Scoliosis natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
(Created page with "__NOTOC__ {{Scoliosis}} Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing. {{CMG}} ==Overview== ...")
 
No edit summary
Line 13: Line 13:
* Emotional problems or lowered self-esteem may occur as a result of the condition or its treatment (specifically, wearing a brace)
* Emotional problems or lowered self-esteem may occur as a result of the condition or its treatment (specifically, wearing a brace)
* Failure of the bone to join together (very rare in idiopathic scoliosis)
* Failure of the bone to join together (very rare in idiopathic scoliosis)
* Low back arthritis and pain as an adult
* Low back [[arthritis]] and pain as an adult
* Respiratory problems from severe curve
* Respiratory problems from severe curve
* Spinal cord or nerve damage from surgery or severe, uncorrected curve
* [[Spinal cord]] or nerve damage from surgery or severe, uncorrected curve
* Spine infection after surgery
* Spine infection after surgery


Line 21: Line 21:
* The outcome depends on the cause, location, and severity of the curve. The greater the curve, the greater the chance the curve will get worse after growth has stopped.
* The outcome depends on the cause, location, and severity of the curve. The greater the curve, the greater the chance the curve will get worse after growth has stopped.
* The greater the initial curve of the spine, the greater the chance the scoliosis will get worse after growth is complete. Severe scoliosis (curves in the spine greater than 100 degrees) can cause breathing problems.
* The greater the initial curve of the spine, the greater the chance the scoliosis will get worse after growth is complete. Severe scoliosis (curves in the spine greater than 100 degrees) can cause breathing problems.
* Mild cases treated with bracing alone do very well. People with these kinds of conditions tend not to have long-term problems, except an increased rate of low back pain when they get older. People with surgically corrected idiopathic scoliosis can do very well and can lead active, healthy lives.
* Mild cases treated with bracing alone do very well. People with these kinds of conditions tend not to have long-term problems, except an increased rate of low back pain when they get older. People with surgically corrected [[idiopathic]] scoliosis can do very well and can lead active, healthy lives.
* Patients with neuromuscular scoliosis have another serious disorder (like cerebral palsy or muscular dystrophy) so their goals are much different. Often the goal of surgery is simply to allow a child to be able to sit upright in a wheelchair.
* Patients with neuromuscular scoliosis have another serious disorder (like [[cerebral palsy]] or [[muscular dystrophy]]) so their goals are much different. Often the goal of surgery is simply to allow a child to be able to sit upright in a wheelchair.
* Babies with congenital scoliosis have a wide variety of underlying birth defects. Management of this disease is difficult and often requires many surgeries.
* Babies with congenital scoliosis have a wide variety of underlying birth defects. Management of this disease is difficult and often requires many surgeries.
* The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are that larger curves carry a higher risk of progression than smaller curves, and that thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, patients who have not yet reached skeletal maturity have a higher likelihood of progression.
* The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are that larger curves carry a higher risk of progression than smaller curves, and that thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, patients who have not yet reached skeletal maturity have a higher likelihood of progression.
Line 30: Line 30:


[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Orthopedics]]
[[Category:Skeletal disorders]]
[[Category:Rheumatology]]
[[Category:Disease]]


{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 15:32, 6 November 2012

Scoliosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Scoliosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Electrocardiogram

X-Ray

Echocardiography or Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Scoliosis natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Scoliosis natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Scoliosis natural history, complications and prognosis

CDC on Scoliosis natural history, complications and prognosis

Scoliosis natural history, complications and prognosis in the news

Blogs on Scoliosis natural history, complications and prognosis

Directions to Hospitals Treating Scoliosis

Risk calculators and risk factors for Scoliosis natural history, complications and prognosis

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Natural History

Complications

  • Emotional problems or lowered self-esteem may occur as a result of the condition or its treatment (specifically, wearing a brace)
  • Failure of the bone to join together (very rare in idiopathic scoliosis)
  • Low back arthritis and pain as an adult
  • Respiratory problems from severe curve
  • Spinal cord or nerve damage from surgery or severe, uncorrected curve
  • Spine infection after surgery

Prognosis

  • The outcome depends on the cause, location, and severity of the curve. The greater the curve, the greater the chance the curve will get worse after growth has stopped.
  • The greater the initial curve of the spine, the greater the chance the scoliosis will get worse after growth is complete. Severe scoliosis (curves in the spine greater than 100 degrees) can cause breathing problems.
  • Mild cases treated with bracing alone do very well. People with these kinds of conditions tend not to have long-term problems, except an increased rate of low back pain when they get older. People with surgically corrected idiopathic scoliosis can do very well and can lead active, healthy lives.
  • Patients with neuromuscular scoliosis have another serious disorder (like cerebral palsy or muscular dystrophy) so their goals are much different. Often the goal of surgery is simply to allow a child to be able to sit upright in a wheelchair.
  • Babies with congenital scoliosis have a wide variety of underlying birth defects. Management of this disease is difficult and often requires many surgeries.
  • The prognosis of scoliosis depends on the likelihood of progression. The general rules of progression are that larger curves carry a higher risk of progression than smaller curves, and that thoracic and double primary curves carry a higher risk of progression than single lumbar or thoracolumbar curves. In addition, patients who have not yet reached skeletal maturity have a higher likelihood of progression.

References

Template:WH Template:WS