Pain Management


scioliosis x-ray

Scoliosis Ain’t Cool

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SCOLIOSIS is not a simple chronic disease that can just be ignored. In fact, the United States ranked number one in the world for listing 254 deaths due to scoliosis in the World Health Organization Statistical Information System as of January 2004. This could be higher over the last eight years. Therefore, disregarding scoliosis may lead to further complications like the failure of our vital organs such as the heart and lungs, kyphosis or hunching of the back, or arthritis.

Causes
Scoliosis is characterized by a side-to-side spinal curves that either looks like the letters ‘C’ is described as thorocolumbar dextroscoliosis or ‘S’ which is also known as thoracic dextroscoliosis. According to the National Health Service (NHS), UK, almost 80% of scoliosis cases are idiopathic or unknown. Other causes are neuromuscular conditions such as cerebral palsy, disproportional leg length, bad posture, carrying heavy objects regularly, and abnormal development of the spine of the fetus.

Symptoms
According to Medical Doctor Peter F. Ullrich, Jr., conditions showing the common symptoms of scoliosis, even without the aid of an x-ray, are when one shoulder is higher than the other or one shoulder blade sticks out more than the other, one side of the rib cage appears higher than the other, one hip appears higher than the other, the waist appears uneven, and the body tilts to one side. Back pain is not a conclusive indication of scoliosis although it can cause back pain.

Types
In determining the severity of scoliosis, the expertise of a medical doctor or a spine specialist must be consulted and employed. Infantile scoliosis, juvenile scoliosis, and adolescent scoliosis are its types when categorized by age of the patients during its occurrence. These three occurs from birth to three years old, three to nine years old, and 10 to 18 years old, respectively. The progression of the curve during the adolescent should be clearly monitored since that is typically the growth cap years.

Treatment
Available treatment services are casting, Thoracolumbosacral orthosis or braces under the arms and around the rib cage, Milwaukee brace or a full-torso brace, and spinal fusion, which is a surgery in which at least two spine bones are connected with new bone grafts. Spinal fusion is the last resort among these treatments since it can cause risks such as rod displacement, spine nerve damage, infection, and Pseudarthrosis in which the bone does not graft properly.