Orthopaedic Conditions

CONDITIONS OF THE SPINE

• Scoliosis

Scoliosis is a medical term taken from a Greek word meaning curvature. This disease is known to develop in children and in adults over the age of 18 causing the spine curve laterally (to the side) to the left or right. Adult scoliosis is caused by a progression of the disease from childhood. This usually occurs when scoliosis is not treated early or went unnoticed during childhood. The scoliotic curves may be thoracic, lumbar, or both. The asymmetric degeneration of spinal elements can also cause scoliosis such as is seen in osteoporosis (porous bone), disc degeneration, compression fractures, or a combination. These conditions usually affect the lumbar spine and can affect vertebral height, shape, or basic structural integrity. Scoliosis can cause rib prominence on one side and leg length discrepancy, which often results in gait dysfunction. Pain, difficulty sitting or standing, stiffness, and spinal rigidity are often associated with scoliosis. Rarely does adult scoliosis adversely affect cardiopulmonary (heart and lung) function or cause neurologic complaints. However, a complete medical and orthopaedic evaluation by a physician with experienced in adult scoliosis is essential. Rarely, surgery may be necessary to address severe scoliosis that affects balance, causes severe pain and/or nerve dysfunction and pain.