Posts Tagged ‘scoliosis’

ScoliScore April 21st, 2010

admin

There is an interesting new non invasive technique discussed in the news recently that can predict how badly the spine will worsen in a person diagnosed with scoliosis.  Previous methods are simply to have a doctor regularly monitor the spine about two or three times a year to see if the spine curvature is gradually increasing.  This new test would give much more insight as to just how severe a patient’s scoliosis might be.

The new non invasive method is known as ScoliScore.  This test uses a patient’s saliva to screen over 50 genetic markers that are known to be associated with the progression of scoliosis.  It uses the results of the screenings to assign a calculated score.  A very low score would imply that the curvature of the spine is not expected to rapidly grow worse, and that it does not need to be monitored so closely.  On the other hand, a really high score would require more attention and treatment options should be discussed much sooner.  ScoliScore has been shown to work for genetic markers in Caucasian children.  Currently, research is being done to verify that it also works in African and Asian children as well.

Brenda Hom is a young girl diagnosed with scoliosis participating in this new study.  When the doctor told the mother, Joyce Hom that her daughter had about a 30 degree curvature of the spine she could only hope for the best that future checkups will show that it is not getting worse.  Hopefully, ScoliScore will be able to give an accurate prediction of the progression of scoliosis, rather than playing the waiting game.

This can prove to be an extremely useful test, as tens of thousands of children are diagnosed with scoliosis every year.  Unfortunately, this is still very new to the medical field and is not widely accepted.  This also means that most insurance companies will not cover the expensive cost of about $3,000 dollars to perform the test.  Hopefully, this kind of test will be accepted in the future and allow for people to better assess spine curvature progression and to discuss possible scoliosis treatment options earlier.

  • Share/Bookmark

Continue reading...


 

Symptoms of Scoliosis and Diagnosis April 21st, 2010

admin

Basic symptoms of scoliosis will cause an unbalance between the two sides of the body.  A person may have uneven shoulders and shoulder blade, and look to lean towards one side more than the other.  An uneven waist and hip may also be prevalent.  The spine may not only curve but rotate as well, causing the ribs to stick out on one side.  In severe cases of scoliosis, more strain can be put on the internal organs, leading to a difficulty to breathe, back pain, and more pressure put on the heart.

Extreme cases of scoliosis can be easily seen, but to diagnose the issue, all that is needed is an X-ray scan to show the spine curvature.  In general, there must be a minimum of a 10 degree Cobb’s angle to be labeled as scoliosis.  If there is another condition that may be the cause of the scoliosis, other scans might be performed to diagnose those underlying conditions.

Additional scans include an MRI scan, CT scan or a bone scan.  MRI machines make use of strong magnetic fields to scan the inside of the body.  It is most ideal for detecting anomalies in the soft tissue.  CT scans use x-ray radiation in a more sophisticated manner than a regular X-ray machine.  CT scans are generally not as good as scanning the inner soft tissue, but it is better than the MRI when scanning the bone.  They are also advantageous in that they are faster, cheaper and more readily available.  Finally, a bone scan may be done.  This is much more informative than a simple X-ray scan, as a bone scan can reveal a lot more about bone diseases, fractures, infections and more a person might have.

  • Share/Bookmark

Continue reading...


 

Cobb’s Angle April 21st, 2010

admin

The Cobb’s angle is an important measurement in diagnosing scoliosis and determining what kind of treatment is needed, if any at all.  It is the measure of curvature of the spine affected by scoliosis.

To determine the Cobb’s angle of the spine, the vertebrae that is most displaced and rotated, with the least tilted end plates.  This is known as the apical vertebrae.  The end vertebrae above and below the apical vertebrae are identified next.  These have minimum displacement and rotation, but are most tilted from its original position.

Cobb's Angle

After all of these are identified, a line is drawn parallel to the plates of the end vertebrae that are furthest away from the apical vertebrae.  Next, two lines perpendicular to the first pair of lines are drawn towards each other until they intersect and form an angle.  This is known as Cobb’s angle.  Because this only measures scoliosis in one plane, this is not useful for spinal deformities in three dimensions.  The picture to the right shows an example of an X-ray scan with lines drawn to determine the Cobb’s angle.

This measurement is used to determine what the best course of action for treatment is.  In general, scoliosis is only diagnosed with an angle of curvature of at least 10 degrees.  Anything between 10 – 20 degrees should be monitored regularly to see that it does not get worse.  Between 20 – 40 degrees, a brace is most likely recommended.  Over 40 degrees of curvature, scoliosis surgery is the best course of action.

To sum it all up, see the table below:

Cobb’s Angle Course of Action
Below 10 Not Scoliosis
10 – 20 Regular Checkups
20 – 40 Body Brace
40 and up Scoliosis Surgery/Spinal Fusion
  • Share/Bookmark

Continue reading...


 

What is Scoliosis? April 21st, 2010

admin

Scoliosis is the condition where the spine is curved sideways, resembling an “S” shape.  It mostly occurs in late childhood stages, during the growth spurts that children experience before puberty.  Most cases of scoliosis are moderate, with no severe symptoms, though advanced cases of scoliosis can be very detrimental.

There are three classifications of spine scoliosis – idiopathic, congenital and neuromuscular.  Idiopathic scoliosis is the type where the causes are unknown.  It is the most common type, as there are no clear indicators of what exactly triggers scoliosis.  Hereditary factors are accepted as the most well known cause because this condition tends to run in the family.  It has also been theorized that the presence of ether in the bloodstream of the father during conception could trigger this condition.  Idiopathic scoliosis is further classified dependent on what stage it occurs, such as infantile, juvenile and adolescent.

Congenital scoliosis is when birth defects cause spinal abnormalities that develop as a person grows.  Any errant vertebrae or the lack of separation between them can possibly lead to scoliosis.  Finally, neuromuscular scoliosis is the type brought on by other health complications of the spine.  Neuromuscular conditions including cerebral palsy, muscular dystrophy and spinal bifida may act as causes.

In addition to a family history of scoliosis, age and gender are other risk factors to watch out for.  Scoliosis tends to appear during the teenage stages right before puberty, during the natural growth spurt.  And while men and women develop scoliosis at equal rates, it is much more likely to worsen in women.

In most cases, the effects of this spine condition are minor, and do not require intense treatment.  Many people with mild cases of scoliosis can live their lives just fine with few problems, if any at all, and no need for treatment.  Those who exhibit signs of scoliosis will need to be monitored regularly in case it gradually worsens.

It is recommended that children wear braces to stop the condition from getting worse as their body and bones grow.  Although a brace will not reverse the effects of scoliosis, it will keep the spine aligned to prevent the spine from curving any more.  Braces are good because they can be taken on and off when needed, such as to shower or for physical activities.  They are most effective the longer they are kept on.

In advanced cases, scoliosis surgery is most likely the best course of action.  A spinal fusion is the type of surgery done to treat this condition.  A spinal fusion is the procedure that fuses two or more vertebrae together.  It is done to provide more stability and to prevent the vertebrae from twisting and winding.

  • Share/Bookmark

Continue reading...