What is the prognosis for a child with scoliosis?
Wednesday, October 15th, 2008The majority of children who are identified as having scoliosis may not need complex treatments, but they do need to be evaluated.
The majority of children who are identified as having scoliosis may not need complex treatments, but they do need to be evaluated.
The accepted teaching used to be that once you reach adulthood, the curves become static and do not progress. However, there’s a subgroup of individuals where the curve continues to progress in adulthood.
The incidence of scoliosis in men and women is approximately the same. However, if you are female and you have scoliosis as an adolescent or young adult, the progression rate is seven to eight times more common among girls than it is among boys.
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We think of scoliosis as being a childhood disease, most commonly, scoliosis presents in the boundary between the juvenile and the adolescent stage: 9 to 12 years of age.
The majority of patients with scoliosis fall under the category of idiopathic scoliosis. That means, simply, we don’t know what causes it.
But there are those cases which are neurological, where there’s some kind of spinal cord or brain injury, cerebral palsy, etc.
And there’s trauma — an induced spinal cord injury.
There are congenital abnormalities of the spinal cord and of the vertebrae which lead to scoliosis.
And finally there are the so-called developmental abnormalities
The research into the environment causes of scoliosis is ongoing……
Polio was one of the most common neurological causes of scoliosis. Certainly in the 1930 to 1950, when the great epidemics of polio on this continent occurred it was very common to see children with scoliosis.
Children can get scoliosis as a result of a spinal cord injury. One of the categories for scoliosis — one of the causes — is a degenerative neurological condition that affects some children.
Scoliosis is thought to be genetic. It’s a result of expression of multiple genes, but it has something that’s called variable penetrance, meaning that in each generation there is a variability in how strongly the genes are expressed, that is, how severe the curve is.
Can it be passed on? Is it something that runs in families? And the answer is yes; scoliosis tends to run in families. It tends to run through generations in families, but to have variable effects in each generation.
Currently the exact cause of Adolescent Idiopathic Scoliosis is unknown, however, research does indicate that there is a genetic link.