? Adolescent scoliosis is a disease characterized by a long-term deviation of a certain segment of the spine from the midline of the body, which makes the spine protrude sideways in an arc or "S" shape.
Scientific name of western medicine
Adolescent scoliosis
English name
lateral curvature
Onset site
bone
cardinal symptom
The height of the shoulder blades on both sides is not in the same plane.
Main etiology
Osteoporotic scoliosis, dystrophic scoliosis
definition
Adolescent scoliosis is a common and frequently-occurring disease that harms children in China. There are many reasons for scoliosis, such as congenital, idiopathic, neuromuscular and functional scoliosis. Adolescent scoliosis usually occurs in the early adolescence, with rapid progress, and the incidence of boys and girls is similar, but the curvature of girls' scoliosis is easy to increase. Scoliosis often has both physiological and psychological effects on patients. As far as the spine itself is concerned, lateral curvature will cause the stress imbalance between the spine itself and both sides of the spine, thus affecting the height development and low back pain symptoms of children. Some can produce bone spurs on the concave side, compress the spinal cord or nerve, and cause paraplegia or spinal stenosis. For the tissues around the spine, patients with curvature greater than 100 will cause restrictive lung disease, and scoliosis will affect the development of chest cavity, compress the heart and lungs, and then cause cardiopulmonary dysfunction or failure; Razor back, hunchback, pelvic inclination, chest asymmetry, unequal shoulders and unequal legs are also common appearance deformities of scoliosis. The psychological influence is mainly caused by the deformity of scoliosis, which makes many children have the morbid personality of inferiority, shyness, fear and autism, which seriously affects the healthy psychological development of children.
symptom
For adolescent patients with obvious scoliosis, it can be found that the shoulder blades on both sides are uneven and not in the same plane, and the female breasts are asymmetrical, and the left breast is often larger; One side of the back protrudes; There are wrinkles on one side of the waist; One hip is higher than the other; The length of both lower limbs is unequal. Girls can wear skirts asymmetrically.
Back asymmetry. Physical examination revealed scoliosis in the shape of "S", with local uplift on one back. Due to scoliosis, severe cases can cause obvious asymmetry in the chest and back, and razor back and thoracic spine deformity can occur. Mild patients can be examined by flexion test, which is an important method to diagnose idiopathic scoliosis. Subjects stand, bend their hands forward, and observe whether the two sides of their backs are symmetrical in front. If there is scoliosis, his back is asymmetrical on both sides.
The cause of disease
Some scoliosis is congenital and some scoliosis is acquired. Congenital scoliosis is mainly caused by heredity or some factors in the mother's body, so the causes of acquired scoliosis can be roughly divided into the following categories:
1. Scoliosis is caused by muscle tension imbalance caused by poliomyelitis, neurofibroma, syringomyelia and cerebral palsy. The younger the patient's onset age, the more serious the bending deformity.
2. Suffering from purulent or tuberculous pleurisy in childhood, suffering from excessive thickening and contracture of costal pleura; Or thoracoplasty in childhood, which destroys the balance of the spine during development. Can cause scoliosis.
3, osteoporotic scoliosis: osteoporotic vertebrae are deformed, so that the intervertebral space is not wide, which will cause the spine to bend.
4, malnutrition scoliosis: children with rickets caused by vitamin D deficiency can also have scoliosis.
5, caused by incorrect posture, more common in school-age children. This kind of spinal curvature deformity is not serious, and the patient can disappear automatically when lying flat or hanging his hands on the horizontal bar.