Understanding Scoliosis: Causes, Diagnosis, and Treatment Options

Author: Thomas C. Weiss
Published: 2010/07/24 - Updated: 2025/04/18
Publication Type: Informative
Topic: Back Pain Information - Publications List

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This information provides a comprehensive overview of scoliosis, detailing its causes, methods of diagnosis, and available treatment options. It explains that scoliosis is a condition characterized by an abnormal lateral curvature of the spine, which can arise from various causes including congenital, neuromuscular, or idiopathic origins, with adolescent idiopathic scoliosis being the most common type. The article outlines how diagnosis typically involves a combination of physical examinations and imaging techniques such as X-rays, which help determine the degree and severity of the spinal curve. Treatment recommendations are tailored to each individual based on factors like age, degree of curvature, and the likelihood of progression, and may range from observation and bracing to surgical intervention in more severe cases. This resource is especially valuable for people with disabilities, seniors, or those supporting individuals with scoliosis, as it clarifies the decision-making process for treatment and highlights the importance of early detection and regular monitoring to maintain quality of life - Disabled World (DW).

Introduction

Defining Scoliosis

Scoliosis involves a, 'C,' or, 'S,' curvature in a person's spine from side to side. The curvature may at times be severe, leading to additional health issues and potentially affect the person's heart, lungs, or joints. Should the curvature become severe, it may become visible and cause the person discomfort. Scoliosis is typically classified as either congenital (caused by vertebral anomalies present at birth), idiopathic (cause unknown, sub-classified as infantile, juvenile, adolescent, or adult, according to when onset occurred), or secondary to a primary condition. The majority of the time; however, scoliosis is mild enough that it does not affect a person's life and requires no medical treatment. In other instances, the person affected will wear a back brace, or may require surgery.

Females are more likely to experience scoliosis than males, and it may run in families. At times the curvature is temporary. A birth defect, another form of disease, or the presence of a tumor might cause the person's spine to have a curve that is not temporary. Symptoms a person can experience include leaning to one side, or having uneven hips or shoulders.

Focus

Causes of Scoliosis

Every person's spine can curve, a certain amount of curvature in a person's spine is needed for us to be able to move, balance, and walk. Approximately three out of every ten people have scoliosis, and medical science does not know the exact causes of the most common form of it - Idiopathic Scoliosis. The condition may be hereditary; family members of a child with scoliosis may also have it. Girls are far more prone to develop more severe spinal curvature than boys are.

Forms of scoliosis might be caused by inflammation, muscle spasms, or a person having different leg lengths. Scoliosis is something that may develop gradually; in most cases people affected by it are not diagnosed until they are between the ages of ten and fourteen years. The majority of people with scoliosis do not require treatment, and when they do they commonly continue pursuing active lives after receiving treatment.

Continued below image.
Illustration shows a spinal curve to the right in the medium back and to the left in the lower back.
Note the spinal curve to the right in the medium back and to the left in the lower back. Source: Blausen.com staff (2014). Medical gallery of Blausen Medical 2014. WikiJournal of Medicine. ISSN 2002-4436, Wikimedia Commons.
Continued...

Diagnosing Scoliosis

Doctors regularly check children for scoliosis during routine physical examinations. Some schools also test for scoliosis. If a doctor suspects a person has scoliosis, they might order X-rays to measure the curvature of the person's spine. The angle of the curvature in the spine assists the doctor in deciding whether or not treatment is required, as well as how to treat it. The X-ray may be repeated at regular intervals in order to check on the curvature in the person's spine to determine whether or not it is getting bigger, and to monitor the effects of treatment.

Some children show visible signs of scoliosis; the curvature of their spine may be plain. Their ribs may protrude, or one of their shoulder blades may be noticeably higher than the other. Sometimes the curvature of the person's spine is not as obvious. Scoliosis many times does not hurt and occurs slowly, making it difficult to diagnose.

Treatment of Scoliosis

The majority of people who have scoliosis do not need medical treatment. Regular visits with a doctor to check on the person's spine are sufficient. Others may need to wear a back brace, or have surgery related to scoliosis.

If a child or person requires medical treatment for scoliosis, a doctor might refer them to an orthopedist that specializes in treatment of medical conditions involving bones. An orthopedist might mention the, 'Cobb,' angle, which measures the curvature of a person's spine in degrees. The number of degrees assists the orthopedist in deciding what form of treatment is needed. If the person has a scoliosis curve of ten to fifteen degrees, it usually means they do not need anything more than regular visits with their family doctor until they reach maturity and their growth is complete.

A scoliosis curvature of between twenty and forty degrees will commonly find an orthopedist suggesting a back brace as treatment. A scoliosis spinal curvature of greater than forty degrees may find an orthopedist suggesting that surgery is needed. Bear in mind that when an orthopedist draws the lines for the Cobb angle, or scoliosis curvature of the person's spine, there is a certain amount of leeway for measurement error. What this means is the number may change a little from one X-ray image to another, potentially up to five degrees, even though the curve in the person's spine has not changed.

Back Braces and Scoliosis

Approximately twenty-percent of children with scoliosis require treatment using a back brace, something that acts as a holding device, preventing their spine from developing more curvature. The brace will not make their spine straight, but it will ensure their spine does not curve by more than an addition five or ten degrees and potentially help them to avoid surgery. There are different types of back braces that are commonly made of lightweight materials. Some back braces are meant to be worn from between eighteen and twenty hours per day, while others are designed to be worn only at night.

The particular back brace an orthopedist chooses to treat a person's scoliosis with depends upon the person, the severity of the curvature of their spine, as well as its location. The most common type of back brace is a thoracic-lumbar-sacral-orthosis or, 'TLSO,' brace. The brace is, 'low-profile,' meaning it comes up under the person's arms and fits beneath their clothing. TLSO braces include the following.

Surgery and Scoliosis

The use of a back brace prevents the need for surgery approximately sixty to seventy-percent of the time. There are times when, despite the use of a back brace, surgical intervention becomes necessary to correct the curvature of a person's spine. If surgery does become necessary, an orthopedic surgeon will perform a procedure that causes the separate bones in the person's spine where the curve is to grow into one solid piece of bone.

The procedure is referred to as a, 'spine fusion,' and assists in preventing additional side-to-side curvature of the person's spine. The orthopedic surgeon may also use screws and metal rods to correct the person's spine, helping to keep it straight until the portions of bone join together with the person's vertebrae. The surgery usually takes between four and six hours and the child is home within a week. They should be able to pursue regular activities promptly, such as walking, climbing stairs, dressing and so forth.

The person may need to take around a month off from school to recover from the soreness they experience due to the surgery, as well as to recover their strength. In approximately three to four months, they may pursue the majority of their usual activities, and after six months to a year, they can return to nearly all of their activities. Six months after the surgery is completed, the fusion of the person's bone is commonly complete. The areas where the rods are located are usually stiffer than before, but do not limit the person's movement to a great degree. The rods remain in the person's back, only because removing them would require another surgery.

Facts and Statistics

Insights, Analysis, and Developments

Editorial Note: Scoliosis remains a complex condition that can significantly impact daily living, especially for vulnerable populations such as children, seniors, and those with disabilities. By demystifying the causes, diagnostic steps, and treatment pathways, this article serves as a practical guide for patients and caregivers navigating the challenges of spinal curvature. Its clear explanations and focus on individualized care underscore the importance of informed medical consultation. Understanding scoliosis is crucial for early intervention and better quality of life, especially among vulnerable populations such as seniors and individuals with disabilities. Articles like this one serve an important role by breaking down complex medical information into clear, actionable advice that can support informed discussions with healthcare providers - Disabled World (DW).

Author Credentials: Thomas C. Weiss is a researcher and editor for Disabled World. Thomas attended college and university courses earning a Masters, Bachelors and two Associate degrees, as well as pursing Disability Studies. As a CNA Thomas has providing care for people with all forms of disabilities. Explore for comprehensive insights into his background, expertise, and accomplishments.

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Citing and References

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Cite This Page: Thomas C. Weiss. (2010, July 24 - Last revised: 2025, April 18). Understanding Scoliosis: Causes, Diagnosis, and Treatment Options. Disabled World (DW). Retrieved May 18, 2025 from www.disabled-world.com/disability/types/spinal/backpain/scoliosis.php

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