Quick Anatomy of the Spine

The spine is made up of twenty-four individual bones called vertebrae separated by discs, which allow the spine to be flexible.

There are three regions of the spine: seven cervical (neck) vertebrae, twelve thoracic (chest) vertebrae and five lumbar (low back) vertebrae. In addition, there are five fused vertebrae below the lumbar spine that make up the sacrum. The spinal column houses and protects the spinal cord. Spinal nerves project out from the spinal cord through spaces between each of the vertebrae.

What is Scoliosis?

Viewed from the front or back, the spinal column should be straight. When scoliosis is present, you will see a sideways shift of the spine to the right or left. Approximately 10% of the population has small curves (less than ten degrees), which are of no consequence to function or health. This condition is called Spinal Asymmetry.

When a diagnostic x-ray is done, the curve of the spine is measured in degrees, as an angle, and this is called a Cobb angle. Scoliosis is defined as a curve greater than ten degrees. It is most common in the thoracic and lumbar regions of the spine and can involve one or both of these regions. The most common curve pattern is a right thoracic curve.

There are naturally occurring curves in the spinal column when it is viewed from the side (laterally). Swayback (lordosis) is normally present in the cervical and lumbar regions while round back (kyphosis) generally exists in the thoracic spine.

How to DETECT scoliosis

There are a number of things that one might notice:

Some of these signs of scoliosis may be very hard to see, especially to the untrained observer.

  • Head not centered over middle of hips.
  • One shoulder appears higher than the other.

  • One shoulder blade more prominent.

  • Ribcage shifted to one side.

  • Waist appears asymmetrical.
  • One hip appears lower than the other.

What causes scoliosis?

Scoliosis can arise from a number of underlying conditions, but the most common form is idiopathic, which means “cause unknown.”

Scientists have identified that idiopathic scoliosis is a genetic condition and continue to work to isolate the combination of individual genes that cause scoliosis. A test has been developed that may help to determine the risk of progression of scoliosis (whether or not the curve will get bigger). This may eventually allow for earlier diagnosis and more accurate selections of the “best” treatment for each patient.

There is some evidence to suggest that uneven growth rates between the anterior (front) portion of the vertebrae and posterior (back) portion of the vertebrae may be one cause of scoliosis.

Treatment Options

Scoliosis can be treated non-operatively or operatively, depending on the size and severity of the curve. There are three stages of curves size that can determine your treatment options.

MILD CURVE

Less than 20-25°

Still Growing

Monitor with X-rays & Exams

Done Growing

No Treatment Required

MODERATE CURVE

Less than 40°

Still Growing

Consider Bracing

Done Growing

Monitor Every 3-5 Years

SEVERE CURVE

Greater than 40°-50°

Still Growing

Consider Surgical Treatment

Done Growing

Consider Surgical Treatment

Navigating Your Journey, a scoliosis handbook the entire family will enjoy.

Navigating Your Journey is a helpful guide your family as you begin this journey together. This handbook also includes important insight and wisdom from patients who have walked this path before you.

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