There is a particularly high incidence of Arnold-Chiari malformation, of syringomyelia (cyst in the spinal cord (Figure), or generally of a neuromuscular disease, when the respective scoliosis will be marked as neuromuscular and as such will be handled.
Mild curves (10-18 degrees) initially dealt only by monitoring. This means the child to be reviewed within 6-8 months with clinical examination, surface topography and perhaps radiographs.
If a mild curve is observed to worsen or a child has a moderate to a severe curve (> 20 degrees) at the time of the diagnosis, treatment should begin immediately, because of the high probability that the situation will deteriorate too much, if not treated promptly.
Treatment is effected by using the SPONDYLOS Rigo Cheneau brace . The implementation plan of the brace depends on the responsiveness of the Spine. Although, the first year of treatment, fitting time should be 21 hours per day.
Occasionally, in the juvenile scoliosis, the application of the brace, if the outcome is good, can be interrupted for one year or more, with the return on the observation as described above.
As the child begins the rapid growth during adolescence, in the event of rapid aggravation starts the brace therapy and exercises to keep the previous correction curve.
A small number of children have rigid curves at the time of the diagnosis and can not be temporarily be aligned with correction maneuvers.
In such cases, the most appropriate initial treatment is applying a plaster cast to change every 6-12 weeks, in an effort to gradually correct the scoliosis. The cast is applied in the operating room under general anesthesia.