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Cara Mengatasi Skoliosis

Mild scoliosis brace has only dealt with the prognosis that Bik and less likely to cause long term problems than the possibility of back pain at the age of patients is increasing. Patients with idiopathic scoliosis who underwent surgery also has a good prognosis and can live active and healthy.

DEFINITION
Scoliosis is an abnormal curvature of the spine to the side, which may occur in the segments of the cervical (neck), thoracic (chest) or lumbar (waist). Approximately 4% of all children aged 10-14 years had scoliosis; 40-60% were found in girls.

CAUSE
There are three general causes of scoliosis:
Congenital (congenital), usually associated with an abnormality in the formation of vertebrae or fused ribs
Neuromuscular, poor muscle control or muscle weakness or paralysis due to the following diseases:
- Cerebral palsy
- Muscular dystrophy
- Polio
- Osteoporosis juvenile
Idiopathic, the cause is unknown.

SYMPTOMS
Symptoms include:
- Spine curving abnormally to the side
- Shoulder and / or left hip and right are not as high
- Back pain
- Fatigue in the spine after sitting or standing for long
- Severe scoliosis (with curvature greater than 60o) can cause respiratory problems.

Mostly on the upper back, spine bends to the right and the lower back, spine bends to the left; so that the right shoulder is higher than the left shoulder. Right hip may also be higher than the left hip.

Diagnosis
On physical examination the patient is usually asked to bend forward so that the examiner can determine the curvature of the case. Neurological examination (nerve) performed to assess the strength, sensation, or reflexes.

Other tests are performed:
Spine x-rays
Measurements with skoliometer (a tool to measure the curvature of the spine)
MRI (if found neurological disorders or abnormalities on x-rays).

TREATMENT
Treatment depends on the cause, degree and location of the curve and the stage of bone growth. If the curvature is less than 20o, usually require no treatment, but patients should undergo regular examinations every 6 months.

In children who are still growing, the curvature usually increased up to 25-30o, because it is usually advisable to use a brace (braces) to help slow the progression of the curvature of the spine. Of Milwaukee and Boston brace is effective in controlling the progression of scoliosis, but must be installed for 23 hours / day until the child stops growing. Brace ineffective in congenital and neuromuscular scoliosis.

If the curvature reaches 40o or more, usually with surgery. In the surgery done to improve the curvature and fusion of the bones. Bone is maintained in place with the help of 1-2 metal tool attached to the bones recovered (less than 20 years). After the surgery may need to be fitted brace to stabilize the spine. Elektrospinal sometimes given excitation, where the spinal muscles were stimulated with a low electrical current to straighten the spine.

Prognosis

Prognosis depends on the cause, location and severity of the curvature. The greater the curvature of scoliosis, the higher the risk of progression after the child’s infancy passed.

Mild scoliosis brace has only dealt with the prognosis that Bik and less likely to cause long term problems than the possibility of back pain at the age of patients is increasing. Patients with idiopathic scoliosis who underwent surgery also has a good prognosis and can live active and healthy.

Patients with neuromuscular scoliosis has always had other serious illnesses (such as cerebral palsy or muscular dystrophy). Therefore, the goal of surgery is to allow the child is usually able to sit upright in a wheelchair.

Babies with congenital scoliosis have a deformity of the underlying, so the handling was not easy and needs to be done several times surgically.

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