Scoliosis in Children and Adolescents
Scoliosis is a condition where there is abnormal lateral curvature of the spine that makes the spine appear as “S” or “C” curve. It can occur at any age and is seen more frequently in girls than boys. The exact cause of idiopathic scoliosis is unknown in most of the cases.
There are three types of idiopathic scoliosis based on the age of occurrence.
- Adolescent idiopathic scoliosis: It is the most common type and occurs after the age of 10 years.
- Infantile idiopathic scoliosis: It occurs in children below 3 years and may be present at birth (congenital) or associated with various syndromes or neurologic disorders.
- Juvenile idiopathic scoliosis: It is quite uncommon and occurs in children between the ages of 3 and 10 years.
Idiopathic scoliosis does not cause any pain, nerve dysfunction, or breathing problems. Child’s overall appearance will be the main concern in parents.
Your doctor will perform Adam’s forward bend test to check if any deformity is present. During this test your child is requested to bend forward. The diagnosis can then be confirmed by measuring the curve with the help of an X-ray of the spine.
The treatment of scoliosis is important because if left untreated, the curves measuring more than 50° may cause long term problems such as decrease in lung capacity leading to restrictive lung disease. The kind of treatment needed depends on the degree of the scoliotic curve, the child’s age, and the time period remaining for the child to reach skeletal maturity.
- Nonsurgical treatment
- Observation: If there is only a mild curve (less than 20°) or if the child is nearing skeletal maturity, regular check-up for every 3-6 months will be sufficient.
- Bracing: Bracing is done to prevent the progression of scoliotic curves. It is effective in growing children with a spinal curvature between 25° and 45°.
- Surgical Treatment
Surgical treatment is recommended in cases where the curve is greater than 45° and who have reached skeletal maturity having scoliotic curves that exceed 50° to 55°.
During the surgery, an implant made up of rods, hooks, screws or wires are used to straighten the spine. Bone grafting may also be done to the operated portion of the spine, to promote healing. Bone grafts can be obtained either from the bone bank or from the patient’s own hip region.
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Houston Neck and Spine Specialists
Advanced Orthopedics and sports medicine has Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. The spine surgeons practice conservatively utilizing minimally invasive techniques whenever possible. Should surgery be required, options range from out-patient spinal surgery to major spinal reconstruction and management of scoliosis.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Neck and Spine Treatment options.
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Overall excellent experience with Dr Cubbage and his outstanding staff. I flew in overseas for a 2nd opinion and was accommodated by his office. My situation was not good and had lower lumbar surgery (METRx discectomy) for a herniated disc. I walked out after surgery and I am on my way to a quick recovery. I have a very small incision and was very well looked after. Thank you Dr Cubbage! Arrived in Houston in a wheelchair and will fly back overseas 10 days after surgery on my own 2 feet
Awesome! Highly recommend Dr.Matthew Cubbage . He is the best of the best Orthopedic Surgeon with special healing hands any patient will experience. He is highly knowledgeable, caring and confident since everything that he explained to me that would happen and what to expect is very accurate. Dr. Matthew Cubbage care and people skills are clearly seen and felt also by his team he selected-Tim and Karen. Courteous and promptly responds on you calls before and throughout your recovery. Reborn.
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.
Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.