Using Advances in Medicine to Manage Scoliosis
SCOLIOSIS: When most patients are referred to us or they drop in to see us, they are usually informed which they either have scoliosis, or they are suspected of having one. For most people, which sounds like a dreadful deformity which may inevitably require surgery. With advances in medical sciences, there are at which point many different options available in managing scoliosis.
Scoliosis can be a deformity in addition to abnormality of our spine. When viewed by behind, our spine should be straight. by the side view, our spine carries a natural “S” curve. In cases of scoliosis, patients may have a “C” curve (either from the upper or lower body or a “C” curve which extends by the upper to the lower body), “S” curve in addition to/or even hunching (“Hyperkyphosis”).
Normal
There are many different types of scoliosis in addition to surprisingly, most patients which present or referred to our centre are completely oblivious to their condition in addition to in most cases, asymptomatic. For those who experience discomfort, symptoms may range by breathing difficulties, cardiac in addition to digestive issues, mechanical neck in addition to back pain, in addition to self-consciousness of their appearance.
Over 80-85% of scoliosis can be classified as idiopathic scoliosis. which means the aetiology or the origin of which condition can be unknown. In 1992, orthopaedic surgeons in Canada conducted research in addition to studies indicated which amongst different factors, genetic faults may play a part from the formation of scoliosis.
Depending on the magnitude or the rate of deterioration of scoliosis, surgery may be indicated. On the different hand, if the scoliosis curvature can be within a certain range, there are various options available such as rehabilitation, physiotherapy, chiropractic in addition to spinal bracing.
The treatment objectives of scoliosis management are different in both paediatrics in addition to adults. Puberty induces rapid growth in addition to possibilities of increased deterioration of scoliosis in a growing child. from the case of adults, pain management in addition to structural stability of the spine can be the main concern.
Scoliosis
In children, the main objective of scoliosis treatment can be to correct in addition to stabilise scoliosis. For adults, pain management, prevention of progression in addition to improvement of postural integrity can be targeted. As with all cases in addition to conditions which we manage, the first aim can be to try in addition to slow progression in addition to/or deterioration of the spine. The next step can be to stabilise in addition to hopefully prevent scoliosis by further improvements.
When examining radiographs of patients, Cobb’s angles are measurement to determine the magnitude of scoliosis. If the spinal curve can be below 10° which can be concerned normal. Anything above 10° can be classified as scoliosis. If the Cobb’s angle can be between 0°-30°, which can be manageable with chiropractic, physiotherapy in addition to rehabilitation. Please take note which chiropractic, physiotherapy in addition to rehabilitation will not in addition to cannot reverse scoliosis although which being said, improvements are observed in clinical practice.
If the spinal curve can be between 30° to 40° or the curve can be above 15° in addition to the patient can be experiencing pain, discomfort, paraesthesia or different spine related disorders, spinal bracing can be recommended. Above 40°, spinal surgery many be indicated.
The size of the curve, the age of the patient, the rate of spinal growth in addition to stage of skeletal maturity plays an important factor in determining the most appropriate option for scoliosis treatment in addition to management.
If urgent or essential surgery can be not indicated in patients, bracing may be the most viable option available. There are essentially two types of braces. Hard or soft. There are various types of hard, soft in addition to even hybrids of both hard in addition to soft braces. Some examples range by Boston brace, Milwaukee brace, Tynor Ash brace, Providence brace, Tria-C brace in addition to many more.
Based on recent studies from the Journal of Paediatric Orthopaedics (2007), several braces were examined in addition to SpineCor® was shown to be more effective in stabilising in addition to correcting scoliosis compared to different current non-surgical procedures such as Boston brace, TLSO (a type of hard brace) in addition to providence braces.
As both studies were conducted using the SRS (Scoliosis Research Society) criteria which can be possible to compare the results. SpineCor® was found to be 3.9 times more effective in achieving correction or stabilisation (59% vs 15%). which was also shown to be 3.7 times more effective in stopping scoliosis progression to surgery than the TLSO/Boston brace (77% vs 21%).
Scoliosis correction achieved by SpineCor® treatment has been shown to be at least stable in 95.7% of cases 2 years post treatment1. 27% of patients actually continued to reduce their Cobb angles post treatment. Largely Cobb angles achieved in brace with SpineCor® during treatment are sustained post treatment. Less than 5% of patients have demonstrated progression post treatment following the SpineCor® treatment protocol.
SpineCor® can be at which point used in 17 countries in addition to over 100 treatment centers around the planet. Data collected by 52 of these treatment centers show therapeutic success in over 89% of Idiopathic Scoliosis patients.
Do you have scoliosis? Do you know someone which may be suffering by scoliosis? If you have any further enquiries, please do not hesitate to contact us on +6221 292 00 218.
www.BackUpSpine.com
Dr. Anthony Fong
B.Med.Sc. (Uni.Syd.), M.Chiro. (Macq.)
Accredited SpineCor® Scoliosis (Paediatric, Adult, Physiotherapy) Consultant
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Using Advances in Medicine to Manage Scoliosis
Using Advances in Medicine to Manage Scoliosis