Sunday, 29 July 2018

Boy, 8, whose severe spinal deformity would have crushed his chest over time undergoes life-saving surgery (and now he's as tall as his classmates)

Boy, 8, whose severe spinal deformity would have crushed his chest over time undergoes life-saving surgery (and now he's as tall as his classmates)

  • Dempsey Wells, from Melbourne, suffers from Distal Arthrogryposis Type 2A 
  • The disease affects the bones with many sufferers having club feet and curves 
  • The traditional treatment is for doctors to fix the spine in place with metal rods
  • But new method used adjustable metal rods that change as Dempsey grows

    An eight-year-old boy has had life-saving surgery to stop him being crushed to death by his own spine.
    Dempsey Wells, from Melbourne, suffers from Distal Arthrogryposis Type 2A, or Freeman Sheldon Syndrome. 
    The disease affects the bones with many sufferers having club feet, curved or hooked joints and muscle weakness.
    Dempsey's spine is curved and would have eventually crushed his internal organs if left alone. 
    The traditional treatment is to fix the spine in place with metal rods - but this would have left Dempsey unable to grow taller.

    A new method, pioneered by a French surgeon and implemented for the first time in Australia, has given Dempsey room to grow with adjustable metal rods that change as his body does.
    'The surgeon showed me the X-rays taken in surgery, and it was absolutely amazing,' Dempsey's mother told Seven News.

    Since the operation three months ago, Dempsey has grown 12 inches. Asked why he was so happy, he said: 'Because I am a bit taller!' 
    Dempsey used to find physical activity very hard but has since been horse-riding, playing basketball and even AFL. 
    'We never thought he'd be doing Auskick or playing on the MCG at half time, so it was pretty phenomenal,' said his mother.
    'There were quite a few tears around.'

    Freeman-Sheldon syndrome

    Freeman-Sheldon syndrome is a condition that primarily affects the face, hands, and feet. People with this disorder have a distinctive facial appearance including a small mouth (microstomia) with pursed lips, giving the appearance of a 'whistling face.' 
    For this reason, the condition is sometimes called 'whistling face syndrome.'
    People with Freeman-Sheldon syndrome may also have a prominent forehead and brow ridges, a sunken appearance of the middle of the face (midface hypoplasia), a short nose, a long area between the nose and mouth (philtrum), deep folds in the skin between the nose and lips (nasolabial folds), full cheeks, and a chin dimple shaped like an 'H' or 'V'.
    Freeman-Sheldon syndrome is also characterized by joint deformities (contractures) that restrict movement. People with this disorder typically have multiple contractures in the hands and feet at birth (distal arthrogryposis). 
    These contractures lead to permanently bent fingers and toes (camptodactyly), a hand deformity in which all of the fingers are angled outward toward the fifth finger (ulnar deviation, also called 'windmill vane hand'), and inward- and downward-turning feet (clubfoot). 
    Affected individuals may also have a spine that curves to the side (scoliosis).

    Dempsey Wells, from Melbourne, suffers from Distal Arthrogryposis Type 2A, or Freeman Sheldon Syndrome

    The disease affects the bones with many sufferers having club feet, curved or hooked joints and muscle weakness

    The disease affects the bones with many sufferers having club feet, curved or hooked joints and muscle weakness

    These X-Rays show Dempsey's spine before (left) and after (right) the pioneering surgery

    These X-Rays show Dempsey's spine before (left) and after (right) the pioneering surgery

    Before the surgery, Dempsey had to wear this headgear to stretch his spine as much as possible

    Before the surgery, Dempsey had to wear this headgear to stretch his spine as much as possible

    SOURCE : DAILY MAIL , 25 JULY 2018 

New scoliosis surgery 'could be revolutionary,' but Halifax surgeon says questions remain

The ApiFix device, held by Dr. Ron El-Hawary, includes movable joints that will help patients maintain their flexibility after scoliosis surgery, allowing them to participate in sports. (Carolyn Ray/CBC)

A teenager from southern Ontario says her quality of life has changed dramatically after travelling to Halifax for a new spinal surgery that one surgeon says has the possibility to dramatically change the way children with scoliosis are treated.
Just six patients have had the surgery so far, including 14-year-old Jessica Robb of Westover, Ont., who said that within a week of the surgery, she felt a difference.
"I felt a little straighter. I was still in pain a little bit after, but I felt a lot better than I did before," said the teen about the surgery nine months ago that is now allowing her to participate in more sports.
The IWK Hospital in Halifax is the only place in North America to offer the ApiFix procedure, and surgeons across North America are watching the results closely.

Ontario resident Jessica Robb, 14, had 50 per cent curvature of her spine before the surgery in Halifax.(Submitted by the Robb family)

Jessica was diagnosed with scoliosis — a curvature of the spine that most often occurs during the growth spurt just ahead of puberty — when she was seven years old. She spent nearly seven years wearing a brace 20 hours a day as part of her treatment. Last year, the curve of her spine reached 50 per cent.

"Her lungs were being restricted by her rib cage twisting," said her mother, Tracy Robb, who said her daughter was limited in her physical activities. "All the things she loved doing, she wasn't able to do. She was also experiencing pain."
Her physicians at McMaster Children's Hospital in Hamilton told her family it was time to consider fusion therapy, an invasive procedure that uses between 15 and 20 screws to fuse rods to the spine.
Instead, Jessica's mother started searching for alternatives, something that led the family to go to Nova Scotia.

'A really intriguing concept'

At the IWK, Dr. Ron El-Hawary, an orthopedic surgeon, is the first to admit that he was skeptical when he learned of the ApiFix procedure three years ago.
The ApiFix device was developed in Israel. Instead of two rods, it's one with several joints that are flexible. It attaches to the spine with two to four screws.
El-Hawary spent months researching the device and procedure before he became convinced of its potential.
X-rays of a patient who received an ApiFix device show the change in the curvature of the spine months after the surgery. (Submitted by the IWK Hospital)
"I think it could be revolutionary, I think it's a really intriguing concept," said El-Hawary.
He said there are many benefits to the new device, including that it allows the patient to continue to have flexibility, instead of being limited by fusion rods.
The surgery for the ApiFix device also takes half the time — less than two hours — making it safer and less invasive for patients, as well as freeing up time in operating rooms.
Unknown future
While it might sound like a glowing endorsement, El-Hawary emphasizes the fact it's a new procedure that needs further review.
Just over 100 patients in the world have reached two years or more since their surgery, a number that is considered a benchmark.
He said the surgery can be approved for certain cases in Canada and there's an ApiFix study underway.  
El-Hawary spends a lot of time warning his patients there's no long-term knowledge of how the device will hold up.
"I tell them I don't know what's going to happen in 10 or 20 years. There's lots of questions that are still unanswered and we're doing lots of research to try to figure that out."
He emphasizes that fusion surgeries will continue to be the standard until more studies are complete.
Dr. Ron El-Hawary and Jessica Robb say goodbye after Jessica was approved to return to Ontario and finish her recovery. (Submitted by the Robb family)
The surgeon's efforts are being watched by other physicians across North America as the device hasn't yet been approved in the United States.
El-Hawary is also hearing from patients as far away as South America and Australia who are interested in the ApiFix approach.
He has performed the surgery six times in Halifax, and more are planned in the coming weeks.
"First and foremost, I would like to be able to offer this to the patients in the Maritime provinces. The only time we're doing extra patients from elsewhere, we're doing our best not to displace local patients," said El-Hawary.

Tears of joy

In Ontario, Jessica's mother said she did her homework before opting for something so new. She believes it was a risk worth taking.
"With the ApiFix, you haven't burned any bridges," she said. "If for some reason the device no longer works, you can always have it removed and go back to fusion. You just can't go from fusion to something else."
Tracy Robb said it was shocking to see the before and after X-rays of Jessica's spine after her Nov. 2, 2017, surgery.
"We were all in tears," her mom said. "We could not believe that it could correct it that much. We were not expecting that because hers was so rigid because she had it so long."
An X-ray of Jessica Robb after her ApiFix surgery shows the new rod in place with just four screws. The alternative was to have fusion rods, which require upwards of 20 screws to stay in place. (Submitted by the Robb family)
Jessica says she also no longer relies on puffers to help her breathing. Best of all, she never has to wear her brace again.
"I have no more pain anymore, which is really nice."

SOURCE : CBC NEWS , 25th JULY 2018

Sunday, 22 July 2018

Iraqi girl undergoes rare kyphoscoliosis spine surgery in Gurugram

An Iraqi girl from with an extremely complicated case of Kyphoscoliosis successfully underwent a rare spinal surgery in a Gurugram hospital. The girl had been suffering from the defect since birth and with time, her condition became more critical, leaving her completely bed-ridden with restricted movement.

Kyphoscoliosis is a spinal deformity where body structure is affected due to the abnormal curvature of the vertebral column
Kyphoscoliosis is a spinal deformity where body structure is affected due to the abnormal curvature of the vertebral column |Photo Credit: Thinkstock
Gurugram: A 15-year-old girl from Iraq with an extremely complicated case of Kyphoscoliosis successfully underwent a rare spinal surgery in a Gurugram hospital, a doctor said on Friday. The surgery that went on for about four hours was performed by Arun Saroha and his surgical team at Gurugram's Max Hospital, who were able to correct 70 per cent of the deformity after the surgery. Kyphoscoliosis is a spinal deformity where body structure is affected due to the abnormal curvature of the vertebral column.
The girl had been suffering from the defect since birth and with time, her condition became more critical, leaving her completely bed-ridden with restricted movement. Her failing health needed immediate medical help but since there was lack of medical infrastructure and resources in her native country, her family decided to come to India to avail the facilities

"It was a very complicated case of developmental spinal defect where the patient was in debilitating condition with major movement issues. The patient was taken for surgery after briefing the patient's family about details of the procedure," said doctor Saroha.
"The corrective surgery needed 15 screws bolted on her spine to restore the curvature. After hours of intensive surgery, the spine curvature of the girl has returned to near normal range. These types of corrective procedure require one year of follow-up post-surgery," Saroha said.
Other than birth defect, kyphoscoliosis can also be caused due to hereditary factors, non-symmetrical length of legs, poor posture or neuromuscular issues like cerebral palsy (CP) or muscular dystrophy.

Source : Times Now News , 29 June 2018 

Eight-year-old off to LA for treatment to stop spine from strangling heart, lungs

Caitlin McMurty, 8, is heading to Los Angeles to treat her Scoliosis because her age means surgery is too risky.

Caitlin McMurty, 8, is heading to Los Angeles to treat her Scoliosis because her age means surgery is too risky.
Michelle McMurty took one look at the X-ray of her daughter's spine and knew it wasn't good.
"I could tell it was quite severe," she said on first seeing the extent of her eight-year-old Caitlin's Scoliosis.
The X-ray showed her spine had two curves: one at 45 degrees and the other at 42 degrees. The curvature has now progressed to the stage where the top curve is at 55 degrees, and the bottom curve is 50 degrees. 
Caitlin McMurty, 8, and her mother, Michelle, have learnt a lot about Scolisos  since Caitlin was diagnosed in February.

Caitlin McMurty, 8, and her mother, Michelle, have learnt a lot about Scolisos since Caitlin was diagnosed in February.

It was just before Christmas when Caitlin​ first learnt she had Scoliosis - a potentially life-threatening disease.

Michelle said if the Scoliosis was left untreated, Caitlin's curved spine could "strangle her heart and lungs". 
"We'd noticed for a while that she didn't have great posture," she said. They lay Caitlin on the ground and could feel her spine was not straight. 
A general practitioner's visit showed the curvature more prominently as Caitlin was made to do the "bending test".
Caitlin was then referred for X-ray and was eventually seen in the middle of February at Waikato Hospital. 
It was then the true extent of the Scoliosis was revealed.
Caitlin now spends about 20 hours of the day in a custom-built brace, the other four are "active hours" so her "muscles don't get too lazy".
But on Friday, Caitlin will travel from her Waitakaruru home in rural Waikato to Los Angeles for three weeks for treatment.
If she were to be surgically treated in New Zealand, it would mean inserting growing rods along her spine to straighten it and then a spinal fusion later in life.
It could also open her up to a lifetime of chronic pain, Michelle said.
On top of that was the fact that two doctors had told the family that there was a 100 per cent chance of complications when performing the surgery on someone under the age of 10.
"[Caitlin] is quite young to be diagnosed with Scoliosis, especially for how curved her spine is."
Being diagnosed when you are young means the degree of the curve will progress a lot quicker, Michelle said. 
That led them to look at alternative options.
In LA, the therapy will look to straighten Caitlin's back without surgery. She will be the sixth New Zealander to travel over to the United States for it. 
Another option that they might explore is a new surgery in Germany, which uses a flexible band to straighten her spine as she grows. 
What attracted them to LA was that those doctors were trying to find out what caused Scoliosis, too. Michelle said it appeared a lot of places only seemed to focus on fixing the spine, instead of looking for a cause. 
Caitlin said whilst it was nice to know treatment was possible, she was more scared about it now that she knew more about the disease.
"I thought it was cool before I understood what [Scoliosis] was. I just thought I was unique because I had a curved spine," she said. 
Michelle said treatment in LA will require them to visit once every three months, which could cost $30,000 each trip. If she was to get the surgery in Germany, that would be at least $80,000. 
She just wanted to give her daughter "the best shot at a life that is normal and pain free".
"It's a big commitment but we're willing to do whatever we have to."
The McMurty family have started a Givealittle page, as well as other fundraising, to help pay for Caitlin's treatment. 

To help out, contact fundraisingforcaitlin@gmail.com, or donations can be made at givealittle.co.nz/cause/caitlins-scoliosis-journey.

Source : Stuff , 10 July 2018 

Friday, 20 July 2018

High Use of Surgical Robots for the Spine in Medical Devices Industry Driving the Market Growth of Surgical Robots for the Spine

Global Surgical Robots for the Spine Market 2018 Research Report presents a professional and deep analysis on the present state of Surgical Robots for the Spine Market 2018 in Medical Devices Industry. High Use of Surgical Robots for the Spine in Medical Devices Industry Driving the Market Growth of Surgical Robots for the Spine. Surgical Robots for the Spine Market 2017 by Type (Open Surgery Robots, Minimal Invasive Robots, ), Power Rating, Application (Biopsies, Adult Reconstructive Surgery, Minimally-Invasive Spine Surgery, Scoliosis Surgery, Spinal Fusion, Vertebroplasty ), and Region – Global Forecast to 2022.
In the first part, Surgical Robots for the Spine Market study deals with the comprehensive overview of the Surgical Robots for the Spine market, which consists of definitions, a wide range of applications (Biopsies, Adult Reconstructive Surgery, Minimally-Invasive Spine Surgery, Scoliosis Surgery, Spinal Fusion, Vertebroplasty ), classifications and a complete Surgical Robots for the Spine industry chain structure. The global Surgical Robots for the Spine market analysis further consists of a competitive landscape of Surgical Robots for the Spine market, Surgical Robots for the Spine market development history and major development trends presented by Surgical Robots for the Spine market.

Bisecting Surgical Robots for the Spine Market

* Leading Manufacturers Analysis in Global Surgical Robots for the Spine Market 2018: Mazor Robotics, Medtech SA and Intuitive Surgical 
* Surgical Robots for the Spine Market: Type Segment Analysis: Open Surgery Robots, Minimal Invasive Robots,

* Surgical Robots for the Spine Market: Applications Segment Analysis: Biopsies, Adult Reconstructive Surgery, Minimally-Invasive Spine Surgery, Scoliosis Surgery, Spinal Fusion, Vertebroplasty
The global Surgical Robots for the Spine market is expected to reach $ XX million by 2022.
As the report progresses further, it explains development plans and policies, manufacturing processes, cost structures of Surgical Robots for the Spine market as well as the leading players. It also focuses on the details like company profile, product images, supply chain relationship, import/export details of Surgical Robots for the Spine Market, market statistics of Surgical Robots for the Spine Market, upcoming development plans, Surgical Robots for the Spine Market gains, Contact details, Consumption ratio.

In addition to this, the Surgical Robots for the Spine Market report also covers gross margin by regions i. e. (US, EU, China and Japan)- Surgical Robots for the Spine market. Other regions can be added efficiently.
Lastly, Surgical Robots for the Spine Market report includes an in-depth analysis of sub-segments, market dynamics, feasibility study, key strategies used by leading players, market share study and growth prospects of the industry. The Surgical Robots for the Spine Report also evaluates the growth established by the market during the forecast period and research conclusions are offered.

Thus, Surgical Robots for the Spine Market Report 2018 serves as a valuable material for all industry competitors and individuals having a keen interest in Surgical Robots for the Spine Market study.

Key Highlights of the Surgical Robots for the Spine Market:

> A Clear understanding of the Surgical Robots for the Spine market based on growth, constraints, opportunities, feasibility study.
> Concise Surgical Robots for the Spine Market study based on major geographical regions.
> Analysis of improving business sections as well as a comprehensive study of existing Surgical Robots for the Spine market segments.

Source : Stock Analysis , 16 July 2018 

Prevalence of Scoliosis In Indonesia Increases by 5 Percent - JAKARATA

Dr. dr. Ninis Sri Prasetyowati, Sp.KFR, an expert consultant from the Scoliosis Care Clinic, said that people are still unaware of the importance of scoliosis education, whereas the prevalence of scoliosis is increasing at around three percent in the world and 4-5 percent in Indonesia.
Scoliosis, dr. Ninis, can occur since infancy and childhood at 0-3 years old (infantile), 4-9 years old (juvenile), 10-19 years old (adolescent), and over 19 years old (adult). Progressiveness of scoliosis occurs at the age of 10-18 years.
When viewed by gender, said dr. Ninis, scoliosis is more common in women. "Overall, 80 percent of scoliosis is idiopathic scoliosis," said dr. Ninis, in a press release received by NNC, Tuesday (7/17/2018).
Furthermore, dr. Ninis said that scoliosis can occur due to genetic factors, congenital or congenital abnormalities, bone formation disorders or neurological and habitual disorders or habits of carrying heavy items.
"Accurate and early Scoliosis detection is important and can be done by examining whether there is a bulge in the shoulder, or if the waist and hip bones have a curve tha should not be there," said Dr. Ninis.
One way of treatment that can be done by patients is with non-surgical therapy. Non-surgical therapy is said to be a new hope for scoliosis patients because it can correct a large degree curve.
"Generally, non-surgical therapy is the use of brace, exercise, and physical exercise with physiotherapy tools to reduce pain. Brace is very instrumental to correct the curve, especially for patients who have a curve of more than 30 degrees and adding in exercise in accordance with the shape of the curve, not a conventional exercise," said Dr. Ninis.

Source :  Netral News , 18 July 2018 

Nuvasive Launches MAGEC X For Early Onset Scoliosis Treatment

NuVasive, Inc. (NASDAQ: NUVA), the leader in spine technology innovation, focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, today announced the U.S. launch of MAGEC X, a new procedural solution within the MAGEC product family that addresses Early Onset Scoliosis (EOS).
MAGEC X features updates across all rod diameters in the portfolio, including 5.0mm diameter rods for patients, delivering a 68 percent performance increase over the previous generation in titanium rod fatigue testing. When paired with the NuVasive Reline® Small Stature system, the first pediatric deformity fixation solution to integrate both 4.5mm and 5.0mm rods in a low-profile tulip, MAGEC X provides increased construct strength without sacrificing the optimal profile for EOS patients.
"NuVasive's MAGEC X 5.0mm solution is unique because it allows you to upsize your rod with low-profile screws, giving you the flexibility at the time of surgery to use a larger rod without having to change your screws – that's really key," said Dr. Peter Sturm, Alvin H. Crawford Chair of Spine Surgery, Cincinnati Children's Hospital Medical Center. "Further, the upgrade of the internal components in MAGEC X rods gives me even more confidence in the performance of a system that has radically changed how we treat this challenging patient population."

The development of MAGEC X is also distinguished by a number of internal rod mechanism advancements, most notably a reinforced locking pin and a robust actuator seal designed to further contain and reduce the release of titanium wear debris. Additionally, it includes an anti-jam feature to simplify intraoperative and postoperative rod lengthening. Key aesthetic improvements, such as laser-marked sagittal bending lines, help to enhance surgeon workflow efficiency and ease of use.
"More than 100,000 children are diagnosed with scoliosis each year in the United States; the launch of MAGEC X exemplifies our continued dedication to the advancement of EOS treatment and support of the pediatric surgeon community," said Matt Link, executive vice president, strategy, technology and corporate development for NuVasive. "MAGEC X represents the culmination of over a decade of clinical experience and innovation, resulting in a stronger and smarter MAGEC implant design."
This full commercial launch of MAGEC X follows the Company's preview announcement, which occurred at the POSNA Annual Meeting in May in Austin, Texas.
About NuVasive NuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, focused on transforming spine surgery and beyond with minimally disruptive, procedurally-integrated solutions designed to deliver reproducible and clinically-proven surgical outcomes. The Company's portfolio includes access instruments, implantable hardware, biologics, software systems for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative monitoring service offerings. With over $1 billion in revenues, NuVasive has an approximate 2,400 person workforce in more than 40 countries serving surgeons, hospitals and patients. For more information, please visit www.nuvasive.com.
Forward-Looking Statements NuVasive cautions you that statements included in this news release that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive's results to differ materially from historical results or those expressed or implied by such forward-looking statements. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, risks associated with acceptance of the Company's surgical products and procedures by spine surgeons, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive's products (including the iGA® platform), the Company's ability to effectually manage inventory as it continues to release new products, its ability to recruit and retain management and key personnel, and the other risks and uncertainties described in NuVasive's news releases and periodic filings with the Securities and Exchange Commission. NuVasive's public filings with the Securities and Exchange Commission are available at www.sec.gov. NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.
SOURCE NuVasive, Inc. Via The Daily Times , 19 july 2018 

Therapeutic exercises for scoliosis

There are a number of health problems that may cause the spine to curve more than normal or be misaligned. Scoliosis is a type of spinal deformity and should not be confused with poor posture. Spinal curvature from scoliosis may occur on the right or left side of the spine or on both sides in different sections. Treating scoliosis often means forcing the spine into alignment by taking invasive measures such as wearing a back brace or surgically inserting rods.

But what many patients don’t know is that there’s a third option; improving communication between the brain and muscles through scoliosis physical therapy. When treating scoliosis curves using a brace or undergoing surgery, they’re not actually addressing the source of the problem. While the root cause of idiopathic scoliosis is unknown, the disorder’s progression occurs because the brain doesn’t respond properly to gravity, causing the spine to become incorrectly oriented. We spoke to Dr. Sujeejwa Weerasinghe, the National Organizer of the Chartered Society of Physiotherapists, to make a deep study of the subject for the benefit of our readers. 
In a non-scoliotic body, the brain responds to gravity by telling the spine to straighten. In a scoliotic body, the brain incorrectly perceives gravity and fails to send the message. With the back muscles unable to maintain proper posture, the spine develops abnormally and scoliosis curves progress.


A normal spine, when viewed from behind, appears straight. However, a spine affected by scoliosis shows evidence of a lateral, or side-by-side curvature, with the spine looking like an “S” or “C” and a rotation of the back bones (vertebrae), giving the appearance that the person is leaning to one side. The Scoliosis Research Society defines scoliosis as a curvature of the spine measuring 10 degrees or greater. 


While scoliosis can be caused by conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown.

Most cases of scoliosis are mild, but some children develop spine deformities that become severe as they grow. Severe scoliosis can be disabling. An especially severe spinal curve can reduce the amount of space within the chest, making it difficult for the lungs to function properly. It appears to involve hereditary factors, because the disorder tends to run in families. Less common types of scoliosis may be caused for the following reasons:

Neuromuscular conditions, such as cerebral palsy or muscular dystrophy
 Birth defects affecting the development of the bones of the spine
 Injuries to or infections of the spine

Risk factors

Risk factors for developing the most common type of scoliosis include:

 Age. Signs and symptoms typically begin during the growth spurt that occurs just prior to puberty.
Sex. Although both boys and girls develop mild scoliosis at about the same rate, girls have a much higher risk of the curve worsening and require treatment.
Family history. Scoliosis can run in families, but most children with scoliosis don’t have a family history of the disease.


While most people with scoliosis have a mild form of the disorder, scoliosis may sometimes cause the following complications. 

Lung and heart damage. In severe scoliosis, the rib cage may press against the lungs and heart, making it more difficult to breathe and harder for the heart to pump.

·Back problems-  Adults who had scoliosis as children are more likely to have chronic back pain when compared with people belonging to the general population.
Appearance-          As scoliosis worsens, it can cause more noticeable changes — including unlevelled shoulders, prominent ribs, uneven hips and a shift of the waist and trunk to the side. Individuals with scoliosis often become self-conscious about their appearance.

Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the curve is worsening. In many cases, no treatment is necessary. Some children will need to wear a brace to stop the curve from worsening. Others may need surgery to keep the scoliosis from worsening and to straighten severe cases of scoliosis.


Your spine comprises small bones called vertebrae that are stacked on top of each other. It also has a natural curve that helps you bend and move. When you have scoliosis, your spine curves more than it should. It forms a “C” or “S” shape.

Usually the curve is mild and doesn’t affect your appearance or health. Yet it can worsen over time. It can also cause back pain and other health problems.

Scoliosis can affect children or adults. Some kids are born with it. Most of the time, the cause is unknown. Adults can get it later in life.

Here’s how to spot the symptoms of scoliosis in yourself or in your child. If you think you have it, see your doctor.

The following are the most common symptoms of scoliosis. However, each child may experience symptoms differently. Symptoms may include:

Difference in shoulder height
The head is not centred with the rest of the body
Difference in hip height or position
Difference in shoulder blade height or position
When standing straight the presence of a a difference in the way the arms hang beside the body
When bending forward the sides of the back appear different in height

Back pain, leg pain and changes in bowel and bladder habits are not commonly associated with idiopathic scoliosis. A child experiencing these types of symptoms requires immediate medical evaluation by a physician.

The symptoms of scoliosis may resemble other spinal conditions or deformities, or may be a result of an injury or infection. Always consult your child’s physician for a diagnosis.

What increases the risk of scoliosis

In most cases, the cause of scoliosis is not known. The following may increase your child’s risk of scoliosis:

 He was born with a birth defect that increases the risk of scoliosis.
 He has a family member with scoliosis, especially if both parents had scoliosis.
 He had a fracture (broken bone), radiation, or surgery involving the spine.
 He has a disease that causes problems in muscle control or activity. Examples are polio, cerebral palsy and muscular dystrophy syndrome and osteogenesis imperfecta (brittle bone disease) may also increase the risk.


The goal with regard to treatment is to correct or control the curving of the spine and prevent further problems. Treatment may depend on when the condition started and the severity of your child’s symptoms.

 If the curve is mild or your child is almost fully grown, his healthcare provider may recommend regular visits to monitor the scoliosis. Your child may need any of the following:

 Cast or brace: This may help keep your child’s spine from curving or stop the curving from getting worse. Most braces are small and light and may be worn under clothes. Sometimes a cast is used first and replaced with a brace after a few months. The brace may be adjusted as your child grows.
 Surgery: Your child may need surgery if the curve is severe and a brace has not helped. Healthcare providers may place rods, screws, or wires to help straighten the spine.


Treatments for scoliosis, such as a back brace, may be very uncomfortable for your child. Your child may bleed more than expected during surgery. He may also get an infection or have an injury to his spinal cord. If left untreated, the curve of his spine may worsen. This may decrease the space in your child’s chest for his heart and lungs to work properly. His spinal cord and nerves may get pressed on and lead to problems or changes in organ function.

Therapeutic exercises 

Correct therapeutic exercises can treat the underlying problem by retraining the brain to correct the body’s posture and help bring the spine back into alignment.

Types exercises

Physical therapy for scoliosis comes in many forms, with a variety of different approaches to treating the disorder. These can include:

Focusing on breathing mechanics and function
Using mirror-image exercises to balance out the curves
Incorporating anti-scoliosis postures into normal daily activities
Performing involuntary exercises to retrain the brain and muscles

While they all have different goals, most of these types of scoliosis exercises are voluntary, which means they’re performed intentionally. Involuntary exercises, on the other hand, occur when the body moves automatically in response to a specific stimulus; movements like carrying a bag or wearing a wrist watch become habitual within the brain.

Because posture control is an involuntary habit, the only scoliosis physical therapy that can effectively halt progression consists of involuntary exercises that help the patient form new postural habits.

Also known as Auto Response Training, involuntary scoliosis exercises involve placing small amounts of weight on the head, torso and pelvis. The patient then performs specific movements that help the brain perceive a different centre of balance within the body, which triggers the brain to re-balance the posture and realign the spine. These scoliosis exercises aim to:

 Stop or slow progression
 Reduce and stabilize existing curvature
Improve function and cosmetic appearance
 Eliminate the need for invasive bracing or surgery

Auto Response Training works on every scoliosis patient, regardless of age or curve measurements — although it’s most effective for children with curves below 30 degrees. With early intervention and the use of involuntary scoliosis exercises, mild curves can often be reduced to less than 10 degrees. Larger curves will most likely never reach 30 degrees.

Source : Daily Mirror , 20 july 2018