WHAT IS SCOLIOSIS?
It means curving the spine to the side. In fact, scoliosis is not a disease, it is a formal disorder that occurs in the healthy spine structure. It appears as a 3-dimensional problem, not just by tilting to the side. It is most common in the back of the spine. It is found in 1 to 3 percent of children entering puberty. In a study conducted in our country in 2018, the incidence was reported as 2.3 percent.
HOW MANY TYPES ARE THERE?
There are three most common types of scoliosis.
1) SCOLIOSIS OF UNKNOWN CAUSE: It is the most common type of scoliosis. The spine curves sideways in an S or C shape. Side bending occurs as the vertebrae rotate around themselves. With the rotation of the vertebrae, an asymmetrical protrusion occurs in the back or waist. It is called “of unknown cause” (idiopathic) because the cause cannot be explained. It is not an inborn condition.
2) SCOLIOSIS DUE TO MUSCLE-NERVOUS SYSTEM (NEUROMUSCULAR) DISEASES: As the name suggests, it occurs due to muscle or nerve diseases. Nervous diseases can originate from the brain and spinal cord; Muscle diseases can be seen in childhood and later. Respiratory distress and sensory defects are more common in this type of scoliosis. respiratory problems; It can cause problems such as communication disorders, sensory deficits and epileptic seizures.
3) Congenital Scoliosis: It is a type of scoliosis due to spinal anomalies that occur during the development of the child in the womb. It shows rapid progress in the first years. It may require surgical intervention at a young age.
IS IT MORE FREQUENTLY IN GIRLS?
Yes, scoliosis is 8-10 times more common in girls than boys. It is present in 3 out of every 100 adolescent girls. The progression of scoliosis curvatures varies depending on the growth rate in childhood and adolescence. Especially during adolescence growth spurt, mild and moderate curvatures may worsen to moderate and advanced levels within 2-3 months. Therefore, as soon as scoliosis is suspected, expert opinion should be sought without delay. There is no clear information as to why it is more common in girls. However, there are some theories about the rapid and earlier growth of girls and the hormone estrogen.
BEYOND AESTHETIC QUESTION…
Scoliosis progresses during the growth period. If left untreated, it can cause serious health problems if it reaches advanced degrees at the end of growth. While simple scoliosis does not pose a problem other than aesthetic appearance, progressive scoliosis can greatly restrict daily activities and cause mental problems such as depression. Lung and respiratory problems, heart disorders, back and low back pain can be seen in progressive scoliosis and especially in curves above 80 degrees. Rarely, in very advanced disorders, it can seriously impair quality of life with complaints such as spinal cord compression and paralysis. Therefore, progressive scoliosis should definitely be treated.