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scoliosis

by ann_28, Jun 06, 2008 03:17AM
may i ask what was the best intervention or management  for a mild dextroscoliosis of lower thoracic vertebrae? really need help, thanks!


This discussion is related to Question.
Member Comments (2)

by PaulMD, Jun 06, 2008 03:30AM
Hi there.

The treatment will really depend on the severity of the scoliosis, the rate of progression (how fast the angle of scoliosis increases) and if there are accompanying symptoms of nerve impingement.  We would expect the angle to still have the propensity to increase as long as the person is still growing.  The best course of management is to follow up regularly with your orthopedic or spine surgeon along with regular X rays of the spine to measure the angle progression.  If your surgeon deems that there is cause for intervention (like if you have nerve compression symptoms, or severe pain arising from the problem) then he may recommend surgical treatment.

Regards.

by DrNavneetMD, Jun 06, 2008 03:37AM
To: ann_28
Hello dear,
The majority of cases of scoliosis do not require treatment.
If the curve is less than 25°, no treatment is required, and the child can be reexamined every four to six months.
If the curve is more then 25° but less than 30°, a back brace may be used for treatment.
Curves more than 45° will need to be evaluated for the possibility of surgical correction. Surgical correction involves fusing vertebrae together to correct the curvature and may require inserting rods next to the spine to reinforce the surgery.
Treatment options depend more on how likely it is that the curve will worsen than on the angle of the curve itself.
Refer http://www.emedicinehealth.com/scoliosis/page6_em.htm
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