What is scoliosis?
Scoliosis - lateral curvature of the spine, which can be both acquired and congenital. Acquired scoliosis affects, first of all, children during the active growth of the body, while boys are prone to this disease 4-7 times less.
Below we describe the types, diagnosis and treatment of scoliosis.
Scoliosis is classified according to a number of symptoms:
- The origin is unknown or, in medical terms, idiopathic (80% of cases), traumatic, cicatricial, scoliosis of neurogenic origin, etc.
- The shape of the curvature - C-shaped (one arc of curvature), S-shaped (two arcs of curvature), Σ-shaped (three arcs of curvature).
- The location of the curvature - the cervical-thoracic, thoracic, thoracolumbar, etc.
- Radiographically - 1 degree of scoliosis (deviation of 1-10 degrees), 2 degree (11-25 degrees), 3 degree (26-50 degrees), 4 degree (more than 50 degrees).
- By changing the static function of the spine - compensated and uncompensated.
- By changing the degree of deformation depending on the load on the spine - stable and unstable.
- The clinical course is progressive and non-progressive.
There are also several types of scoliosis, the most characteristic of which are:
- By the time of manifestation - infantile idiopathic scoliosis (occur between the first and second year of life), juvenile idiopathic scoliosis (between four and six years), adolescent idiopathic scoliosis (between ten and fourteen years).
- By reason of occurrence - idiopathic, paralytic (arises due to paralysis), habitual (develops at school age due to improper location of the student at the desk, carrying a heavy portfolio on one shoulder, etc.), static (due to pelvic injury), etc.
To establish a diagnosis of scoliosis, it is enough to take a radiograph, but it is much more important not just to make a diagnosis, but to do it in a timely manner, while you can still fix it with a simple treatment. In order to make a diagnosis in time, you need to pay attention to the symptoms of the disease - general muscle weakness, asymmetry of the shoulder girdle and shoulder blades in a standing position, etc.
Treatment of scoliosis depends on the causes of its occurrence, as a rule, if the age is childish and adolescent, and the cause is idiopathic,the doctor is limited to the appointment of physical therapy, special corsets, massage and other physiotherapy procedures.
If the above methods do not help and the disease progresses (the patient is tortured with pain, vital organs - the heart and lungs begin to squeeze), surgical intervention is recommended. Today, there are a lot of schemes of operations for eliminating scoliosis - the method of Harrington, Kotrelya-Dyubuse, Tsilke, etc., but their essence is the same - the patient is installed special metal structures that hold the spine in the correct position. The spine, of course, loses mobility, and metal structures have to live all their life, but the heart and lungs can work fully.
If the cause of scoliosis is not idiopathic, but is caused by abnormalities in other parts of the body, the initial treatment is aimed at eliminating the abnormality.