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Scoliosis (Spinal Curvature)

Diagnosis, symptoms, and treatment modalities.

General Information on Scoliosis

Scoliosis is a condition characterized by an abnormal 'S' or 'C' shaped lateral curvature of the spine in the thoracic or lumbar regions, accompanied by vertebral rotation. It typically begins as an asymptomatic shoulder asymmetry in growing children. In our Orthopedics clinic, it is corrected using bracing and Schroth exercises in early stages, and through spinal fusion surgery in advanced degrees.

Disease Details and Frequently Asked Questions

Detailed clinical information regarding the pathology can be accessed under the following headings.

It is a condition where the spine, which should descend as a perfectly straight column when viewed from the front or back, deviates laterally (to the right or left) by more than 10 degrees and rotates on its axis (like a spiral).

Carrying a heavy backpack or slouching does not cause scoliosis. The most common type is Idiopathic Scoliosis (of unknown cause), which develops spontaneously during the growth spurt due to genetic predisposition. Congenital bone anomalies or neuromuscular diseases can also be causes.

When the child bends forward, one side of the back (shoulder blade or ribs) remains higher (forms a hump) than the other. Shoulder asymmetry, uneven hip height, and clothes not hanging straight on the body are the clearest clinical signs.

Scoliosis developing in childhood and adolescence generally causes no pain. Therefore, it is often noticed very late by parents. Pain typically begins in adulthood due to joint degeneration caused by the curvature.

A specific long-cassette X-ray (Scoliosis Radiograph) encompassing the entire spine is taken while standing. The physician determines the starting and ending points of the curve via computer software to measure the exact degree, known as the Cobb Angle.

Curves between 10-25 degrees are monitored with specific exercises (Schroth method). For curves between 25-40 degrees (if the child is still growing), a custom Thoracolumbosacral Orthosis (Scoliosis Brace) is prescribed to halt progression. For rapidly progressing curves exceeding 45-50 degrees, the spine is surgically corrected by the Orthopedics or Neurosurgery team using titanium pedicle screws and rods (Spinal Fusion).

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.

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