The 4 Types of Scoliosis & Your Scoliosis Treatment Options

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When a patient is diagnosed with scoliosis, they are not usually told what type of scoliosis they have and that scoliosis has many different variations. It can range from mild, moderate, severe, and very severe and can develop in many different areas of the spine, such as the cervical, thoracic, or lumbar spine.

There are different types of causes for scoliosis which has caused it to be broken down into four main categories or types: idiopathic scoliosis, degenerative scoliosis, neuromuscular scoliosis, and congenital scoliosis.

Idiopathic Scoliosis is when there is no clearly associated or known cause. It means an unknown cause. Idiopathic Scoliosis is thought to be a multifactorial process with many different things that can contribute to the causation of scoliosis. Since there are multiple variables, a patient can have more than one factor that is contributing to their scoliosis. We know that it progresses as a result of growth. As the patient goes through their adolescent growth spurt, the curves progress. The average age of diagnosis is between 10 and 18 and is more commonly associated with girls vs. boys. Idiopathic scoliosis in the adolescent stage, either untreated or undiagnosed, is the most prevalent type of scoliosis in adult cases.

Degenerative scoliosis is the second most prevalent type in the adult patient. It is when the spine goes through a degenerative phase. I believe it is when a small injury occurs to the spine and causes it to shift out of alignment. It remains uncorrected for years and causes abnormal or accelerated aging in the area; as a result, scoliosis starts to develop around 40 years of age, commonly in women and the lumbar spine.

Neuromuscular Scoliosis is a complex problem because there is normally an underlying condition. We can divide these into two major types or categories. The muscular component affects the connective tissue of the body. It either causes the connective tissue to be too contracted, or it causes too much laxity. There is also a neurological component that can cause the development of scoliosis as well.

Congenital scoliosis is scoliosis that you're born with. It develops in utero when one of the bones of the spine has a hemi vertebra in between the vertebrae. Congenital scoliosis can be the most difficult to treat because it is a true bone deformity. The curve develops much faster during growth.

All types of scoliosis treatment are guided by the patient's characteristics, age, severity, and location. Reducing the curve is the number one way to stop curve progression during growth phases. In adults, the main symptom tends to be pain, so normally, we want to improve the pain while addressing the cause of the problem.

Some neuromuscular conditions we cannot treat conservatively, although most of the time, we can use conservative methods to help manage and treat neuromuscular conditions, but the expectations may be less.
In congenital scoliosis, the best way to treat it is by measuring the size of the congenital deformity and figuring out how many degrees that accounts for, of the scoliosis and their overall condition. Congenital scoliosis can be treated conservatively, although some cases can be extremely difficult; the best way to know is to have your spine evaluated to determine what's the best approach.

For all types of scoliosis, the treatment must be proactive, customized, and driven by the underlying cause of the condition to reduce the curve instead of trying to slow down progression. When you have a smaller curve, you reduce the risk of progression because smaller curves, no matter the age group, always progress less than bigger curves.

You can learn more about this topic here:
https://www.scoliosisreductioncenter....

Ready for a consultation or want more information? You can contact us here:
https://www.scoliosisreductioncenter....

00:00 The 4 Types Of Scoliosis
00:59 Idiopathic Scoliosis
02:35 Degenerative Scoliosis
04:00 Neuromuscular Scoliosis
06:21 Congenital Scoliosis
07:48 What Types Of Treatment Do They Need?
14:38 Closing Thoughts

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