When we look at a child’s or teenager’s back, with particular
attention to the spine, we shouldn’t see a curve. Idiopathic scoliosis is a very
common condition where an abnormal curve occurs in the spine and includes
a form of rotation. This curve causes asymmetry in the ribs or ribcage,
as well as unevenness in the shoulders and waist.
There are different types of scoliosis:
- Congenital Scoliosis: In some cases, there is an anomaly present since birth in the development
of the vertebrates, although in a lot of cases, it doesn’t manifest until the deformity
progresses as the person grows.
- Neuromuscular Scoliosis: This one develops in patients with cerebral palsy, spina bifida and
muscular dystrophy, among other conditions.
- Idiopathic Scoliosis: The most common kind, although it doesn’t have a definite cause like
the others. Many investigations have shown various theories, but none have been
Scoliosis occurs principally in teenage girls and the acceleration of this condition is directly
linked with the rapid growth period that happens during adolescence. When signs start to appear,
it is very important to consult with a pediatric orthopedic surgeon as soon as possible.
Thanks to the research of this condition, there are consistently more treatment alternatives. During
the medical evaluation, we will do a physical examination where the characteristics of the curve are
established; this also helps define whether it is idiopathic scoliosis or another, and if there is a definable
cause. X-Rays are very important to determine the pattern and magnitude of the curve, as well as to
establish progression over time.
It is essential to conduct an analysis of the skeletal maturity of the patient or how much growth they
still have left, to establish the risk of progression and indicate the correct treatment. This is done with
X-Ray Markers, as well as evaluating their medical history, to determine how close the patient is to puberty
since it is when the risk of progression is the highest.
The treatment for each type of scoliosis varies, from constant observation and the use to orthotic vests to
contain the development of the spinal curve during growth, to surgical alternatives in other cases. It all
depends on the severity of the curve. That is why we use the most modern techniques and equipment with
the highest security measures to ensure the patient’s safety.