Scoliosis

Alternate Names : Curvature of the Spine

What are the treatments for the condition?

Observation is appropriate for many mild curves that do not progress. Braces may be used for moderate curves that are progressing, but they are not always effective. Finally, a spinal fusion operation is recommended for severe, progressive curves. This operation tries to correct the curvature, at least partially. It also fuses or joins together the vertebrae of the curve, usually with metal rods or cables in the back. Scoliosis caused by nervous or muscular system conditions is more likely to progress and require an operation.

What are the side effects of the treatments?

Braces may cause skin irritation. The self-conscious teenager may choose not to wear the brace as recommended, which can reduce its effectiveness. Surgery carries a risk of bleeding, infection, and allergic reaction to anesthesia.

What happens after treatment for the condition?

There may be progression of the curve despite appropriate treatment. In rare cases following operation, the spine may not fuse successfully. This may eventually cause nerve damage with paralysis. In addition, the metal rods or cables in the spine may break, causing the need for replacement or removal.

How is the condition monitored?

It is important to periodically monitor children's spines through exams at school and the healthcare provider's office, especially during the rapid growth years of early adolescence. Parents might observe their children's exposed backs. Any new or worsening symptoms should be reported to the healthcare provider.