The genetic factors are strong but highly complex, multigene interactions that are still being actively investigated, including here at Washington University by Dr Matt Dobbs of the Department of Orthopedic Surgery. What causes adults to develop scoliosis? Adults can develop scoliosis as a result of slow progression of childhood curves that were untreated, or as curves that develop on their own from aging of the spine, usually in the lower lumbar region and termed "de novo" adult lumbar scoliosis.
These de novo curves result from progressive degeneration of the joints in the back of the spine along with degeneration of the discs supporting the front of the spine. Although this natural aging process occurs in everyone, only certain people will develop a corresponding scoliosis with the process. At what point is a brace needed to treat scoliosis? Bracing is indicated only for children and teens that are still growing in order to attempt to slow or stop the scoliosis progression during the remainder of the child's skeletal growth.
Instead of growing straight, the spine develops a side-to-side curvature, usually in an elongated "S" or "C" shape; the bones of the spine are also slightly twisted or rotated. Adolescent idiopathic scoliosis appears during the adolescent growth spurt, a time when children are growing rapidly. In many cases the abnormal spinal curve is stable, although in some children the curve is progressive meaning it becomes more severe over time.
For unknown reasons, severe and progressive curves occur more frequently in girls than in boys. However, mild spinal curvature is equally common in girls and boys. Mild scoliosis generally does not cause pain, problems with movement, or difficulty breathing. It may only be diagnosed if it is noticed during a regular physical examination or a scoliosis screening at school.
The most common signs of the condition include a tilt or unevenness asymmetry in the shoulders, hips, or waist, or having one leg that appears longer than the other. A small percentage of affected children develop more severe, pronounced spinal curvature.
Scoliosis can occur as a feature of other conditions, including a variety of genetic syndromes. However, adolescent idiopathic scoliosis typically occurs by itself, without signs and symptoms affecting other parts of the body. Tap Click to Join! I understand that I may opt out of receiving such communications at any time. Thank you for subscribing! Message and data rates may apply. Pediatrics What Is Tick Paralysis? Patient Portal. Request Appointment. Sometimes patients who were treated in childhood might need revision surgery to bring them up to date with latest developments.
Older patients have a higher risk for surgery in general, as do those who smoke, have obesity and other chronic health problems. Regular bone density tests will alert you if your bones start to weaken as you age, and a healthy diet and lifestyle will help you avoid a range of illnesses. Get more information on how to manage various feminine conditions naturally.
Click here to read and follow our blog for more useful posts. Home :: Blogs. Stuart H. Treating Scoliosis Scoliosis treatment options depend on whether the patient is fully grown, or if the spine is still likely to change, the degree of curvature and its location, and how bad it has the potential to get.
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