When your child reaches puberty, the rapid growth of their body can reveal a curve in the spine called scoliosis. There are different types and severity of scoliosis, but for many children, early detection offers a chance to successfully halt the curvature or even improve it before it causes pain, stiffness or limited range of motion.
When we identify scoliosis early, we can often begin nonsurgical treatment to prevent the curvature from worsening and needing surgery later
There are three types of scoliosis: congenital scoliosis (present at birth), neuromuscular scoliosis (caused by conditions like spina bifida and cerebral palsy) and the most common form, adolescent idiopathic scoliosis, whose cause is unknown.
Scoliosis screening is a routine part of physical exams during well-child visits to the pediatrician or family doctor. Scoliosis screening age varies by gender, but it typically occurs around the end of elementary school for girls and during middle school for boys. Your child’s doctor will begin with a simple “forward bend test” to check the spinal curve.
If a forward bend test shows a spinal curvature, your child’s doctor may order a “long film” x-ray to view your child’s entire spine. Curves 10 degrees or more are considered scoliosis.
The treatment for scoliosis depends on the degree of curvature in your child’s spine and how much more growing they have left. For instance, a girl with a 20-degree curve who’s two years past her first menstrual cycle is nearing the end of her growth. However, a boy with a 40-degree curve at 13 years old can continue to grow into his 20s and may benefit from an early intervention. For some children, it begins with simply monitoring their growth and curvature through observation.
For smaller curves and less complex instances of scoliosis, your child’s doctor may suggest:
The goal of an early intervention like a back brace is to stop spinal curvatures from worsening, and they can sometimes improve the curvature.
Surgery is an option for children with a severe spinal curve measuring more than 45 degrees that continues to progress. The goal of spinal surgery is to prevent scoliosis from worsening irreversibly into adulthood.
Spinal fusion surgery is the most common type of surgery used to treat scoliosis because it is effective and permanent. This procedure fuses together vertebrae into proper alignment and holds them in place with rods and new bone growth. The fused area will no longer bend or grow, but the vertebrae above and below this area allows for continued motion and growth.
Children must wait to undergo spinal fusion until they’re mostly done growing, so there are other options to address spine curvatures until then:
Whether your child’s scoliosis simply needs to be monitored or requires an intervention it is best to get your child checked. We like to say prepare and prevent.
At Eaton Chiropractic we look at your body and your life as a whole. If you have a friend, family member or coworker who is looking to truly elevate their health have them give the team a call at 770-429-9733 for an initial consultation done at our expense. We are in network with all insurance, including Medicare and Kaiser.
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