Scoliosis mean curvature of the spine to the side (away from the center). The alternative names for scoliosis curvature of the spine, and convexity Ganvi.
Reasons:
There are three general causes of scoliosis are:
o cause congenital, which is commonly associated with the problem in the formation of the spine or fusion of the ribs during the growth of the fetus
o cause neuromuscular (poor muscle control or weakness or paralysis in the muscles due to diseases such as cerebral palsy, and dystrophy (malnutrition) muscular
o The last reason is why the mysterious or unknown, which appears in the spine straight in the past. The mysterious figure of scoliosis is most common in adolescents, may be the result of genetic factors.
Risk
Most cases occur in girls and is getting worse bending activities generally during sudden growth. There are also forms of which occur in children and young people, which is less common, and affects boys and girls the same number.
Injury can be suspected scoliosis when it seems one shoulder higher than the other or be tilted pelvis. Which is not evident in the dominance of the untrained observer. And are currently conducting routine screening for scoliosis in fact middle school - high school, knowing that there are cases detected at an early stage, there was no ability to detect it in the past only if the situations have become more advanced.
The patient may feel tired in the spine in the case of sitting or standing for a long time.
The pain becomes constant in the case of irritation of the ligaments.
The greater the greater the initial curve of the spine, the more likely worsen after the completion of growth. The severe scoliosis (greater than the degree of curvature of the spine from 100), it may cause breathing problems.
Symptoms:
o curvature of the spine to the side abnormally Ketvan and not be - or Alurkan on the same level.
o back pain or pain in the back, unfortunately.
o fatigue:
o Note: The symptoms of kyphosis Ganvi abnormal curvature from front to back, and rotate back.
Examinations and tests:
Includes a physical examination to check bending forward and help this examination the doctor to determine the degree of bending, and neurological examination to investigate the destruction of any changes in strength or sensation or reflexes.
The tests include the following: Photography spine X-ray (photo taken from front to back).
A device to measure the degree of curvature of the spine magnetic resonance imaging (in the case of changes in the neurological examination in the case of the back is nothing abnormal in the X-rays.
Treatment
Treatment is determined based on the cause of scoliosis, the size and position of the curve, and the stage of bone growth (growth centers so lock), knowing that most cases of scoliosis in adolescents mysterious does not require any treatment (less than 20 degrees), but must be followed up at regular intervals (every approximately six months).
If the increased degree of curvature of 25 degrees to 30 degrees in children who have viability, it is usually recommended to use a pillar to help slow down the progress of the curve.
It should be noted that there are different types of struts that are used, and have names such as the pillar of Boston Boston Brace and the mainstay of Wilmington Wilmington, and the mainstay Milwauke Milwaukee and the mainstay of Charleston Charleston.
Has launched these names on the pillars relative to the centers where it has developed. Each pillar of these pillars look different from other species, that there are different ways to use each type properly.
The choice of brace and the manner in which they are used on many factors, including the specific characteristics of each curve, knowing that the choice of type of brace will be decided upon by the patient and the doctor together.
It is worth noting that the back brace does not address the curve and science at God, but becomes the backbone upright pillar using the non-homogeneous due to stress, and can be modified as the mainstay of growth in the patient.
Not only are the mainstay effective in the treatment of congenital scoliosis or neuromuscular, which is less effective in the treatment of scoliosis of the mystery of children and youth.
The curves are at 40 or more, they usually require surgery for the patient because there is a substantial risk of aggravation of the situation, which bends in such a size until after the cessation of bone growth.
Includes surgical correction of scoliosis to correct the curve (although it may not be perfect), and melting of the bones in the curve together.
And installed the bones in place by a metal bar or metal rods, and installed the bar or bars with pins and bolts to be healed bones with each other.
However, it is sometimes the surgery through a crack in the back, and sometimes through the incision in the abdomen or under the ribs. May require the use of a pillar after the surgery to stabilize the spine.
The restrictions imposed by the treatment are often difficult emotionally, and may threaten self-image of a person, particularly among adolescents.
Therefore, emotional support is crucial to modify these restrictions. May help therapists and orthopedic (bone specialists devices) to explain treatments to patients, and make sure to put a pillar in a convenient all in order to further restrict the patient plan of treatment.
Support groups
Can often reduce the severity of the disease through the registration of the patient support groups, where members share their experiences and problems of the public with each other. Expectations (the prospects for improvement in the situation) as a result of treatment depends on the cause of bending and position, and intensity. The higher the curve significantly, were more likely to exacerbate the situation more after the cessation of growth.
Mild cases are handled in a very good pillars.
The people who are suffering from these cases to long-term problems, except for an increase the risk of pain in the lower back when they get old.
Persons who suffer from scoliosis, which was mysterious surgically corrected their cases are going extremely well, and can live a healthy life full of activity.
The patients with neuromuscular scoliosis, they suffer in the origin of a serious disorder (such as cerebral palsy or muscular dystrophy) and therefore, the goals have to be very different. Often the goal of surgery is in the child's sitting vertically in a wheelchair.
With regard to children who suffer from congenital scoliosis, it would be to have a wide variety of distortions, basic, and is treating the disease in these cases is difficult and often requires extensive surgery.
Complications
Complications may include emotional problems, and poor self-esteem as a result of injury or treatment of scoliosis (and especially Shore).
Damage to the spine or spinal cord injury or surgery as a result of severe and curvature of a debugger.
The failure of bone fusion in the (extremely rare in the case of the mysterious eyelid).
Inflammation of the spine after surgery.
0 commentaires