1 / 20

Scoliosis

Scoliosis. TS SBI3U. What is scoliosis?. Sideways curvature of the spine While normal spines have natural curves forward, they don’t bend side to side Curvature of 10 degrees or more is considered to be scoliosis The higher the degree of the curve the more severe the scoliosis is

noel
Télécharger la présentation

Scoliosis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Scoliosis TS SBI3U

  2. What is scoliosis? • Sideways curvature of the spine • While normal spines have natural curves forward, they don’t bend side to side • Curvature of 10 degrees or more is considered to be scoliosis • The higher the degree of the curve the more severe the scoliosis is • Some people develop it eventually as they get older • Some people or born with it • Can be either painless, or sometimes painful • Can lead to further complications • Most common in adolescents

  3. What is scoliosis? About the spine - When viewed from the side you can see that there are natural curves of the spine - When viewed from the back thespine should look straight up and down

  4. What is scoliosis? - With Scoliosis, when viewed from the back there are obvious curves • Common curves resemble an “S” shape or “C” shape

  5. What is scoliosis? Different types: Idiopathic scoliosis – means the spine has curved for an unknown reason Neuromuscular – means the scoliosis is caused by a neurological disorder – ex. cerebral palsy, muscular dystrophy Structural - when the spine has a fixed curve, usually from a disease, injury, infection or birth defect Nonstructural - spine is normally structured and the curve is temporary. - e.x postural scoliosis Congenital – result of malformations of the spine when it is formed in the womb

  6. Causes of scoliosis • Most causes are unknown – almost 85% • Abnormal development of the spine at birth • Genetic factors – possible inheritance from parents • Tumors on the spinal column which push the spine off line • Diseases that can affect the connective tissue, muscles or bones such as: polio – viral disease that affects nerves marfan syndrome – disorder of the connective tissue muscular dystrophy - causes muscle weakness and loss of tissue cerebral palsy – condition that affects movement osteoporosis – thinning of bone tissue and loss of bone density

  7. Causes of scoliosis • Could be caused by bad postureex. A person with one shorter leg leans towards the taller leg to keep upright, causing the spine curvature • A slipped disc in the back could cause back spasms, which can lead to scoliosis

  8. Signs and Symptoms of Scoliosis • Protruding shoulder blade or hump near rib cage • Uneven development of back muscles • Uneven hip or shoulder blades • Uneven development of breast in young girls • Pain or fatigue in spine after long periods of sitting or standing • Unequal distance between arms and body • Head may be tilted off center • Problems with breathing • Back pain • Chest pain

  9. Signs and Symptoms of Scoliosis

  10. Diagnosis • Most common test is “Adam’s forward Bending test”- patient bends over at the waist and tries to touch toes- doctor evaluates spine- looks for deformities- examines the straightness of the spine

  11. Diagnosis • Doctor checks your family history • History of medical problems during childhood • Doctor can check for “café-au-lait” spots which are birth marks on the skin that can determine if scoliosis is caused by a birth defect • X- ray evaluations • Just by looking at patients spine, its easy to tell • Severity of scoliosis is determined by the amount of degrees it curved

  12. Treatment • If the curve is smaller than 25 degrees the doctor will check every 4-6 months for progression • If there is no progression it may require no treatment • Bracing is required if curve is 25 to 30 degrees or getting notably worse • Brace can prevent surgery in 90% of cases • Surgery is required if the curve is over 45 degrees- surgery requires use of metal rods and screws to hold the spine in the correct position

  13. Treatment

  14. Treatment • Untreated severe scoliosis can:-cause the ribs to press against the lungs-restrict breathing-reduce oxygen levels-cause dangerous changes to the heart-become more susceptible to lung diseases and pneumonia

  15. History Scoliosis – comes from Greek word meaning crooked or curve 1550’s – French surgeon Ambroise Pare was the first to treat scoliosis with iron corsets as braces. 1741 – the first surgeon to attempt to correct scoliosis was Parisian doctor Nicolas Andre 1819 – Dr. Robert Wallace Johnson found that tight lacing dresses and long skirts popular in the time were impeding the normal growth of the spine 1865 – William Adams develops “Adams forward bending test” 1914 – the first spinal fusion surgery for scoliosis was performed by Dr. Russell Hibbs in New York 1914-present - advances and new techniques in spinal fusion surgery for scoliosis are developed.

  16. Statistics Children • Only 3 to 5 in 1000 cases are worse enough to require treatment •  87% of children ages 3-10 who are diagnosed with scoliosis will undergo surgery to correct the scoliosis • 20-45% of these will require additional surgeries. • Girls are 9 times more likely to have their scoliosis worsen than boys of their same age • Some children who require treatment but don’t get any will have their curves worsen by an average of 7 degrees per year

  17. Statistics • An estimated 6 millions people in the U.S are affected • About 38000 patients undergo spinal fusion surgery each year in the U.S • 85% of causes are unknown

  18. Future outlook on Scoliosis • Genetic testing for scoliosis will soon be available • This is called a ScoliScore test • This testing will help determine if people with scoliosis will progress into more severe scoliosis • The test puts people in 3 categoriesLow risk, intermediate risk, and high risk • For people with a high risk, they can resort to earlier surgery that doesn’t require spinal fusion

  19. References • Eck, J. C. (n.d.). Scoliosis. Retrieved from http://www.medicinenet.com/scoliosis/article.html • Smith, J. T. (n.d.). The Genetics of Scoliosis. Retrieved from http://www.iscoliosis.com/articles-genetics.html • Thompson, G. H. (n.d.). Future of Scoliosis Treatment. Retrieved from Scoliosis Research Society website: http://www.sosort.mobi/index.php?option=com_content&view=article&id=59&Itemid=65&e5c88c325cd177da44d083a27799a210=20126f39b5 8609a9a0786d1b1f35f3ea National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). (n.d.). What is Scoliosis? In Scoliosis. Retrieved from http://www.niams.nih.gov/Health_Info/Scoliosis/scoliosis_ff.asp • http://scoliscore.com/ • http://www.scoliosisrx.com/http://www.uihealthcare.com/depts/medmuseum/wallexhibits/scoliosis/history/debate.html • http://www.lancasterspinalhealthcenter.com/scoliosis.htm

  20. References • Cavendish, M. (n.d.). Scoliosis. In Encyclopedia of Family Health: 3rd edition (p. 278). • Frey, R. J. (2009). Scoliosis. In Encyclopedia of Diseases and Disorders (Vol. 4). Farmington Hills, MI: Cengage Learning. • Scoliosis Facts you Should Know. (June 2010). Johnson Publishing Company. • Farly, D. (n.d.). Correcting the Curved Spine of Scoliosis. FDA Consumer.

More Related