Scoliosis is a medical condition characterized by a sideways curvature of the spine, making it appear like the letter “S” or “C” when viewed from behind.


It often appears during adolescence and is commonly idiopathic, meaning the cause is unknown. However, in some cases, it may be associated with underlying conditions such as cerebral palsy. (1)



In most cases, scoliosis is mild, but it can worsen over time as the child grows. If the curve becomes more pronounced, it may cause disability. This is why early diagnosis is crucial to determine the need for treatment, which can range from observation and bracing to surgery in more severe cases. (1)


What Are the Symptoms of Scoliosis?

Signs and symptoms of scoliosis may include: (1)

  • Uneven shoulders.
  • A visible prominence on one side of the back, especially when the patient bends forward.
  • Uneven waistline.
  • One hip appearing higher than the other.
  • Sideways curvature of the spine along with vertebral rotation.
  • Rib cage prominence on one side, particularly in severe cases or when bending forward.


Some individuals may not show any obvious symptoms in mild cases, making regular screening important for early detection.


Scoliosis Treatment Options

Treatment depends on the severity of the curvature. In general, most scoliosis cases are mild and do not require treatment, but they may require regular monitoring to ensure the curve doesn’t progress. In moderate to severe cases, treatment may be necessary and could include: (2)


Bracing

Bracing doesn't cure scoliosis, but it can help prevent the curve from worsening. This treatment is typically recommended for children with moderate scoliosis who are still growing. The braces are often made of plastic with smooth edges and can be worn under clothing. They’re usually worn for 13 to 16 hours per day and allow for participation in many daily activities, as long as medical guidance is followed.


Surgery

Surgery may be recommended if the curvature worsens over time. The goal is to correct the spine’s alignment and prevent further progression. Common surgical options include:

  • Spinal Fusion: The most common surgery for scoliosis, this procedure involves joining two or more vertebrae so they cannot move independently. Bone or bone-like materials are inserted between the vertebrae, and the area is stabilized with rods, wires, or special screws.
  • Expandable Rods: For early-onset scoliosis that progresses quickly, expandable rods may be surgically inserted to support spinal growth. These rods are adjustable and can be lengthened every few months in the clinic or during a minor procedure.
  • Vertebral Body Tethering (VBT): This technique involves small incisions through which screws are attached along the outer edge of the spine. A strong, flexible cord is threaded through the screws, and when tightened, it helps straighten the curve. As the child grows, further spinal correction may occur.


When to See a Doctor

It’s essential to consult a specialist as soon as you notice any signs of scoliosis in your child—even if they appear mild. Early diagnosis can prevent the curve from worsening and help support the child’s development and mobility. (1)




At Al-Ahli Hospital’s Orthopedic Department, we take scoliosis seriously. Our consultants and specialists provide comprehensive diagnostic and therapeutic care tailored to each case, supported by state-of-the-art imaging, testing, and treatment technologies. Book your appointment today.



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