GET THE FACTS ABOUT SCOLIOSIS I.M. Doctor, M.D. My Office My City, State.
-
Upload
zackery-buttrum -
Category
Documents
-
view
242 -
download
1
Transcript of GET THE FACTS ABOUT SCOLIOSIS I.M. Doctor, M.D. My Office My City, State.
GET THE FACTS ABOUT SCOLIOSISI.M. Doctor, M.D.
My Office
My City, State
The information in this presentation was provided to the presenter by the American
Academy of Orthopaedic Surgeons and may be modified.
Endorsement of this presentation by the AAOS
is not implied or inferred.
Thank you to members of the Pediatric Orthopaedic Society of North America
and the Scoliosis Research Societyfor contributions to the
content of this presentation.
Get the Facts About Scoliosis
Orthopaedics and the Bone and Joint Decade
Scoliosis
What is an orthopaedic surgeon?
MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)
What is an orthopaedic surgeon?
The expert in treating the musculoskeletal system
The expert in maintaining musculoskeletal health
Educating an Orthopaedic Surgeon
College Medical School Internship Orthopaedic Residency Fellowship (optional) 2 Years Practice
TOTAL
4414(1)2
16 years!16 years!
What do orthopaedic surgeons do?
Diagnose Treat
Medication Physical Therapy Exercise Brace Surgery
Prevent
Part of AAOS commitment to Bone and Joint Decade
Resource for doctors and clinicians Focus on conditions with greatest
burden/cost to society Resource for health care policy makers
Improving Musculoskeletal Care in America (IMCA)
Get the Facts About Scoliosis
Your Orthopaedic Surgeon
Getting You Back In The Game
What is scoliosis?
Side-to-side curve of spine
Can cause misalignment of shoulders or hips
Who is affected?
Infant scoliosis: under 3 Juvenile scoliosis: age 3-10 Adolescent scoliosis: 10+ Adult
Infant Scoliosis
Abnormally shaped vertebrae at birth (congenital scoliosis)
Syndromes or neurological disorders Unknown reasons
Juvenile Scoliosis
20% of curves of >20 degrees are due to underlying medical cause
In many cases, cause is unknown This group accounts for 10-15% of
children’s cases with unknown causes
Adult Scoliosis
May be the result of aging or medical problem
May have been present since childhood Often diagnosed when patient feels pain
or loss of function
Adolescent Scoliosis
Occurs after age 10, before growth stops Often has no known cause (idiopathic) Most common type
What causes scoliosis?
Cause is usually unknown May be the result of birth
defects and other medical conditions
Sometimes runs in families
What causes scoliosis?
Scoliosis is NOT caused by: Physical activity Carrying heavy things Bad posture Sleep position Lack of calcium
Who is affected?
Curves occur equally in boys and girls
Girls more often require treatment
Racial/ethnic groups equally affected
Diagnosing Scoliosis
Visual screenings:
Visual check by school nurse
More complete exam by physician
Diagnosing Scoliosis
X-rays confirm physician’s diagnosis
CT scan or MRI may be recommended to make things clearer
Treating Scoliosis
Orthopaedic surgeons take care of muscle and bone problems
An orthopaedic surgeon with special training in children’s spine problems will best be able to treat scoliosis
Treating Scoliosis
Orthopaedics =“Straightening the child”
Treating Scoliosis
Complementary practices: Can help patients feel better
overall Can help strength and
flexibility
Treating Scoliosis
Complementary practices: Should not replace
traditional medical care Beware of practitioners
offering “cures”
Treating Scoliosis
Observation Back brace Surgery
Treating Scoliosis: Observation
Curves of <20 degrees in growing children
Curves of <40 degrees in older patients
Treating Scoliosis: Observation
Ongoing x-rays are taken to measure the curve and determine whether it is changing
Treating Scoliosis: Bracing
Does not correct curve —only prevents worsening
For patients with 20-40 degree curves
Treating Scoliosis: Bracing
Selected for specific patient and condition Milwaukee brace (Cervico-
Thoraco-Lumbo-Sacral-Orthosis)
Boston brace (Thoraco-Lumbo-Sacral-Orthosis or TLSO)
Charleston bending brace
Treating Scoliosis: Bracing
Must be worn for certain number of hours every day
ALWAYS follow orthopaedic surgeon’s instructions
Treating Scoliosis: Bracing
“Time off” from brace can be used for sports or similar activities
Brace should be worn every day until child stops growing
Treating Scoliosis: Surgery
May be recommended for children with curve of >45 degrees
If patient is done growing, may be recommended if curve is >50 degrees
Treating Scoliosis: Surgery
Implants and bone grafts straighten and fuse the spine
Surgery is the only treatment that will straighten the spine
Treating Scoliosis: Surgery
Potential risks include: Nerve/spinal cord injury Healing problems Hardware problems
Treating Scoliosis: Surgery
Walk without brace: 2-3 days
Discharge from hospital: <7 days
Return to sports: 6-9 months
Living With Scoliosis: Nutrition
Eat a healthy diet, with 1,000 i.u. of vitamin D and 1,300 mg of calcium
Eat calcium-rich foods
Living With Scoliosis: Nutrition
Maintain a healthy body weight
Absolutely NO SMOKING
Living With Scoliosis: Exercise
Can help maintain strength and flexibility
Can help minimize discomfort and loss of function
Living With Scoliosis: Exercise
Aerobic sports recommended
Focus on flexibility and core strength
High-impact sports may be restricted
Living With Scoliosis: Exercise
Exercise cannot correct scoliosis
Avoid any practitioner who makes such claims
Living With Scoliosis: Exercise
Consult with your orthopaedic surgeon before beginning any exercise program
Living With Scoliosis
Curving often slows or stops in adulthood
Most normal activities are safe Pregnancy and childbirth usually
safe Follow up with orthopaedic
surgeon
Living With Scoliosis
Every patient and every case is different
Treatment is customized to your needs
Ask question, stay informed
Partner with your orthopaedic surgeon
American Academy of Orthopaedic Surgeons
6300 North River RoadRosemont, IL 60018
orthoinfo.org
Pediatric Orthopaedic Society of North Americaposna.org
Scoliosis Research Societysrs.org
Resources
What are your questions and concerns?
Get the Facts about Scoliosis
Get the Facts about Scoliosis
Thank you for participating today Remember, your orthopaedic
surgeon can help get you back in the game