Orthopedic Hospital of Oklahoma

Scoliosis

Scoliosis is condition in which the spine develops an abnormal, sideways curvature. Most often, the spine will develop a curve to one side and then to compensate for the first curve, a secondary curve develops in the opposite direction. This letter "S" curvature of the spine is often detected in adolescence, but may begin developing in early childhood. The condition may progress gradually until the skeleton has reached maturity. There is usually no pain associated with the condition. There are a number of factors that are associated with the development of scoliosis.

Adolescent girls are more likely to have scoliosis than adolescent boys. School nurses often do scoliosis screenings. If a curvature is noted, it should immediately be evaluated, but no treatment may be necessary if the curvature is slight. However, if the curvature is pronounced or is increasing, a brace may be used to halt the process. However, if the curvature is severe, surgery may be required to prevent pressure on the heart and lungs.

As discussed, most often, the curvature of the spine will develop from side to side. However, in another condition, Kyphosisformerly or “hunchback,” the thoracic region of the spine has an increased forward bend. This can be caused by poor posture, arthritis, and osteoporosis. Lordosis, or “sway back,” is an increase in the curve in the lumbar area of the spine. This can be caused by obesity, muscular dystrophy, and hip problems. Both of these conditions may require special exercises, bracing, or even surgery.