Cómo abordar la escoliosis o desplazamiento lateral de la columna

Written by: Dr. Juan Pérez-Hickman Muñoz
Edited by: Top Doctors®

Scoliosis is a lateral displacement of the spine, which, instead of being seen as a straight line (l), appears as an S when it has a double curve, or a C, if the curve is unique.

According to specialists in Traumatology , in scoliosis, in addition to lateral deviation, the vertebrae appear to be rotated, which usually causes one shoulder to be higher than another, that the shoulder blades are not symmetrical, or that there is a higher hip What other.

Who is affected by scoliosis?

There are scoliosis that affect children and adolescents, being in these cases the most frequent idiopathic scoliosis of the adolescent. It is called idiopathic because its cause is unknown and although it can occur in young children, it usually appears at puberty, around 10 years and until it reaches bone maturity. On the other hand, it is more frequent in girls and are rarely painful, so it is not uncommon for them to go unnoticed.

Other types of scoliosis that affect children, but are much less frequent, are congenital scoliosis and neuromuscular scoliosis.

However, scoliosis also affects adults by degenerative alterations of the elements that make up the vertebral column (vertebrae, discs, ligaments ...), causing adult degenerative scoliosis, which can be painful and progressive.


The patients most affected by scoliosis are children and adolescents


Diagnosis of scoliosis

Scoliosis is diagnosed, in principle, by clinical examination, which, done correctly by the specialist in Traumatology, already indicates the existence of a deformity of the spine. Before this suspicion, the x-rays of the complete column serve to confirm the existence of the same and measure the degree of deformity.

Treatment of scoliosis

If the curve of the spine is less than 20 degrees, the observation and follow-up to assess the evolution of the curve is indicated.

In curves greater than 20 degrees is treated in adolescents with orthopedic corset with intention that the curve does not worsen.

The curves higher than 45 degrees and worsening the indication is the surgical treatment, being this a habitual treatment nowadays, with great capacity of correction and very good aesthetic and functional results.

*Translated with Google translator. We apologize for any imperfection

By Dr. Juan Pérez-Hickman Muñoz
Orthopaedic Surgery

Dr. Pérez-Hickman is a renowned specialist in Traumatology. He is an eminence in the field of spine surgery, with more than 30 years of experience. Expert in degenerative diseases of the spine such as stenosis, herniated disc and spondylolisthesis. In addition to deformities such as scoliosis and kyphosis and fractures such as kyphoplasties, vertebplalásties and instrumentation. Finally, he is also an expert in the treatment of infections and tumors. Dr. Pérez-Hickman has always developed his career in the treatment of all types of problems in the spine. Since 1992 he is an orthopedic surgeon at the Medimar International Hospital in Alicante and since 1997, he is the Clinical Head of the Orthopedic Surgery and Traumatology Service of the General University Hospital of Alicante, as well as the head of the Column Surgery Unit of the Vithas Medimar International Hospital.

*Translated with Google translator. We apologize for any imperfection

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