When viewed from the front or back, the spine should be in a straight line from top to bottom. If there are bends to the right or left in this line, this situation is called “scoliosis”. This bending or curvature can be seen in a single region or in several regions together. In addition, the spine can rotate around its own axis (rotation).
The causes of scoliosis cannot be determined most of the time. We may encounter cases of "idiopathic" scoliosis, the cause of which is largely unknown. Congenital "congenital" scoliosis is caused by various factors-infections, diabetes and some vitamin deficiencies etc. exposed during the development of the spine in the mother's womb. Various muscle or nerve diseases can also cause scoliosis.
The most common period is the pre-adolescent years. Although the female=male ratio is equal, idiopathic scoliosis is more common in females.
Low and back pain is usually encountered in adults, and there is usually no pain complaint in childhood. Other symptoms are listed below.
-One shoulder may be higher than the other
-One shoulder blade "scapula" may be higher or more prominent than the other
- When the arms hang to the sides, there may be more space between the arm and the trunk on one side
-One hip may appear higher or more prominent than the other
-The projection of the head may not coincide with the middle of the pelvis
-When the patient is viewed from behind and is asked to bend forward until his spine becomes parallel to the ground, one side of the back may appear higher than the other (a hump image)
Consulting a specialist dealing with scoliosis is important for early diagnosis and follow-up. Maybe it will be possible to stop the progression of scoliosis with a simple corset application. At the same time, a detailed investigation will reveal the pathologies present in the spinal cord or spine that may cause scoliosis, and the necessary treatment will be planned without delay. surgical margin Brace treatment may be appropriate for scoliosis in measurements below . It is designed to prevent the increase of curvature during the completion of the patient's spine development. The braces act as counter support to prevent the curvature from increasing during active skeletal growth. Corsets cannot completely straighten the spine and cannot prevent the increase in curvature in an estimated half of the patients. The expected benefit of using a brace is that the curvature progresses beyond the diagnosed degree and does not reach the surgical margin.
If there is a regular or excessive increase in curvature angle measurements in patients diagnosed with scoliosis and followed up, if the increase cannot be prevented by using a brace If the appearance begins to bother the patient in terms of "cosmetic", if the patient has respiratory and cardiac problems due to the current curvature, if adult patients have low back and back pain caused by the curvature, patients should be considered for surgical treatment. The aim of the surgical procedure is to correct the curvature with metal rods and screws and to make this corrected curvature permanent, by placing bone particles on the spine with a "graft", to ensure its union and "fusion". The main purpose is to provide fusion, and the implants are tools that help to achieve this.
In some patients, the curvature may also be an inflexible "rigid" structure. In these patients, in order for the spine to become flexible and the curvature can be corrected, the parts of the spine called vertebrae should be released and become a flexible structure.
In addition, it is important to inform the patient and their relatives in detail about the disease and to give all necessary information about the postoperative period meticulously. Thus, the expectations of the patient and their relatives can be met more easily and the rehabilitation of the patient can be achieved more easily in the postoperative period.
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