Management Team

Scoliosis

Overview

Scoliosis is an abnormal outward deviation of the spine. The most common age group to be affected is the paediatric population. The types of scoliosis include:

  • Congenital scoliosis, which arises soon after birth.
  • Juvenile scoliosis is detected between the ages of 4 and 10 years.
  • Adolescent idiopathic scoliosis (AIS) occurs after 10 years of age.

  • Scoliosis is a painless disorder. It usually does not cause any neurological symptoms.
  • Early onset scoliosis causes underdevelopment of lungs and heart function.
  • Patients with AIS are usually concerned about their appearance with no other significant complaints.

  • A thorough clinical examination to measure the magnitude of deformity, rule out the causes of deformity, and look for clinical signs of nerve tissue involvement.
  • Spine X-ray to demonstrate the apex of deformity and its magnitude and analyse any bony abnormality of the spine.
  • Spinal MRI to determine the status of the neural tissue. Further investigations would vary according to each patient.

Non-surgical treatment

Bracing is recommended for treating scoliosis in children with early-stage disease with mild deformity.

Surgical treatment

This involves correcting the deformity using screws and rods. This is also done as a palliative procedure to decrease the compression on important structures like the lungs.

  • This complex procedure is usually carried out by an expert team, including a spine surgeon, an anaesthetist, a physician, and a physiotherapist.
  • Highly skilled surgeons with extensive experience are needed to achieve favourable outcomes.
  • Rehabilitation post-surgery is crucial to provide excellent results.
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