Spinal Deformities

Spinal deformities most often presents itself as scoliosis. Scoliosis is present in up 4% of the population and details an abnormal lateral curvature of the spine. In other words, the spine appears curved when viewed from the back. This may often translate in patients through evidence of shoulder offset or breast asymmetry. This source of this deformity could be functional or structural.

 

Due to the vast complexity of this phenotype, several categories have been defined to better describe its etiology and associated side effects.  These classifications include: congenital, functional, neurological and idiopathic scoliosis.  Idiopathic scoliosis, defines approximately 80% of all scoliotic cases.  Screening methods for scoliosis help encourage early treatment.

 

Conventional management of scoliotic deformities includes bracing of moderate deformities and surgical instrumentation involving fusion of advanced spinal curvatures.  Treatment selection depends on the severity of the deformation.  Progression of one’s deformity may occur while various risk factors exist that may better identify those at risk of progression.

 

Posterior or anterior instrumentation involving fusion essentially relies on a realignment of the spine through the introduction of screws and rods to secure the spine while bony fusion takes place.  Today, many different implants and surgical techniques exist each with their own benefits.

 

Patients having scoliosis requiring a surgical intervention are face with difficult questions and concerns to which various support sources are made available to them.