Scoliosis

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Scoliosis is a form of dysmorphism, that is a postural alteration of the vertebral column that can occur during the teen age and is a condition that implies a complex lateral curvature associated with the rotation of the spine.

The rotation of the vertebrae determines the hump, usually costal. Parents are often the first to observe a higher shoulder or a deviation of the spine in their children, other times these situations are detected during a pediatric or medical-sports visit. The treatment of scoliosis depends on the severity of the curve: it is possible to spread from postural re-education, to the orthopedic bust or to surgery.

Scoliosis generally does not cause pain. In severe cases, however, breathing problems may appear and sometimes even internal organs diseases.

Causes

It is estimated that, approximately, 65% of scoliosis cases are idiopathic, that is, without an obvious cause, about 15% are congenital and about 10% are secondary to a neuromuscular pathology (poliomyelitis, muscular dystrophies). Idiopathic scoliosis is a condition that lasts for the whole life, but usually does not adversely affect the life expectancy of affected individuals. Currently, adolescent idiopathic scoliosis is generally considered to originate from multifactorial causes, even if genetic factors or family predispositions are thought to play an important role.

Nervenia lays the foundations of its treatments in the study and in-depth reading of the world scientific literature. The article on scoliosis, MB Royo-Salvador, Syringomyelia, scoliosis and idiopathic Arnold-Chiari malformations: a common etiology published in 1996 in the Revista De Neurologia , attracted our attention.In the article it was argued that the aetiopathogenic cause of most idiopathic scoliosis is common to that of syringomyelism and Arnold Chiari syndrome: ie an abnormal traction mechanism that acts on the marrow, caused by a ligament named Filum Terminale, when this is excessively tense and often associated with probable adhesions inside the vertebral canal. Nervenia bases the specialized treatment for scoliosis on this concept and on other similar studies. The positive results obtained confirm these hypotheses.

Diagnosis

First of all, the diagnosis is observational. Often parentes notice asymmetries in the backs of their children. Patients presenting with scoliosis are initially examined to determine whether lateral deviations or rachis rotations with gibbi are actually present.

During the exam, the patient is asked to get naked and lean forward. This is known as the Adams test and is often done on students. The small patient is observed posteriorly and some asymmetry is noticed, there is the possibility that a scoliosis is present and therefore the patient is sent by the specialist to carry out a radiological examination to confirm the diagnosis.

When scoliosis is suspected, X-rays of column are taken, under load, both anterior-posterior and lateral. X-rays are usually used to evaluate scoliosis curves. The standard method for quantitatively evaluating curvature is the Cobb angle measurement. This is the angle between two lines, perpendicular to the upper face of the last vertebra involved above and to the lower face of the last vertebra involved inferiorly in the scoliosis curve.

Cures and remedies

There are many approaches to scoliosis: global postural rehabilitation in the case of initial scoliosis and the corrective corset in the more advanced ones. Corsets have many models, each of which has its own indication. The use of corsets does not exclude the prosecution with the postural re-education program, indeed the combined use of the two approaches strengthens the result of both. Sport is recommended but should not be considered a cure.

From our point of view, in addition to everything indicated by the various specialists, we believe that even a lack of elasticity of the nervous system is involved in the generation, maintenance and evolution of scoliosis. This is why Nervenia proposes its own approach to work on the mobility of the internal segment of the nervous and meningeal system.

The mobilization of the nervous system is an essential collateral therapy for the success of scoliosis treatments. In our clinical practice we have observed that the association of our methodology reduces at least 1/3 the times of conservative treatment of scoliosis, for example the duration of the bust.

When surgery is indispensable, Nervenia protocol is a useful support both in the preparation of the intervention and in the post-surgical re-education phase.