Scoliosis, a lateral curvature of the spine, is a condition that affects millions of people worldwide. While it can develop at any age, it is most commonly diagnosed during adolescence. Understanding the causes and progression of scoliosis is crucial for early detection and effective treatment. In this blog, we will delve into the orthopedic insights that shed light on this complex condition.

What is Scoliosis?

Scoliosis is characterized by an abnormal sideways curvature of the spine, often taking the shape of an "S" or "C" when viewed from the back. The degree of curvature can vary widely, from mild cases that are barely noticeable to severe deformities that can cause significant physical and emotional distress.

Causes of Scoliosis

The exact cause of scoliosis is often unknown, leading to a classification of idiopathic scoliosis, which accounts for approximately 80% of cases. However, scoliosis can also result from congenital, neuromuscular, or degenerative conditions.

1. Idiopathic Scoliosis: This type has no identifiable cause and is further divided into three categories based on age: infantile, juvenile, and adolescent. Adolescent idiopathic scoliosis (AIS) is the most common form and typically develops during the growth spurts of puberty.
2. Congenital Scoliosis: This form arises from spinal abnormalities present at birth. These anomalies result from malformations in the spine's vertebrae that occur during fetal development.
3. Neuromuscular Scoliosis: Associated with conditions such as cerebral palsy, muscular dystrophy, and spinal cord injuries, this type of scoliosis is caused by an imbalance of muscle strength and control around the spine.
4. Degenerative Scoliosis: Often seen in older adults, this type results from the degeneration of spinal discs and joints. It is also known as adult scoliosis and can be accompanied by conditions like osteoporosis.

Progression of Scoliosis

The progression of scoliosis varies depending on the type and severity of the condition. Idiopathic scoliosis, particularly in adolescents, tends to progress during periods of rapid growth. Monitoring is crucial during these times to manage and mitigate curvature progression.

Factors Influencing Progression

1. Age: Younger patients, particularly those who have not yet reached skeletal maturity, are at higher risk of progression.
2. Sex: Females are more likely to experience progression than males, especially in cases of adolescent idiopathic scoliosis.
3. Degree of Curve: Larger curves are more likely to worsen over time. A curve greater than 30 degrees at diagnosis has a higher risk of progression.
4. Growth Spurts: Rapid growth phases, such as those occurring during puberty, can accelerate the progression of scoliosis.

Monitoring and Treatment

Early detection is key to managing scoliosis effectively. Regular check-ups and scoliosis screenings during childhood and adolescence can help identify the condition early. Once diagnosed, the treatment approach depends on the severity and progression of the curvature.

1. Observation: For mild cases, regular monitoring and X-rays are used to track the curve's progression.
2. Bracing: In moderate cases, bracing can help prevent further curvature progression, particularly in growing children and adolescents.
3. Physical Therapy: Exercise and physical therapy can improve posture, strength, and flexibility, although they do not correct the curvature.
4. Surgery: Severe cases, especially those that cause pain or significant deformity, may require surgical intervention. Spinal fusion is a common procedure that stabilizes the spine and prevents further curvature.

Conclusion

Understanding scoliosis, its causes, and its progression is essential for effective management and treatment. Early detection through regular screenings, especially during periods of rapid growth, can make a significant difference in outcomes. If you suspect scoliosis in yourself or a loved one, consult with a healthcare professional for proper evaluation and guidance.

Expert Care for Scoliosis: Trust Drs. Maxim Moradian and Revik Vartanian at iSCORE

When it comes to scoliosis, receiving the right care and treatment is crucial for maintaining your spinal health and overall well-being. At iSCORE, Drs. Maxim Moradian and Revik Vartanian specialize in providing comprehensive and personalized treatment plans tailored to each patient's unique needs. Their extensive experience and dedication ensure that you receive the highest quality care, from diagnosis to treatment and ongoing management.

If you or a loved one is dealing with scoliosis, don't hesitate to reach out for professional assistance. Contact the expert team at iSCORE, where Drs. Moradian and Vartanian are ready to help you achieve better spinal health and improve your quality of life. You can reach their offices in Glendale, Arcadia, and Palmdale, CA, by calling (818) 338-6860 or (626) 460-1096. For more information and to schedule an appointment, visit their website today.