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Scoliosis

     
 
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Scoliosis in layman term is simply known as, “hunch – back” or side bending of spine. In fact, it is a three dimensional deformity of spine caused by abnormal rotation of spine bones. It can be caused by birth defects (congenital) of the spine bones, where some of the spine bones may fail to form properly or they may fail to separate from one another partially or completely or it can be a combination of both the defects. Some of these defects require prompt surgery to prevent rapid progression of deformities. There is no role of corrective braces or exercises in prevention or treatment of these birth defects. Another common form of scoliosis is “idiopathic scoliosis” which can be early onset, presenting before five years of age or late onset presenting after five years of age. Patient may present with prominent rib hump, forward protrusion of one breast, prominence and elevation of one side of hip. Head may not be in line with the center of pelvis and may appear to be shifted to one side. For minor degrees of problem, majority of cases can be treated by either keeping them under observation or by bracing them. However some young patient in growing age may present with progressive deformity which may require surgical correction of the deformity.

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