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Scoliosis Overview and Nursing Care

Comprehensive guide by Ann S. Goodson, R.N., MSN, ONC, on scoliosis classification, natural history, treatment options, complications, and summary for effective patient care.

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Scoliosis Overview and Nursing Care

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  1. SCOLIOSISA NURSING OVERVIEW Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics

  2. SCOLIOSIS-CLASSIFICATION • IDIOPATHIC • CONGENTIAL • NEURO-MUSCULAR • MISCELLANEOUS

  3. NATURAL HISTORY of SCOLIOSIS • Scoliosis is a clinical sign

  4. Tanner Staging

  5. Risser Sign

  6. Curve Patterns of Idiopathic Scoliosis

  7. Idiopathic ScoliosisRisk of Progression

  8. Non Surgical Management • Observation • Bracing

  9. SURGICAL TREATMENT

  10. Congenital ScoliosisVertebral Malformation

  11. KYPHOSIS • Congenital Kyphosis • Scheuermann’s Disease

  12. TREATMENT Physical Therapy NSAID’s Bracing Surgical

  13. POSTURAL KYPHYOSIS • “Round back” • Not Rigid • Back ache • Slouching

  14. TREATMENT • P.T. • Exercises- Superman • Sports

  15. NEUROMUSCULAR • Cerebral palsy • Muscular dystrophy • Myelomeningocele

  16. MISCELLANEOUS • Marfan Syndrome • Neurofibromatosis • Spine tumors • Degenerative scoliosis

  17. COMPLICATIONS • Spinal cord or nerve root injury • Infection • Pseudoarthrosis • Crankshaft phenomenon • Implant failure

  18. SUMMARY • Scoliosis is a diagnosis of exclusion • Progression is related to growth in idiopathic and neuromuscular • Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! • Surgery is for large curves in growing children or progressive conditions

  19. THANK-YOU !

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