Home Conditions & Treatments Conditions Scoliosis and other spinal deformities

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Scoliosis can be triggered by various causes and is primarily divided into two main groups:

Children and adolescents mainly suffer from idiopathic scoliosis. A small number suffer from congenital scoliosis and neuromuscular scoliosis.
Elderly individuals mostly experience scoliosis due to the degeneration of spinal joints (degenerative scoliosis), which involves uneven degeneration of the posterior spinal joint and intervertebral disc.

In children and adolescents, scoliosis typically does not present with back pain. Children or their parents might notice:

A prominence on one side of the back
One side of the scapular appearing prominent
An uneven waistline
Uneven shoulders
Incidental findings from a chest x-ray

Elderly individuals with scoliosis often experience back pain, hip pain radiating down the legs, numbness, and weakness. Some patients may display a kyphotic spine or have an imbalanced gait.

A full spine x-ray is performed to assess the angle of scoliosis (Cobb angle).
Magnetic Resonance Imaging (MRI) is done for patients who have symptoms of nerve or spinal cord compression, to identify the pathology, location, and severity of the nerve compression.

For children and adolescents, treatment depends on the age and angle of scoliosis
- Regular observation and follow-ups
- Usage of braces
- Surgery for correcting the deformity

For elderly individuals, treatment mainly depends on the symptoms.
- Medication
- Physical therapy
- Surgery, if necessary

Created When: August 04, 2023

Last modify: August 04, 2023

Bumrungrad Hospital

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