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How can a good spine be crooked? Can it be cured? Hear what the doctor has to say

Time:2022-12-08 04:31:33 author:Emergency treatment Read:162次
How can a good spine be crooked? Can it be cured? Hear what the doctor has to say

Adolescent scoliosis has always been a problem of great concern to parents. According to a survey, scoliosis has become the third biggest "growth killer" for Chinese adolescents' health after myopia and obesity. The occurrence of scoliosis in teenagers not only affects the appearance and posture, but also has a great impact on his physical and mental health. So, how can we detect scoliosis early? How to treat scoliosis after diagnosis? Today, let us follow Wang Jianru, chief physician of the Spine Surgery Department of the First Affiliated Hospital of Sun Yat-sen University, to learn more about it. What is scoliosis? The normal spine is the central axis of the human body, which can support the entire trunk. It should be a straight line from the front, but if the spine is curved on the side of the standing X-ray, and the Cobb angle is greater than 10°, it is called Scoliosis. Scoliosis can be divided into idiopathic scoliosis, congenital scoliosis, neuromuscular scoliosis and syndromic scoliosis. Idiopathic scoliosis: 80% of scoliosis patients in the clinic belong to idiopathic scoliosis. The specific etiology of idiopathic scoliosis is not yet clear, and it may be related to various factors such as heredity, gene, and environment. It usually occurs after the age of 10. Congenital Scoliosis: As the name suggests, it is a deformity of the spine that has been identified from birth or even during pregnancy. Common types are spondylogenesis disorder, malsegmentation, and mixed types. Children with congenital scoliosis are sometimes combined with other organ developmental abnormalities. Neuromuscular scoliosis: The cause is the patient's own combined nervous system injury or muscle disease, such as polio, muscle weakness, muscle atrophy, etc. Syndromic scoliosis: This type of condition is relatively rare in clinical practice and is caused by scoliosis caused by certain syndromes, such as neurofibromatosis scoliosis and Marfan syndrome scoliosis. Chief Physician Wang Jianru said that the existence of scoliosis will not only affect the appearance and posture of the human body, resulting in high and low shoulders, hunched back, pelvic tilt, etc., but also squeeze the patient's internal organs space, causing damage to organ function, leading to breathing, digestion, and movement. , circulatory system and other functional disorders, reduce the quality of life, and even affect life expectancy in severe cases. How to detect scoliosis early? For the early detection of scoliosis, it is mainly to observe the child's posture to see if the child has a trunk deviation, asymmetric waist or high and low shoulders. You can also let the child turn his back to himself and bend forward. If the child has scoliosis, the asymmetry of his back will be much more obvious than when he is standing, which is medically called razorback deformity. When the above conditions are found, it is recommended that parents take their children to the hospital for spine-related imaging examinations to confirm the diagnosis and actively participate in the treatment. Find out how to treat scoliosis? For the treatment of adolescent idiopathic scoliosis, different treatment methods will be adopted clinically according to the degree of scoliosis. (1) When the Cobb angle is less than 20°, no special treatment is required, and regular observation is enough; (2) If the Cobb angle is within 20°-45°, brace treatment is recommended; (3) The Cobb angle is greater than 45°, and surgical treatment is recommended . Bracing: Bracing is a proven and effective scoliosis treatment method worldwide. Its main role is to slow down or reverse the progression of scoliosis, thereby effectively reducing the proportion of patients requiring surgery. With brace correction, the child's scoliosis can be maintained in an acceptable state without the need for surgery. Since the success rate of brace treatment is proportional to its wearing time, the active cooperation of parents and children is required, and it is generally required to wear braces for more than 20-22 hours a day. Surgery: Surgery is needed when the scoliosis is severe or cannot be corrected by wearing a brace. Chief Physician Wang Jianru said that in Zhongshan No. 1 Hospital, scoliosis correction is a routine operation of spine surgery, and the operation can be completed in 2-3 hours, and the treatment effect is obvious. The patient can take care of himself within two weeks after the operation, resume sports after 6 months, and return to normal life 1 year after the operation. Family doctor's online feature, may not be reproduced without authorization

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