What is Scoliosis?
Scoliosis is a medical condition characterized by an abnormal sideways curvature of the spine. Typically, the spine appears as a straight line when viewed from the back, but in scoliosis, it curves into an “S” or “C” shape. While many cases are idiopathic—meaning the cause is unknown—scoliosis can also be associated with conditions such as Marfan syndrome, neurofibromatosis, and cerebral palsy. Adolescent idiopathic scoliosis is the most common form and affects around 3% of children under age 16, with a prevalence across all racial groups.
Symptoms
Identifying scoliosis early can be challenging, as some children may not experience noticeable symptoms. However, key signs to watch include uneven shoulders or hips, a prominent rib cage, and an asymmetrical waistline. Additionally, children might complain of back pain, which can be a sign of worsening curvature. In more severe cases, scoliosis can cause discomfort or difficulties with breathing if the spinal curvature affects lung function.
Who Can Get Scoliosis?
Scoliosis can develop at any age, but it most commonly begins in children and adolescents, particularly during periods of rapid growth. While idiopathic scoliosis is the most common form and often occurs without any associated conditions, it can also be hereditary, with a higher incidence in individuals who have family members with the condition. Other forms of scoliosis are secondary to other medical conditions or congenital issues, but most cases occur in otherwise healthy children.
What is a Scoliosis Exam?
A scoliosis exam is a thorough assessment designed to detect any abnormal curvature of the spine. A healthcare professional will perform a physical assessment during the exam, often including a forward bend test to observe the spine’s alignment. Tools such as a scoliometer may be used to measure the degree of trunk rotation, and further imaging tests, like X-rays, might be ordered to confirm the diagnosis and determine the extent of the curvature.
Why are Scoliosis Exams Important?
Scoliosis exams are crucial for early detection and management of the condition. Early identification allows for timely intervention, which can significantly impact the effectiveness of treatment. Regular screenings can help monitor the progression of scoliosis and guide decisions about whether corrective measures, such as bracing or surgery, are needed. By catching scoliosis early, healthcare providers can implement strategies to prevent further curvature and ensure a better quality of life for the patient.
Where to Get a Scoliosis Exam
Scoliosis exams can be conducted by pediatricians, orthopedic surgeons, or specialized scoliosis centers.
Scoliosis Exams and School
Many schools incorporate scoliosis screenings into their health programs, especially during middle school when the condition is most likely to develop. These school-based screenings are a valuable tool for early detection, but follow-up visits to a specialist should complement them if any abnormalities are noted.
Treating Scoliosis
Diagnosing
Accurate diagnosis involves a combination of physical examination and imaging studies. The Pediatric Orthopedic Center utilizes advanced EOSedge imaging technology, which offers up to 96% less radiation than traditional X-rays. This technology provides detailed 2D and 3D spine images, allowing for precise assessment and personalized treatment planning.
Surgery
Surgery may be necessary for severe scoliosis cases, particularly when the curvature exceeds 40-50 degrees. The Pediatric Orthopedic Center employs cutting-edge techniques, including FIREFLY® Technology, to ensure precise surgical planning and execution. Our approach emphasizes rapid recovery, with most patients walking the next day and returning home within 36 hours of surgery.
Imaging (EOSedge)
The EOSedge Imaging System is a revolutionary tool in scoliosis management. Detailed images with significantly reduced radiation exposure allow for better monitoring of scoliosis progression and more accurate treatment planning. This low-dose technology especially benefits children and adolescents requiring frequent imaging.
Seeing The Pediatric Orthopedic Center for All Things Scoliosis-Related
The Pediatric Orthopedic Center in Cedar Knolls, New Jersey, is a leading facility for scoliosis care in the tri-state area. We offer comprehensive services, from initial diagnosis using our state-of-the-art EOSedge imaging system to customized bracing and advanced surgical options. Our expert team, including renowned specialists Dr. Mark Rieger and Dr. Sarah Stelma, is dedicated to providing compassionate and effective care tailored to each patient’s needs. Contact us today at 973-538-7700 to schedule an appointment and ensure your child receives the best scoliosis care available.
