Experts pointed out that a healthy spine should appear 'straight' when viewed from the back and shared the information that successful results can be achieved when scoliosis, which can be confused with posture disorders, is diagnosed correctly and appropriate treatment is planned.
Orthopedics and Traumatology Specialist Prof. Dr. Yetkin Söyüncü said that there is no obvious cause in more than 80 percent of patients with scoliosis, which affects 2-3 percent of school-age children. Stating that the disease is frequently seen in girls between the ages of 10-15, Söyüncü said that such cases and the disease in this case are called "idiopathic scoliosis", that is, "scoliosis of unknown cause" He stated that it was said /strong>. Reminding that there may be a genetic predisposition to idiopathic scoliosis, Söyüncü underlined that research has not yet reported a single gene responsible for scoliosis.
Sports do not cause scoliosis
Idiopathic scoliosis; "infantile" for 0-3 years of age, "juvenile" for 4-10 years of age, "adolescent" for 11-18 years of age, and "adolescent" for 18 and over. Noting that it is called "adult", Orthopedics and Traumatology Specialist Prof. Dr. Yetkin Söyüncü pointed out that other common conditions known to cause spinal deformity are congenital spine anomalies and neurological disorders. Söyüncü said, "It is important to investigate children born with such a disease or diagnosed after birth for scoliosis. Scoliosis is a disease caused by carrying heavy books and bags, participating in sports activities, sleeping/standing postures, insufficient calcium intake or slight lower extremity length inequalities." "It is not a health problem. However, there are some publications indicating that scoliosis is slightly more common in children who do ballet and gymnastics at an early age and intensively. In addition, scoliosis does not occur due to incorrect movements and it is not possible to prevent it from occurring," he said.
Small curvatures may be overlooked
Note that scoliosis can be diagnosed easily when a careful back examination is performed. Söyüncü said that if scoliosis is not investigated during the examination, small curvatures may be overlooked and clothes may look asymmetrical on the child. Söyüncü continued: "For example, one leg of the trousers may be longer or the skirt may not be balanced on the waist. One shoulder blade may be higher. Parents or the child's friends and teachers often notice this. Curvatures can be noticed. Whether the patient has scoliosis or not is determined by examining the patient's back. The examination is performed in a standing position with the patient's arms at the side. The curvatures of the spine, shoulder height difference, waist line asymmetry, whether one hip is higher than the other or whether any trunk shift is observed. When the patient leans forward, scoliosis is evaluated from a rotational perspective by looking for a rib protrusion for the back and a protrusion in the flank for the waist. After examination and x-ray examinations by the specialist doctor and, if necessary, MRI imaging, the degree of curvature in the spine and whether there are other accompanying spine and spinal cord problems are determined and the patient is evaluated appropriately. is included in the treatment plan.”
Scoliosis treatment consists of 3 stages.
Underlining that early treatment of the disease is important for a successful treatment, Söyüncü said the main treatment options in children diagnosed with scoliosis are observation. He noted that it took place in the form of corset use and surgery. Reminding that follow-up of patients diagnosed with scoliosis should not be neglected, Söyüncü continued as follows: "In patients with adolescent scoliosis, there are curves with low angle measurements during growth and bends with medium angle measurements after growth stops (< 40-45). degree) in adults, observation and physical therapy are appropriate for patients with mild symptoms and without major curvatures. Surgical treatment is generally suitable for adolescent and adult patients with curvatures greater than 50 degrees. Surgery at lower angles is recommended if the patient is uncomfortable with the appearance of the curvature or if the adult patient has symptoms of scoliosis. It can be applied if it is related to the spinal cord. The aim of surgical treatment is to correct the curvature and prevent the progression of the curve. This is usually done by placing an implant on the spine. It is provided by metal rods connected to the plants.
It can narrow the rib cage . Dr. Yetkin Söyüncü also pointed out that the severe narrowing of the rib cage volume, especially in growing children, negatively affects the development of the lungs. Pointing out that this condition may cause respiratory failure and, in rare cases, threaten vital functions, Soyuncu concluded his words as follows: "For this reason, not applying or postponing scoliosis treatment in cases that require treatment may have life-threatening consequences. Manipulation, electrical stimulation, nutritional support treatment or scoliosis "There is insufficient scientific evidence that non-specific exercise treatments are effective in stopping the progression of the disease."
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