Understanding the problem
Scoliosis is a disorder that causes an abnormal curve of the spine, or backbone. The spine has normal curves when looking from the side, but it should appear straight when looking from the front. Kyphosis is a curve seen from the side in which the spine is bent forward. Lordosis is a curve seen from the side in which the spine is bent backward. People with scoliosis develop additional curves to either side, or the bones of the spine twist on each other like a corkscrew. Scoliosis is about two times more common in girls than boys. It can be seen at any age, but it is most common in those over 10 years old. Scoliosis is hereditary in that people with scoliosis are more likely to have children with scoliosis; however, there is no correlation between the severity of the curve from one generation to the next.
Understanding who suffers
Scoliosis affects 2–3% of the United States population, which is equivalent to about 5 to 9 million cases. A scoliosis spinal column’s curve of 10° or less affects 1.5% to 3% of individuals. The age of onset is usually between 10 years and 15 years (can occur at a younger age) children and adolescents, making up to 85% of those diagnosed. This is seen to be due to rapid growth spurts occurring at puberty when spinal development is most relenting to genetic and environmental influences. Because female adolescents undergo growth spurts before postural musculoskeletal maturity, scoliosis is more prevalent among females.
Although fewer cases are present today using Cobb angle analysis for diagnosis, scoliosis remains a prevailing condition, appearing in otherwise healthy children. Incidence of idiopathic scoliosis (IS) stops after puberty when skeletal maturity is reached, however, further curvature may proceed during late adulthood due to vertebral osteoporosis and weakened musculature.
Potential Signs and Symptoms
A spine with scoliosis, when viewed from the rear, curves sideways. It may curve into a “C” or an “S” shape. Scoliosis tends to develop gradually, and usually it is not painful. A child may not realize it is happening. A parent may overlook it. As the curvature progresses and becomes more severe, scoliosis may cause changes in the body. Examples could include, the shoulders and hips becoming uneven or one shoulder blade may stick out prominently.
Examinations Usually Required
Scoliosis testing usually begins with a history and physical exam. This includes the forward-bending test, a simple test in which the child bends forward at the waist, arms hanging loosely and palms touching, and the examiner looks for unevenness in the child’s back or ribs. A Scoliometer, a device measuring distortions of the torso can be used to measure and estimate the rotation of the spinal curve.
Proposing Treatment and Why AIMIS
AIMIS performs a large number of procedures under this disease area including:
- Minimally Invasive Lumbar Spinal Fusion
- Minimally Invasive Spinal Correction
- Minimally Invasive Stabilization Surgery (MIS)
- Spinal Reconstruction Surgery
- Corrective Surgery
More commonly Lumbar Spinal Fusion is the primary choice in the treatment. AIMIS has outstanding expertise in Minimally Invasive Lumbar Spinal Fusion. Lumbar spinal fusion is an operation that causes the vertebrae (bones of the spine) in the lower back to grow/fuse together. The goal of the lumbar fusion is to have the two vertebrae fuse (grow solidly together) so that there is no longer any motion between them. Removing the intervertebral disc (cushion between the bones) or bone spurs can reduce some of the pressure on the nerves, helping to reduce pain. Additionally, by fusing the two vertebrae together, this may stop the formation of bone spurs at that location, further reducing pain and potential nerve injury.
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Reputable and Prestigious Surgeons
AIMIS' skilled team of neurosurgeons, orthopaedic surgeons and ancillary professionals has one of the leading experiences in the world of treating scoliosis. Our full team are consulted with each case to find the most suitable experienced doctor for the patient’s exact issue, to ensure the maximum potential outcome of treatment.
Getting More Information Before Moving Forward
You may have questions like:
- Can I get more information before I commit to this?
- Can I get a second opinion from you before I commit to this?
- How can I find out the cost before I have any obligation?
What AIMIS Can do:
AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.
AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.
AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.
Further information on the problem:
Skeletal age, as determined by the Risser sign, is also a helpful measure to find out the risk that the curve will get worse.
If someone in your family has scoliosis, your children should be checked regularly.
Neurological testing may be done on children who have scoliosis to see if they have certain disorders that are often associated with scoliosis, such as cerebral palsy or muscular dystrophy.
Further Information on Increased Risk Groups
In most cases, the cause of scoliosis is unknown (idiopathic). This type of scoliosis is described based on the age when scoliosis develops:
- less than 3 years old is called infantile idiopathic scoliosis
- between 3 and 10 years of age is called juvenile idiopathic scoliosis
- over 10 years old have is known as adolescent idiopathic scoliosis
There are three other main types of scoliosis:
- Functional: In this type the spine is normal, but an abnormal curve develops because of a problem somewhere else in the body. For example by one leg being shorter than the other or by muscle spasms in the back.
- Neuromuscular: In this type there is a problem when the bones of the spine are formed, have fail to form completely, or they fail to separate from each other. This type of scoliosis develops in people with other disorders including birth defects, muscular dystrophy, cerebral palsy, or Marfan’s Syndrome. If the curve is present at birth, it is called congenital. This type is often more severe and needs more aggressive treatment than other forms of scoliosis.
- Degenerative: Unlike the other forms of scoliosis that are found in children and teens, degenerative scoliosis occurs in older adults. It is caused by changes in the spine due to arthritis. Weakening of the normal ligaments and other soft tissues of the spine combined with abnormal bone spurs can lead to an abnormal curvature of the spine.
- Others: There are other potential causes of scoliosis, including spine tumors such as osteoid osteoma. The pain causes people to lean to the opposite side to reduce the amount of pressure applied to the tumor. This can lead to a spinal deformity.
Further examination that maybe required or requested
Things that increase a person’s risk for scoliosis include:
- Family history. Scoliosis is known to run in families. Children-especially daughters-of women who have scoliosis are at increased risk for having scoliosis.
- Being female. Girls are more likely than boys to have a significant curve that requires treatment.
Scoliosis is more common in people who have:
- A spinal bone that is pushed forward (forward displacement), usually in the lower back (spondylolisthesis).
- Missing or abnormally short arms or legs.
- Other disorders related to tissue development while in the womb.
Why AIMIS for this Surgery
AIMIS strives for excellence in delivering the best surgical outcomes, via the extensive expertise of its prestige surgeons, its technologies, its highly trained staff and superior facilities to provide an individualized and compassionate experience in a comfortable environment. All patients are treated with the individual care they deserve in an effort to provide the best chance of successful treatment.
Other Services Provided by AIMIS
In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you’ll know the best flights to take, where you’ll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become “part of our family” and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.