Scoliosis (curvature of the spine)
Everyone’s spine has natural curves. These curves round our shoulders and make our lower back curve slightly inward. A spine with scoliosis has abnormal curves with a rotational deformity. The deformity may occur in varying degrees in three planes: back-front; side-to-side; top-to-bottom.
Scoliosis is a descriptive term and not a diagnosis. As such, a search is made for the cause. Besides the obvious abnormal spinal curvature, there may be several other components involved – neurological, nutritional, hormonal, digestive and muscular deficiencies.
Scoliosis can be present at birth due to abnormally shaped or fused vertebrae. However, this is relatively rare and may be associated with other congenital anomalies. It is more frequently seen in adolescence and is more common amongst females. There are many types of scoliosis seen in children. The most common is idiopathic scoliosis for which the cause remains unknown, but there are certainly hereditary factors that are present. Other less common types include congenital scoliosis, neuromuscular scoliosis, metabolic and traumatic scoliosis.
In adults, scoliosis can occur due to a childhood scoliosis that has progressed in adult life, or a new scoliosis that has developed due to aging.
Scoliosis is not preventable but early detection can increase the chances of successful treatment.
Scoliosis can be detected by looking for the following:
- Uneven shoulders
- Prominent shoulder blades
- Uneven waist, uneven hips
- Leaning towards one side
In most forms, the condition may be barely noticed; whereas in severe forms there is significant disfigurement, back pain and postural fatigue. Scoliosis is usually detected by your family doctor while performing a routine check-up. If necessary, it will be confirmed with an X-ray of your back. It is important to follow-up on the deformation evolution, especially during childhood.
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Scoliosis Association of Australia
Scoliosis Research Society
