Professional Documents
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Scoliosis
C o n ta c t D e ta i l s
Spinal Team
Nuffield Orthopaedic Centre
Windmill Road
Headington
Oxford
OX3 7LD
Causes of Scoliosis
For most people (80%) who have a scoliosis a specific cause is
not found (idiopathic scoliosis). The people with this type of
scoliosis are mostly female. It typically develops between the
ages of 10-16. USEFUL TELEPHONE NUMBERS
Some people are born with a scoliosis as a result of abnormal
bone growth during development (congenital scoliosis). Other NOC Main Switchboard - 01865 741155
people have a neurological disorder which then causes a scolio-
sis.
Spinal Secretaries - 01865 738051
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Surgery
Diagnosis of Scoliosis
The decision as to whether surgery should be advised is always
taken on an individual basis after discussion between the individ- As part of your assessment you will be asked to stand and bend for-
ual and the scoliosis specialist. Surgery may be recommended if: wards with your knees straight. If you have a scoliosis it is more
obvious in this position because the ribs are not symmetrical.
• your curve has increased in size
• taking a deep breath is difficult because of your curve X Rays (pictures of your bones) are commonly used in scoliosis as
• pain. the size of the curve can be measured on the X-ray.
Benefits:
Surgery aims to:
• reduce the size of the scoliosis, by rearranging the bones
and holding them in place with screws and other pieces of
bone.
• stop the scoliosis from getting larger.
Risks:
Unfortunately, as with all operations, although every effort is
made to avoid complications, scoliosis surgery carries important
risks. Some of these are mentioned below:
1. Blood loss during surgery.
2. Damage to a nerve happens in less than 1 person out of 100.
3. In 10 out of 100 people the metal screws can cause a problem How noticeable is scoliosis?
and they need to be removed again.
4. Infection is always a risk with an operation. This affects Scoliosis tends to be noticed more by the individual than by other
around 1 in 100 people. Antibiotics are commonly used to people.
prevent this.
Prognosis
5. Dural tear (a tear to the membrane around the spinal cord).
On the whole people with scoliosis do not get any more back pain
Return to activity than people with straight backs.
This is a major operation. Despite this you can get back to light
work or your studies within three months. If you are at school, If the curve is mild or moderate ( <30°) when you stop growing
you can return to this after 1 month. You can gradually return to (around age 18-20) it will probably not get any bigger as you get
all normal activities over the space of one year. Contact sports older. If the curve is quite large ( >30°), the curve may continue to
should be avoided for 1 year after the operation but you can start get bigger as you get older.
gentle exercise such as swimming after 3 months.
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Treatments for Scoliosis Brace
Braces are designed to encourage the bones in your back to grow
If the scoliosis is mild no treatment will be necessary. in the correct direction and not in a curve. They work best for
If the scoliosis is larger and you are still growing then a health people with medium size curves (between 20 – 45 degrees) who
care clinician will review you regularly. Once you have stopped are still growing and their curves are getting bigger. Braces are
growing a hospital review will only be required if the curve gets not very useful if the curve is large or if you are over the age of
bigger or is painful. 18.
Treatment options for medium or large scoliosis are: The braces fit like a vest which is made of plastic. They are often
moulded to your body and padded so that they don’t rub. The
1. Exercise brace can be worn underneath your clothes. Your consultant will
2. Bracing advise you on how often to wear it. You will probably need to
3. Surgery wear this jacket until your bones are mature which is approxi-
mately when you are 16 or 17 years old.
The health care clinician will advise you on the best treatments
for your scoliosis. Manual therapies
There is no reliable evidence that manual therapies that can be
What sort of exercises should I be doing? part of osteopathy, chiropractic, physiotherapy, reflexology or
acupuncture treatments can change the structure of a scoliosis.
It is important to keep fit. Any exercise is good for scoliosis, but
stretching and strengthening exercises for the spine are the most
useful. Some exercises can be given to you with this booklet. A
physiotherapist could help you to tailor an exercise programme to
your needs if you would like this. Ask your Consultant how you
can be referred to a physiotherapist.
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Strengthening exercises Stretching exercises
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Stretching exercises Strengthening exercises
Standing
Lying on your front
Stretch your arm above your head
Put your hands above your head
Lean over to the side
Lift your hands and shoulders upwards
Repeat to the other side