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PrizmScoliosis

Overview | Causes | Symptoms | Diagnosis | Treatment | FAQ

Scoliosis

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Overview

Scoliosis is a disease characterized by an abnormal curvature to the spine, in which the vertebrae twist like a bent corkscrew. In less severe cases, scoliosis may cause the bones to twist slightly, making the hips or ribs appear uneven. When this occurs, the problem is more cosmetic and less of a health risk.

Scoliosis does present a health risk if bones are so severely twisted that they compress vital organs, or if the spinal deformity is so severe that spinal health and posture is threatened. If this happens, surgery may be necessary. If left untreated, severe cases of scoliosis can shorten a person's life span.

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Causes

The exact cause of scoliosis is unknown. Only one to four percent of the population has this condition. It is more common in women than men and most often affects adolescents between the ages of 10 and 18. A child's likelihood to develop scoliosis is much higher if their parent or a sibling has it. In other cases, the disease is congenital, meaning a person is born with a vertebral abnormality that causes it.
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Symptoms

Sometimes, the symptoms of scoliosis are visible. If either one or both shoulder blades are prominent, the waist is shifted or ribs are uneven, scoliosis may be present. dr bryan barnes

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Diagnosis

Outlined below are some of the diagnostic tools that your physician may use to gain insight into your condition and determine the best treatment plan.

  • Medical history: Conducting a detailed medical history helps the doctor better understand the possible causes of your back and neck pain, which can help outline the most appropriate treatment.
  • Physical exam: During the physical exam, your physician will try to pinpoint the source of pain. Simple tests for flexibility and muscle strength may also be conducted.
  • X-rays are usually the first step in diagnostic testing methods. X-rays show bones and the space between bones. They are of limited value, however, since they do not show muscles and ligaments.
  • MRI (magnetic resonance imaging) uses a magnetic field and radio waves to generate highly detailed pictures of the inside of your body. Since X-rays only show bones, MRIs are needed to visualize soft tissues like discs in the spine. This type of imaging is very safe and usually pain-free.
  • CT scan/myelogram: A CT scan is similar to an MRI in that it provides diagnostic information about the internal structures of the spine. A myelogram is used to diagnose a bulging disc, tumor, or changes in the bones surrounding the spinal cord or nerves. A local anesthetic is injected into the low back to numb the area. A lumbar puncture (spinal tap) is then performed. A dye is injected into the spinal canal to reveal where problems lie.
  • Electrodiagnostics: Electrical testing of the nerves and spinal cord may be performed as part of a diagnostic workup. These tests, called electromyography (EMG) or somatosensory evoked potentials (SSEP), assist your doctor in understanding how your nerves or spinal cord are affected by your condition.
  • Bone scan: Bone imaging is used to detect infection, malignancy, fractures and arthritis in any part of the skeleton. Bone scans are also used for finding lesions for biopsy or excision.
  • non surgical care at Georgia Neurological Surgery & Comprehensive Spine
  • Discography - Discography is used to determine the internal structure of your disc. It is performed with a local anesthetic by injecting dye into the disc under X-ray guidance. An X-ray or CT scan is performed to determine if the disc’s structure is normal or abnormal and if the injection causes pain. A benefit of a discogram is that it enables the spine surgeon to determine the disc level that is causing pain. And if surgery is necessary, discography helps ensure a successful surgery and reduces the risk of operating on the wrong disc.
  • Injections - These can act as a bridge to physical therapy by relieving back pain and providing the physician with important information about your problem.

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Treatment

There are roughly three tiers of treatment for adolescent scoliosis. General scoliosis treatment options include observation, bracing, and if the curve is large and progressive, surgery. Georgia Neurological Surgery & Georgia Comprehensive Spine does not perform pediatric scoliosis surgery, however our spine specialists can offer a referral to a regional scoliosis expert if surgery is necessary. Patients with pain and function issues can be treated with therapy, as well as physiatry (physical medicine and rehabilitation physician-supervised programs). Sometimes, shoe inserts (orthotics) are prescribed for those whose legs are uneven.dr john cuff

For adults, the emphasis is on function and movement. Bracing is used only as a temporary pain relief measure; it cannot correct the curve in an adult. Treatment focuses on medications and physical therapy. If other problems exist that are caused by the scoliosis (sacroiliac dysfunction, flatback, spinal stenosis, nerve root pinching), there are many non-operative treatments for each of these issues.

Surgery may be required in order to correct the spinal curve. Surgery is usually only recommended for large, progressive curves or in those patients who have nerve pain that steadily worsens. These surgeries can be extremely complicated, and a person should invest a great deal of time in selecting a spine surgeon who subspecializes in using the most current (fourth generation) corrective techniques. As with any spine surgery, finding a doctor with experience in this specific type of surgery is key. Georgia Neurological Surgery & Georgia Comprehensive Spine does not perform scoliosis surgery, however our spine specialists can offer a referral to a regional scoliosis expert if surgery is necessary.

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FAQ

How can I tell if I have scoliosis?

Your doctor will take X-rays of your spine which will reveal whether or not scoliosis is present as well as how severe it may be.

When is scoliosis considered dangerous to my health?

Scoliosis can be life-threatening when bones are so severely twisted that they compress vital organs. Surgery is most likely the best option in such cases. If left untreated, severe cases of scoliosis can shorten a person's life span.

What are some of the nonsurgical ways to treat scoliosis?

There are some nonsurgical ways to treat scoliosis such as physical therapy, exercise, bracing, shoe inserts and medication. However, only a spine surgeon can determine if any of these options might apply to you.

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