Scoliosis in Children & Teens
Scoliosis usually begins in the years of rapid skeletal growth, between the ages of four and nine, or in the early teens. Adolescent girls are four times more likely to be affected than their male counterparts. Progression usually slows by early adulthood.
Symptoms of Scoliosis
- A visible S-shaped curve in the spine or noticeable deformity of the spine
- Conspicuous hump of the upper back
- Discernible flatness of the lower back with the loss of the normal curve
What Is Scoliosis?
Scoliosis is a sideways, rotational curvature of the spine. A curve to one side, most often in the thoracic (chest) portion of the spine, leads to compensatory bends in the lumbar (lower back) and cervical (neck) portions of the backbone. The resulting S-shape of the spine causes the chest cavity to be enlarged on the wide part of the curve and compressed on the narrow side.
In severe cases with large curves, lung capacity can be seriously reduced resulting in heart and respiratory problems. The disorder is often accompanied by a forward or backward curvature, known respectively as kyphosis (humplike) and lordosis (swaylike).
When detected early, minor deformities may be halted by spine-strengthening exercises and by wearing a brace. More severe cases may require surgery. Scoliosis may worsen with age as a result of degenerative changes, osteoporosis, or loss of muscle strength.
What Causes Scoliosis?
- In 80 percent of cases, the cause is unknown, but is probably genetic.
- In the remaining 20 percent of cases, scoliosis can be attributed to abnormalities such as weakness of the spinal muscles from neuromuscular disease, as in poliomyelitis and Parkinson’s disease; spinal injury, such as a fracture; or acquired or inherited defects in the vertebrae.
- Scoliosis can first appear in older people (55 to 75) without any previous curvature. In these people, the cause is due to the asymmetric wearing out of the spinal column. Such curves usually appear in the lower back.
Prevention of Scoliosis
There is no known way to prevent scoliosis, but its progression may be arrested after it is diagnosed.
Diagnosis of Scoliosis
- Patient history and physical examination
- Spinal x-rays
How to Treat Scoliosis
- When the deformity is slight or associated with muscular weakness, exercises may be recommended. Bracing can be effective in children or adolescents.
- Frequent physician monitoring is necessary during the rapid growth years to detect significant changes in the curve.
- Progressing curvatures and curvatures greater than 45 degrees usually require surgery (bone grafting with metal rods) to straighten the spine.
When to Call a Doctor
Call a doctor if you suspect scoliosis in yourself or your child. Early treatment can halt its progression.
Source: The Complete Home Wellness Handbook
John Edward Swartzberg, M.D., F.A.C.P., Sheldon Margen, M.D., and the editors of the UC Berkeley Wellness Letter
Updated by Remedy Health Media