scoliosis…

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scoliosis, skeletal spine, scoliosis, spinal curves, forward bend test, signs of scoliosis, scoliosis brace, spinal fusion, spinal curvature, kyphoscoliosis, scoliosis, lateral, away, middle, sideways curvature, the spine, three general causes, scoliosis, congenital, related to a problem, the formation of vertebrae, fused ribs, prenatal development, neuromuscular, poor muscle control, muscular weakness, paralysis, due to diseases, cerebral palsy, muscular dystrophy, spina bifida, polio, idiopathic, unknown cause, appears, previously straight spine, idiopathic form in adolescents, most common, genetic predisposition, most cases occur in girls, curves generally worsen, growth spurts, infantile, juvenile forms, less common, affect a similar number of boys, girls, scoliosis suspected, one shoulder appears to be higher than the other, pelvis appears to be tilted, unnoticeable to an untrained observer, routine scoliosis screening is now done in junior high school/middle school, many early cases, detected that previously would have gone undetected, they were more advanced, fatigue, in the spine after prolonged sitting, standing, pain, become persistent, irritation of ligaments results, greater the initial curve, the spine, greater the chance, progression, the condition after growth is complete, severe scoliosis, curves, in the spine greater than 100 degrees, breathing, respiratory, spine curving abnormally, side, laterally, shoulders, hips appearing un, backache, low-back pain, fatigue, kyphoscoliosis also involves abnormal front-to-back curvature, a "rounded back" appearance, kyphosis, physical examination, forward bending test, help the practitioner define the curve, a thorough neurologic exam to look, changes in strength, sensation, reflexes, spine x-rays, front, side, scoliometer measurements, a device, measuring the curvature, the spine, mri, neurologic changes noted on the exam, is something unusual, in the x-ray, treatment is determined by the cause, the scoliosis, location, the curve, stage of bone growth, how near the growth centers, to closure, most cases of adolescent idiopathic scoliosis, require no treatment, less than 20 degrees, followed at regular intervals, every 6 months, curves progress, above 25 to 30 degrees, child who is still growing, bracing, recommended to help slow the progression, the curve, their, many different kinds of braces used which have names the boston brace, wilmington brace, milwaukee brace, charleston brace, named, the centers where they were developed, each brace a different appearance, different ways of using each type properly, selection of a brace, manner, used is determined by many factors, the specific characteristics of curve, decided on by you, a back brace, does not reverse the curve, rather the spine is straightened by the brace from asymmetric pressure, adjusted, growth, bracing is not effective in congenital, neuromuscular scoliosis, less effective in infantile, juvenile idiopathic scoliosis, curves of 40 degrees, greater, require surgery, curves this large have a high risk of progressing after bone growth stops, surgical correction involves correcting the curve, not all the way, fusing the bones, in the curve together, bones, held in place, two metal rods held down, hooks, screws, bone heals together, surgery is performed, an incision, in the back, sometime, an incision on the abdomen, beneath the ribs, a brace required to stabilize the spine after surgery, limitations imposed by the treatments, emotionally difficult, threaten self-image, of teenagers, emotional support is important, adjustment, limitations of treatment, physical therapists, orthotists, orthopedic appliance specialists, in explaining the treatments, ensuring a comfortable fit, the brace to increase compliance, the treatment plan, stress of illness, helped by joining a support group where members share common experiences, scoliosis, support group, outcome depends on the cause, location, severity, the curve, greater the curve, greater the chance of progression after growth has stopped, mild cases treated, bracing alone, very well, kinds of conditions tend not to have long-term problems, except maybe an increased incidence of low back pain, they get older, surgically corrected idiopathic scoliosis also, very well, lead active, healthy lives, patients, neuromuscular scoliosis by definition have another serious disorder, cerebral palsy, muscular dystrophy, goals, different, the goal of surgery, a child to be able to sit upright, wheelchair, babies, congenital scoliosis have a wide variety of underlying deformities, this disease is difficult, many surgeries, emotional problems, lowered self-esteem, its treatment, specifically bracing, spinal cord, nerve damage from surgery, severe, uncorrected curve, the bone to fuse, very rare in idiopathic scoliosis, spine infection after surgery, low back arthritis, pain, an adult, respiratory dysfunction from severe curve, call child's health care provider, suspect that, have scoliosis.