What is Adolescent Scoliosis?
When in a healthy adolescent between 9 and 13 begins the spine is rotating at different levels and opposite each other. The rotation of the thoracic vertebrae and entrains the ribs leads to the formation of thoracic hump. The same applies to the lumbar vertebrae where shall contribute the projectionof the backmuscles to crate the hump.
The progressive increase of the rotation of the vertebrae creates a lateral slope on the side of the turn like a twisted staircase.
What creates it?
The commonly used expression is Idiopathic Scoliosis that is of unknown etiology. The reasoning is rather well known. Gene etiology appears to be the most prevalent. It is due to a gene transferred 100% of parents to children.
The mode of action of the gene, the factors that affect it and the degradation of scoliosis remain unknown to date and many theories have been developed so far. Usually there is not a patient whose one or both parents do not have some degree of scoliosis.
The clinical examination does not provide a lot of things, as long as they do not become visually noticeable differences of the trunk. The x-ray offers even less.
Only with very specialized instruments of surface topography, such as Formetric 4D, can we distinguish the difference of the rotation and the development of an imperceptible hump. As the child grows, especially when the increase in height is greater than the average, it begins to create an inclination towards the side of the rotation. T
he inclination becomes highly visible during the rapid growth and is maximized during puberty when we have growth greater than 10 cm in a year, usually in girls, one year before and one year after the onset of the menstruation.
How is it treated?
Scoliosis at the beginning of their appearance and up to 25 ° have elastic properties that return to normal levels after appropriate treatment.
Growing up, however, the inclination angle and passing enough time from their appearance, create permanent plastic deformations of the vertebrae resulting in the inability to restore even with appropriate treatment.
That may revert the angle tilt and shift but not the deformation of the vertebrae which means the patient should be continued maintenance of the result.
So in all scoliosis we should intervene very early and effective before creating irreversible damage.
The treatment of scoliosis should be early. It should be no orthopedic surgeon who is waiting for a scoliosis to reach 25 ° of Cobb angle, to do something. The worsening of scoliosis is the criterion for treatment.
Treatment may be conservative with brace and exercises or surgical