Hunchback correction has been considered a myth in the society. From the mythological times, the gods have been applauded for their art of straightening a hunched person. Kyphoscoliosis correction is no longer a myth and can be corrected by surgery with highly positive results. Here is a brief overview of the disease and the available options.
Scoliosis is a term used to describe any abnormal, sideways curvature of the spine. A typical spine looks straight when viewed from the back. However, when scoliosis occurs, the spine can curve either in a ‘C’ way, reverse ‘C’ way or ‘S’ way.
Scoliosis can be either idiopathic or degenerative. Idiopathic variety is the most common type and is further classified into infantile, juvenile and adolescent scoliosis. It may be present in the thoracic, lumbar or thoracolumbar region. Thoracic scoliosis is the most commonly encountered type of deformity.
Without an x-ray of the spine, there are a few common physical symptoms and signs for the detection of scoliosis. Adam's test has been commonly used to check for scoliosis. In this, an individual bends forward and the physician observes for the position of the shoulder, rib cage, hip, waist and the size of the leg. Any abnormality in these may indicate further evaluation of scoliosis by x-rays. Pain is usually not associated with scoliosis and if encountered would require further investigations.
The treatment of scoliosis is dependent on two factors.
Depending on these factors, scoliosis can be corrected by one of the three means; observation, bracing of the back and surgery. In skeletally immature patients with curves over 25 degrees, a brace may be of help. Bracing is typically not used for skeletally mature individuals as it does not straighten the curve. Instead, the goal of a brace is to stop the progression of the spinal curve as the child grows.
Two types of back braces are available.
TLSO applies three point pressure and is applied 23 hours a day. Charleston brace works on applying more pressure against the curvature and should be worn only at night.
Scoliosis surgery for adolescents is recommended only when their curves are greater than 40 degrees. In the posterior approach of scoliosis correction, the muscles are stripped off the spine to allow the surgeon to access the bony elements. The spine is then instrumented (screws are inserted) and rods are used to reduce the amount of curvature. Bone is then added, which incites a reaction and potentiated spine fusion. The fusion process takes around 3 to 6 months and continues for up to 12 months.
Correcting hunchback is no longer a myth and the mystery of the mythological back correction stands sorted in today's world.
For further information on treatment of scoliosis consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
Last reviewed at:
07 Sep 2018 - 2 min read
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