19 hours ago · The patient was advised to undergo surgery to prevent possible future negative impacts of the long-term signs and symptoms of scoliosis upon her health. Considering this risk, the patient agreed to undergo the surgery, which was performed in one of Germanys leading centres for spinal surgery. The patient was 15 years of age, 30 months ... >> Go To The Portal
Scoliosis with a primary diagnosis (nonidiopathic) must be recognized by the physician to identify the causes, which may require intervention. Patients with congenital scoliosis must be evaluated for cardiac and renal abnormalities. School screening for scoliosis is controversial and is falling out of favour.
Scoliosis is defined as a deviation of the normal vertical line of the spine, consisting of a lateral curvature with rotation of the vertebrae within the curve. Typically, for scoliosis to be considered, there should be at least 10° of spinal angulation on the posterior-anterior radiograph associated with vertebral rotation (1).
A 12-page comprehensive handbook intended to educate patients and families of patients about Adolescent Idiopathic Scoliosis. The handbook includes images, a glossary of medical terms and answers to frequently asked questions.
The patient was advised to undergo surgery due to the long-term negative impact of signs and symptoms of scoliosis upon her health. The patient agreed to surgery, which was performed in one of Germanys leading centres for spinal surgery.
Idiopathic Scoliosis Video. Scoliosis is a condition involving an abnormal sideways curvature of the spine. It can be caused by congenital, developmental or degenerative problems, but most cases of scoliosis actually have no known cause called idiopathic 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.
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.
Based on the assessment data, the major nursing diagnoses are: Impaired physical mobility related to restricted movement. Risk for injury related to decreased mobility. Risk for impaired skin integrity related to irritation of brace.
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.
Brief Summary: This is a survey to help understand the influences related to the decision for Adolescent Idiopathic Scoliosis treatment (observation vs. bracing vs. surgery). The investigator then plans to create a decision aid to help families when making a decision about the treatment choice being presented to them.
Children can be screened at any age, although idiopathic scoliosis is more commonly discovered during a child's growth spurt (10 to 15 years old). The Scoliosis Research Society recommends that girls be screened twice, at 10 and 12 years of age (grades 5 and 7), and boys once at 12 or 13 years of age (grades 8 or 9).
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.
Scoliosis can occur in the mediolateral or in the anteroposterior direction. In the mediolateral direction, the curvature is rightward or leftward and is named according to the direction of the convexity of the curve.
By Paul Martin, BSN, R.N. Scoliosis is a lateral curving of the spine with the thoracic area being the most commonly affected. It can be classified as functional or structural. Functional scoliosis is the result of another deformity and is corrected by treating the underlying problem.
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.
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.
The term scoliosis is derived from the Greek word skolios (“twisted”) and refers to a sideward (right or left) curve in the spine.
Radiographs of the spine in infants are taken with the child held up by the arms; the severity of the scoliosis is established by calculating the rib-vertebral angle difference (RVAD) in the radiographs.
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.
Scoliosis is a rare condition, accounting for fewer than 1% of cases of idiopathic scoliosis in North America; in Europe, the rate is 4%. Males account for 60% of the cases of early-onset scoliosis; 90% of the cases of early-onset scoliosis resolve spontaneously, but the other 10% progress to a severe and disabling condition.
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.
The child with scoliosis must be reassessed every 4 to 6 months.
The term infantile scoliosis is used specifically to describe scoliosis that occurs in children younger than 3 years.
The Scoliosis Research Society’s patient education brochures offer individuals a quality resource developed by experts in the field. Each brochure covers topics such as causes, symptoms, diagnosis and treatment.
A 10-page handbook with images that explains what the cervical spine is and what cervical deformity is . The handbook includes signs, causes, treatment options, risks of surgery and more for cervical spinal deformity. The handbook also includes answers to commonly asked questions and a glossary of medical terms.
AAOS - Scoliosis in Children (English) (Download Only)#N#Co-endorsed by the Scoliosis Research Society#N#A 4-page printable handout explains the anatomic conditions and causes of scoliosis. Discusses warning signs and the importance of early detection. Provides an overview of treatment options.#N#Download a PDF 568KB
a kyphosis of the thoracic spine less than the normal range. Hyperlordosis. a lordosis greater than the normal range. Hypolordosis. a lordosis of the cervical or lumbar spine less than the normal range. Hysterical scoliosis. a deformity of the spine that develops as a manifestation of a conversion reaction.
in a curve, the disc most deviated laterally from the vertical axis of the patient that passes through the sacrum, i.e. from the central sacral line. in a curve, the vertebra most deviated laterally from the vertical axis that passes through the patient's sacrum, i.e. from the central sacral line.
deviation of the pelvic outlet from the vertical in the sagittal plane. Measured as an angle between the line from the top of the sacrum to the top of the pubis, and a horizontal line perpendicular to the lateral edge of the standing radiograph
the thoracic or lumbar vertebra cephalad to a lumbar scoliosis that is most closely bisected by a vertically directed central sacral line assuming the pelvis is level.
the vertical line in a frontal radiograph that passes through the center of the sacrum (identified by suitable landmarks preferably on the first sacral segment)
In a decompensated patient, the apical translation should be measured from the central sacral line for the thoracolumbar and lumbar spine, and from the C7 plumb line for the thoracic spine
The mid point of a vertebra body/disc is determined by drawing a cross (X) in the body/disc.
Scoliosis is a physical condition characterized by a sideways curvature of the spine greater . than 10 degrees determined by a spinal X-ray. Most cases are idiopathic, which means the cause is unknown. AIS accounts for 85 percent of the cases of idiopathic scoliosis.
Describe the scoliosis screening process including all five steps.
Stephanie, 16, was screened annually for scoliosis from age 8 until the current time. Her screening results were negative . until age 12, at which time the school nurse found her to have an 8- to 9-degree thoracic spinal curvature using a scoliome-. ter.