Scoliosis & Other Spine Conditions Treated
Scoliosis is a three-dimensional torsion of the spine and trunk in which the spine deviates in in all three planes of spinal motion, and could be best described as "a spiral".
Scoliosis can be congenital (caused by a spinal malformation at birth), idiopathic (unknown cause) and neuromuscular (caused by a condition/ syndrome/ connective tissue hyper-mobility).
Idiopathic represents approximately 80% of all cases of scoliosis, named based on the age of onset;
infantile, juvenile, adolescent, and adult.
A spinal curvature with a Cobb Angle measurement greater than 10 degrees with visible rotation of the vertebrae is considered a scoliosis. Curvatures below 10 degrees are considered spinal asymmetries.
The main goals/indications for the
treatment of scoliosis include:
Prevent curve progression throughout growth and adulthood
Improve/ maintain best possible quality of life
Improve/ maintain best possible psychological well - being
Prevent or treat spinal pain syndromes
Improve/ maintain respiratory function
The Guidelines for Treatment of Scoliosis in Children and Teens
The generalised guidelines for treatment of scoliosis in children and teens throughout growth
Treatment is determined based on curve magnitude, probability of curve progression or known curve progression and skeletal and sexual maturity.
10 - 25 degrees - Exercises & monitoring
25 (+/- 5) - 50 degrees - Exercises, full time bracing & monitoring
>50 (+/- 5) degrees - Exercises, sometimes bracing & surgical referral
The Guidelines for Treatment of Scoliosis in Adults
The generalised guidelines for treatment of scoliosis in adults
Treatment is determined based on a broad number of factors, particularly curve magnitude, risk of progression, presence/ absence of symptoms and patient goals.
10 - 25 degrees - Exercises & observation
25 - 50 degrees - Exercises & observation
10 - 30 degrees - Exercises & observation
30 - 50 degrees - Exercises, observation & sometimes part time bracing
>50 degrees - Exercises, part time bracing & specialist referral