NEPA Vital Signs - Summer Fall 2018 - 37

SUMMER/ FALL 2018

Feature

THE INS & OUTS OF
SCOLIOSIS

S

coliosis is an abnormal curve of the spine.
When looking at someone from the
back, it is usually in the shape of an S, but
is sometimes a C. Many times, this does not
cause anything noticeable when looking at
the person's back, but can cause one shoulder or hip to be higher than the other. The
spine can also twist with scoliosis, which
can give the appearance of asymmetry of
the shoulder blades or large back muscles.
There are different causes of scoliosis,
but about 80% of the time there is no
underlying cause. This is called idiopathic scoliosis and is most common in
adolescent girls, but is not uncommon
in boys. Other less common causes
include cerebral palsy, muscular dystrophy and other neuromuscular or
genetic disorders. Scoliosis is not
caused by carrying heavy bags,
sports or abnormal posture.
There is definitely a genetic component to idiopathic
scoliosis and scientists are
working on finding specific
markers to identify people
that may develop scoliosis.
Scoliosis is usually found during well child visits to
the pediatrician or school screenings. The doctor may
look for asymmetry in the person's shoulders, back
or waist. He may also have her bend forward and look
for a rib or low back prominence on one side. If there
is a suspicion for scoliosis, an x-ray can be ordered to
evaluate the entire spine. If a curve is present, then
referral may be made to a spine or scoliosis specialist.
Fortunately, the vast majority of cases of scoliosis
are mild and require nothing other than monitoring
with occasional x-rays. Activities are not restricted
and physical therapy is not required. Curves that
are thought to have a higher risk of progression
have been shown to benefit from bracing. The
goal of the brace is to slow or halt progression,
not correct the curve. Surgery is reserved
for the small minority of cases where the
scoliosis is severe and may be causing pain
or other issues.
N E PA

37

VITAL SIGNS



Table of Contents for the Digital Edition of NEPA Vital Signs - Summer Fall 2018

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