, who can wear them under their
clothing and have a great deal of freedom of motion.  However, once the brace
is in place, the patient must wear it almost constantly, up to 23 hours a day,
only removing it for bathing and exercise.  Treatment with braces will
continue until the spine matures and has reached its full growth which will be
detectable on x-ray.
     When the degree of curvature exceeds 40 degrees, surgical techniques must
be resorted to.  These techniques seek to realign the spine and to fix it into
position with the use of rods or other means of external or internal fixation.
Correcting scoliosis in a timely fashion prevents the development of
complications which can occur later, including neurological disturbances.  It
isn't easy for a youngster to undergo all of the procedures necessary to
correct scoliosis, but it's very important.  They will need a lot of
understanding and counselling and though your family physician may not be the
one to perform all the surgery, he can help you over some of the rough times
as you work for that wonderful day when braces may be cast aside and your
child will stand straight and erect.
ÿ
----------------

The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
