Scoliosis

When the body is viewed from the side, normal curvatures of the spine are seen. There is a convex curvature in the back region, kyphosis, a concave curvature in the lumbar region, lordosis. When we say scoliosis, we understand the bending of the spine to the side. When you look at the body from the front or the back, it looks like it is leaning sideways. Humpback or kyphosis is an increase in convex curvature in the dorsal region.

Typical findings of scoliosis are differences in the heights of both shoulders, the scapula being more protruding than the other, the hip being higher or more pronounced than the other, the development of asymmetry in the lumbar region, and one side of the back appearing higher than the other when the patient leans forward.

Scoliosis affects 1-4% of the population and particularly affects young girls in adolescence. In our country, there are around 200-800 thousand young girls or women with scoliosis. If scoliosis is mild, it may not be noticed externally and can be detected by radiological examination. Since advanced scoliosis will cause serious cosmetic problems in the body, they are easily noticed from the outside. Scoliosis of unknown cause (idiopathic) is a familial disease and is not affected by any environmental effects. Habits such as carrying a heavy fork or carrying the bag on one side have no place in the emergence of scoliosis.

Brace treatment can be given for scoliosis in patients who have not completed their skeletal development and whose growth continues. The corset is made especially for each patient by taking the appropriate size for their body. The purpose of the corset is to prevent the curvature from increasing as the child grows. Corsets do not completely straighten the spine, but they can stop its progression. In order for brace treatment to be successful, its use in mild to moderate curvatures requires regular follow-up, a corset made for the patient, a compatible patient and a supportive family, and the use of at least 20 hours.

In cases where there is no response to corset treatment, surgical treatment is applied. Surgical treatment includes differences in patients with continued and complete growth. Growth-friendly implants (extending rod, magnetic rod, taping method, etc.) are used in children whose growth is not completed. In children with complete growth, the most common surgical procedure is instrumentation using screws and rods from the back, and fusion with bone graft.

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