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Spine Deformities:  Scoliosis

Scoliosis is a condition where the spine or back bone is curved sideways instead of appearing in a straight line.  The most common type of scoliosis is adolescent idiopathic scoliosis which occurs after age 10 and is seen more frequently in girls than boys.  Scoliosis can occur at any age, however, and the cause is not known in 80% of cases.  This is referred to as idiopathic scoliosis.  Dr Hsu and Dr Singh will investigate other possible causes before diagnosing you with idiopathic scoliosis.

Causes of Scoliosis

Scoliosis causes are categorized into two groups:

    • Non-Structural Scoliosis:  This type of scoliosis presents as a structurally normal spine with a temporary or changing curve.

Causes include:

      • Differences in leg lengths
      • Muscle Spasms
      • Inflammatory conditions such as appendicitis
    • Structural Scoliosis:  This type of scoliosis presents with a fixed curve in the spine.

Causes include:

    • Birth defects
    • Injury to the spine
    • Infections
    • Neuromuscular diseases such as cerebral palsy and muscular dystrophy
    • Tumors
    • Connective Tissue Disorders
    • Rheumatic Diseases

Scoliosis Treatments

Treatment of Scoliosis is based on Dr Hsu or Dr Singh’s assessment of the spinal curve, its cause, the age of the patient, and how much more the patient may grow.  Treatment options include:

  • Observation:  Dr Hsu or Dr Singh may want to see you every 4-6 months to monitor the curve if your scoliosis is mild with a curve of less than 25 degrees.
  • Bracing: Dr Hsu or Dr Singh may recommend wearing a brace to prevent the curve from worsening while the patient is still growing or if your curve is greater than 30 degrees.

Surgery:  If the patient is still growing and the curve is over 40 degrees, or is worsening, surgery may be recommended.  The most common surgical procedure for Scoliosis is correction, stabilization, and fusion of the curve.

Examining for Scoliosis – 10 Second Tip – Brian Hsu

Adult and Paediatric Scoliosis – Dr Brian Hsu