emergency room report of patient with scoliosis

Should scoliosis patients discuss their feelings with health professionals?

Only 5% of those with scoliosis declared that they had opportunities to discuss their feelings with health professionals, while 90% of them declared that they wanted to have more opportunities to do this. ( J Adv Nurs 2001)

How do you assess the back of a scoliosis patient?

PHYSICAL EXAMINATION. When examining the back of a patient with suspected scoliosis, the evaluator should inspect the shoulders and hips for asymmetry. Significant leg length discrepancies, quickly judged by feeling the top of the iliac crests or the level of the dimples made by the posterior-superior iliac spines,...

Should schools screen for scoliosis?

School screening for scoliosis is controversial and is falling out of favour. The treatment for idiopathic scoliosis is based on age, curve magnitude and risk of progression, and includes observation, orthotic management and surgical correction with fusion.

What are the nursing care goals for scoliosis?

Nursing Care Planning and Goals. Main Article: 4 Scoliosis Nursing Care Plans. Major nursing care planning goals for the child with scoliosis include: Minimizing the disruption of activities. Preventing injury. Maintaining skin integrity and self-image. Complying with long-term care.

How do you assess a patient with scoliosis?

Scoliosis is usually confirmed through a physical examination, an x-ray, spinal radiograph, CT scan or MRI. The curve is measured by the Cobb Method and is diagnosed in terms of severity by the number of degrees.

How does a nurse check for scoliosis?

The clinician can observe any unevenness in the hips, ribs or shoulder or use a scoliometer to measure the degree of a curve. If a curve measures more than 5-7 de- grees on the scoliometer, it may be scoliosis. The curve's overall impact will depend on the child's age and bone maturity.

What is observation for scoliosis?

When first seeking treatment, many scoliosis sufferers are advised that they should “watch and wait” or “wait and see” how their condition progresses, in the hope that their curve will remain small enough to avoid surgery. Medically, this approach is known as “observation”.

What are some of the complications from severe scoliosis?

Complications of scoliosis can include:Breathing problems (in severe scoliosis)Low back pain.Lower self-esteem.Persistent pain if there is wear and tear of the spine bones.Spinal infection after surgery.Spine or nerve damage from an uncorrected curve or spinal surgery.Leakage of spinal fluid.

How do you document scoliosis?

An X-ray will show the spine from the front and back of the body, clearly revealing its shape and whether there is a curve. This can confirm the presence of scoliosis. A doctor will then use the X-ray to calculate the Cobb angle measurement, which tells whether the curve is mild or severe.

What are the treatment options for scoliosis?

There are three proven ways to manage scoliosis — observation, bracing, and surgery. The doctor will recommend one of these methods based on the severity of the scoliosis and the child's physical maturity.

What are the 3 types of scoliosis?

Most experts feel there are three categories of scoliosis. idiopathic, congenital, and neuromuscular. Idiopathic is the most common type of scoliosis. This means that the cause is unknown or that there is no single factor that contributes to the development of the disease.

What is the main cause of scoliosis?

In more than 80 percent of cases, the cause of scoliosis is unknown — a condition called idiopathic scoliosis. In other cases, scoliosis may develop as a result of degeneration of the spinal discs, as seen with arthritis, osteoporosis or as a hereditary condition that tends to run in families.

How would you describe the scoliosis curve?

Viewed from the back, a typical spine is straight. If the spine curves, it can show up as a curve to either side; as a single curve shaped like the letter C or “c-shaped scoliosis” or as a double curve shaped like the letter S or “s-shaped scoliosis”…

What are 4 symptoms of scoliosis?

In adults, scoliosis causes symptoms like these:Uneven shoulders and/or hips.Bump in the lower back.Numbness, weakness, or pain in the legs.Trouble walking.Trouble standing up straight.Tired feeling.Shortness of breath.Loss of height.More items...•

What are the consequences of scoliosis?

As scoliosis worsens, it can cause more noticeable changes — including uneven hips and shoulders, prominent ribs, and a shift of the waist and trunk to the side. Individuals with scoliosis often become self-conscious about their appearance.

Who is most at risk for scoliosis?

Anyone can get scoliosis. However, idiopathic scoliosis, which is the most common type, usually occurs in children age 11 and older. Girls are more likely than boys to have this type of scoliosis. You are more likely to have scoliosis if your parent, brother, or sister has it.

How many states require spinal curvatures?

As many of our readers know, the Scoliosis Research Society, the American Academy of Orthopaedic Surgeons, and over 23 states suggest or require school screening for abnormal spinal curvatures.

What is rib thoracoplasty?

Every year, the National Scoliosis Foundation receives queries about rib thoracoplasty, a surgical technique sometimes used to help patients with scoliosis who also suffer from a "rib hump".

Can scoliosis be treated with exercise?

Exercise and Adults with Scoliosis. Many adults with scoliosis, including those with prior corrective surgery, are curious about the risks and benefits of exercises and sports participation. In our experiences, most adults with scoliosis have never held discussions with medical professionals about these issues.

How many scoliosis cases are there in the US?

( Chiro & Osteo. 2005) The total number of scoliosis cases in the United States is estimated to be greater than 4 million. ( National Scoliosis Foundation)

How many people with scoliosis have back pain?

Twice as many people with scoliosis report continuous pain as non-scoliosis patients, and 73% of people with scoliosis report experiencing back pain in the past year compared to only 28% of people without scoliosis.

Is scoliosis a common medical condition?

Scoliosis in Adults. Scoliosis in the adult has an impact that is similar to other common medical conditions including osteoarthritis , coronary artery disease , and chronic obstructive pulmonary disease. Overall, the burden of scoliosis on health-related quality of life is severe relative to other common medical conditions.

Is scoliosis a health problem?

Overall, the burden of scoliosis on health-related quality of life is severe relative to other common medical conditions. With the aging demographic profile of the US, the burden of adult scoliosis is increasing and has a significant impact on the health of our population.

Case – Juvenile Bracing (7 year old patient)

Patient aged 7 years with scoliosis thoracic curve measured at 32° and lumbar curve measured at 27° In-brace correction achieved with a custom 3D designed scoliosis brace compared with a standard TLSO in a juvenile scoliosis patient Summary: This case demonstrates the effect of a custom 3D designed scoliosis orthosis…

Case – Adult Bracing (78 year old female)

78 year old female patient with progressive idiopathic scoliosis into adulthood. Summary: This case highlights improvements in pain, function and postural deformity in a 78-year-old patient using a custom 3D designed low profile scoliosis orthosis combined with physiotherapeutic scoliosis specific exercises.

Case – Infantile Bracing (3 year old female)

Female patient aged 3 years with an infantile scoliosis. Treatment of an infantile scoliosis using a custom 3D designed scoliosis brace. Summary: This case demonstrates the treatment of a moderate sized infantile scoliosis using a custom 3D designed rigid scoliosis orthosis in a 3-year-old female patient. The patient’s scoliosis had initially…

Case – Adult Bracing (56 year old female)

56 year old female patient with de novo degenerative scoliosis. Postural improvement, improved mobility and reduced pain in a female patient with de novo degenerative scoliosis using a 3D designed custom brace Summary: This case demonstrates the successful management of a patient with de novo degenerative scoliosis. The patient presented…

Case – Adolescent Bracing (14 year old female)

Female patient aged 14 years with a 71° thoracic curve and a 40° lumbar curve. Reduction of a severe scoliosis in a young female gymnast using a 3D designed scoliosis brace Summary: This case details the management of a young female gymnast with severe adolescent idiopathic scoliosis (AIS) using a…

Case – Adolescent Bracing (14 year old male)

Male patient aged 14 years with a right thoracic curve measured at 49 degrees. Reduction of a severe scoliosis using a custom 3D over-corrective scoliosis brace and scoliosis specific rehabilitation in a 14-year-old male Summary: This case demonstrates the management of a young male athlete with a severe scoliosis using…

Case – Kyphosis Bracing (16 year old female)

Reduction of a Hyper-kyphosis in a 16-year-old female patient using a 3D designed kyphosis brace Case Background The patient presented to the ScoliCare clinic at 14 years of age with postural deformity and pain in the middle back. Examination Findings The patient was a pre-menarchal teenager who reported pain across…

When do you have to take a scoliosis exam?

Many states require regular examination of students for scoliosis, beginning in the fifth or sixth grade. Scoliosis is a rare condition, accounting for fewer than 1% of cases of idiopathic scoliosis in North America; in Europe, the rate is 4%.

When is infantile scoliosis detected?

Infantile scoliosis usually is detected during the first year of life either by the parents or by the pediatrician during routine examination of the infant. Thoracic curve. Usually, a single long thoracic curve to the left is present; less often, a thoracic and lumbar double curve is noted. Asymmetry.

How old is scoliosis?

Other terms for scoliosis also depend on the age of onset, such as juvenile scoliosis (4-9 years) and adolescent scoliosis (10-18 years). Scoliosis is a lateral curvature of the spine, occurs in two forms: structural and functional (postural).

How often does idiopathic scoliosis occur?

Although mild curves occur as often in boys as in girls, idiopathic scoliosis requiring treatment occurs eight times more frequently in girls than in boys.

What brace is used for scoliosis?

Braces. The Boston brace or the TLSO brace is more commonly used to treat scoliosis; the brace should be worn constantly, except during bathing and swimming; its fit is monitored closely; it is worn over a T-shirt or undershirt to protect the skin. A Chêneau brace achieving correction from 56° to 27° Cobb angle.

What is scoliosis curve?

What is Scoliosis? The term scoliosis is derived from the Greek word skolios (“twisted”) and refers to a sideward (right or left) curve in the spine. Scoliosis is not a simple curve to one side but, in fact, is a more complex three-dimensional deformity that often develops in childhood.

How long should a brace be dropped?

Option D: The brace should be dropped for simply 1 hour of every 24-hour period for hygiene and skin care. Option A: Wearing the brace at night would be true only following radiologic studies indicate the spine has bone marrow maturity and the adolescent has been weaned from off whenever 1 to 2 years.