Congenital-Congenital Scoliosis
Organs develop in the mother's womb in the first 3 months. The spine also completes its formation during this period. In this process, as a result of abnormal formation or union of the vertebrae, the growth of the vertebrae becomes asymmetrical and spinal deformities-spinal deformities (scoliosis - lateral or kyphosis - excessive humpback) develop. The type of deformity seen depends on where and in which direction the abnormal vertebra is located in the spinal column. When viewed from the back, the normal spine is straight.
When viewed from the side, there should be a slight hump in the back (kyphosis) and a depression in the lumbar region (lumbar pit-lordosis). Scoliosis and/or increased kyphosis or lordosis, which are among the congenital spinal deformities, are caused by the abnormal growth of the vertebrae and their inability to separate from each other.
These abnormal formations can be classified as follows:
Type I – Spine hemivertebrae that occur with a deficiency in formation or incompletely formed vertebrae
A. Scoliosis caused by the underdevelopment of one half of a single vertebra (hemivertebra).
B. Failure of half of two vertebrae in a row (hemivertebra ) resulting from a more severe curvature. There may also be cases where the two types are seen together.
A. Scoliosis caused by the failure of one side of the vertebrae to separate and remain attached.While the attached side cannot grow, the free side continues to grow and scoliosis occurs.
B. In cases where both sides of the vertebrae are attached, there is little or no growth in this region. As a result, scoliosis does not develop, but this region may remain short.
C. If the vertebrae are attached from the front, a humpback (kyphosis) will occur because growth will continue from behind.
D. If the vertebrae are attached from the back, from the back As growth will continue, a cupping (lordosis) occurs.
Hemivertebrae cause one side of the spine to grow more than the other. The vertebrae (undivided vertebrae) that are connected together on one side prevent that side from growing and cause normal growth of the other side to continue. n again cause the spine to curve. Curvature occurs with growth. However, despite growth, the affected spine may curve slightly or not at all. Even in vertebrae containing more than one abnormal vertebra, if these abnormalities are distributed in such a way that they balance each other, the result may be decreased trunk growth rather than increased curvature. The curvature may increase very slowly until the rapid growth stage in adolescence.
Knowing the abnormalities that may attract the attention of parents and relatives in the postpartum and later years may shorten the time to consult a doctor. Thus, early diagnosis is the most important factor in making the necessary treatment.
Symptoms are listed below.
- Skin abnormalities on the back and waist – increased hair growth, dimples, color changes.
- Abnormal arms or legs.
- Uneven shoulders, waist or hips.
- Disproportionate shortness of the trunk relative to the legs.
- Balance disturbances.
- Recognizable back ridges when the person leans forward.
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