Scoliosis; complex three-dimensional of the spine and body
Scoliosis; structural and functional. Functional scoliosis is a spinal curvature that is formed by habits and improves with forward bending. Structural scoliosis is divided into two parts:
“Idiopathic scoliosis” bilinmeyen of unknown origin in infancy, childhood, adolescence or adult (€ -90)
coliosis due to a known etiology (such as congenital, neuropathic, neuromuscular, systemic) (-20)
Why Idiopathic Scoliosis Occurs?
The exact cause is unknown. Studies say it has a multifactorial origin, including genetic causes.
Adolescent Idiopathic Scoliosis (AIS)
It is a type of scoliosis that occurs in adolescence (over 9 years) without knowing the cause. This is the most common scoliosis.
Is AIS Progressive?
The following factors are important in the progression of adolescent idiopathic scoliosis;
- Scoliosis curve type
- Age of patient
- Signs of ripening (such as risser mark)
- Genetic factors
- Cobb degree and rotation
- Sagittal spine profile (flat back)
AIS is likely to show rapid progress before and after puberty. It is possible to predict the progression probability of scoliosis by calculating the age of the patient, the degree of curvature, and the “risser sign”.
How is AIS Treatment?
AIS treatment is performed with observation, scoliosis-specific exercises, corseting and surgery.
SOSORT (International Scientific Society of Scoliosis Orthopedic and Rehabilitation Treatment) 2011 Scoliosis Guide has prepared a table of common views on which treatment is appropriate for which patient. In addition, according to SOSORT 2011 guide;
Scoliosis should not be diagnosed in curvatures below -10 degrees.
In scoliosis above -30 degrees, there is a risk of progression in adulthood, health problems and a decrease in quality of life.
The risk of progression of adulthood-scoliosis in adulthood, health problems and poor quality of life are certain.
For this reason, it is common to make a surgical decision on curves of 45-50 degrees.
Regardless of the angle, any patient diagnosed with scoliosis may receive schroth treatment.
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