Spinal Disorders
Scoliosis:
Scoliosis is a deformity of the backbone (spine). It’s when the spine has a side-to-
side curve. The curve of the spine measures 10 degrees or more.
A normal spine appears straight when looked at from behind. But a child with
scoliosis has a spine with an S or C shape. The child may look like he or she is
leaning to one side. The curve can happen on the right or left side of the spin. Or
it can happen on both sides in different sections. Both the middle (thoracic) and
lower (lumbar) spine may be affected.
Causes:
- Nervous system problems like cerebral palsy or muscular dystrophy
- Inherited conditions that tend to run in families
- Differences in leg lengths
- Injury
- Infection
- Tumors
Symptoms:
- Difference in shoulder height
- The head not centered with the rest of the body
- Difference in hip height or position
- Difference in shoulder blade height or position
- Difference in the way the arms hang beside the body when the child stands straight
- Difference in the height of the sides of the back when the child bends forward.
Treatment:
Bracing:
If your child is still growing, he or she may need a brace for some time.
Surgery:
Your child may need surgery when the curve measures 45 degrees or more on an
X-ray and bracing has not slowed down the progression of the curve.
Kyphosis:
A normal spine, when viewed from behind appears straight. However, a spine affected by kyphosis shows evidence of a forward curvature of the back bones (vertebrae) in the upper back area, giving the child an abnormally rounded or hum”humpback” appearance.
Kyphosis is defined as a curvature of the spine measuring 50° or greater.
The normal spine can bend from 20° to 45° of curvature in the upper back area.
Causes:
- Metabolic problems
- Neuromuscular conditions
- Postural kyphosis.
Symptoms:
- Difference in shoulder height
- The head bends forward compared to the rest of the body
- Difference in shoulder blade height or position
- When bending forward, the height of the upper back appears higher than normal.
Treatment:
Bracing:
If the child is still growing, the doctor may prescribe a brace. The type of brace
and the amount of time spent in the brace will be determined by your child's
doctor.
Surgery:
In rare instances, surgery is recommended when the curve measures 75 degrees
or more on X-ray and bracing is not successful in slowing down the progression of
the curve.