Treatment of scoliosis, methods and forms of treatment
Treatment of scoliosis depends on the severity and extent of the risk of deterioration in the future. Certain types of scoliosis have a high risk of deterioration in the future, so the type of scoliosis is also important to determine the proper treatment of this disease.
There are three types of treatment of scoliosis: observation, conservative treatment (which is to create a fixation of the spine) and surgical treatment.
In functional scoliosis, caused by a disease, the treatment is to eliminate this disease, which has triggered the emergence of curvature of the spine. Sam the spine at the same time does not require treatment, because it is not changed.
In neuromuscular scoliosis observed pathology of the bone structures of the spine. This type of spine is characterized by the highest risk of progression in the future. Monitoring and fixing in this case is not effective. In this case, require surgical treatment of scoliosis.
In idiopathic scoliosis treatment depends on the age at which the disease is detected.
With infantile scoliosis in most cases there is improvement without any treatment. In this case, the only required control radiography to determine the direction in which the observed changes - improvement or deterioration. Fixation of the spine in this type of scoliosis is not needed.
Type of juvenile idiopathic scoliosis is characterized by the highest risk of progression over time. If the distortion is not clearly marked, you can try treatment for spinal fixation. The purpose of this fix - prevent further curvature of the spine up to the moment when the patient stops the growth. But as the curvature of the spine in these patients have early and fixation take a long time, in most cases may require more vigorous treatment or surgical intervention.
The most common form of scoliosis is a form of juvenile idiopathic scoliosis. If the curvature of the spine in the early detection of unexpressed, can do simple observation and periodic X-rays. In this case, if the angle of curvature of the spine less than 25 degrees, another treatment is needed. If the value of the angle of curvature of 25 - 40 degrees, you may need fixation of spine. If the angle of curvature of 40 degrees, then surgery is applied.
As already stated, scoliosis is not typical for the appearance of pain in the spine. If the patient concerned about pain, the recommended therapeutic exercise and massage. Such treatment can strengthen the muscles of the spine, but it does not get rid of scoliosis.
Fixation of the spine may be different. In some cases, required almost around the clock wearing corsets fixing, which are removed only at night. The effectiveness of brace depends on how he is sick. It should be noted, that in itself does not cure scoliosis corset and does not eliminate the already existing lateral curvature of the spine. He only stops or slows its progression.
When the degree of curvature of the spine more than 40-45 degrees usually requires surgery.
Among the surgical treatments for scoliosis include:
Operations on the soft tissues of the spine: the intersection of the interspinous ligaments and supraspinous, dissection of the capsule of the joints between the vertebrae,
Operations on the intervertebral disc: discectomy (removal of the disc) and the creation of fusion (fusion between the vertebrae) Operations on the vertebrae themselves: resection of the vertebral body.
After the operation the child needs a comprehensive treatment to stop its growth
Treatment of scoliosis, methods and forms of treatment, surgical treatment