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GET THE FACTS ABOUT SCOLIOSIS

I.M. Doctor, M.D. My Office My City, State. GET THE FACTS ABOUT SCOLIOSIS. The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred.

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GET THE FACTS ABOUT SCOLIOSIS

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  1. I.M. Doctor, M.D. My Office My City, State GET THE FACTS ABOUT SCOLIOSIS

  2. The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred. Thank you to members of the Pediatric Orthopaedic Society of North America and the Scoliosis Research Society for contributions to the content of this presentation.

  3. Get the Facts About Scoliosis • Orthopaedics and the Bone and Joint Decade • Scoliosis

  4. What is an orthopaedic surgeon? • MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)

  5. What is an orthopaedic surgeon? • The expert in treating the musculoskeletal system • The expert in maintaining musculoskeletal health

  6. Educating an Orthopaedic Surgeon • College • Medical School • Internship • Orthopaedic Residency • Fellowship (optional) • 2 Years Practice TOTAL 4 4 1 4 (1) 2 16 years!

  7. What do orthopaedic surgeons do? • Diagnose • Treat • Medication • Physical Therapy • Exercise • Brace • Surgery • Prevent

  8. Improving Musculoskeletal Care in America (IMCA) • Part of AAOS commitment to Bone and Joint Decade • Resource for doctors and clinicians • Focus on conditions with greatest burden/cost to society • Resource for health care policy makers

  9. Get the Facts About Scoliosis Your Orthopaedic Surgeon Getting You Back In The Game

  10. What is scoliosis? Side-to-side curve of spine Can cause misalignment of shoulders or hips

  11. Who is affected? • Infant scoliosis: under 3 • Juvenile scoliosis: age 3-10 • Adolescent scoliosis: 10+ • Adult

  12. Infant Scoliosis • Abnormally shaped vertebrae at birth (congenital scoliosis) • Syndromes or neurological disorders • Unknown reasons

  13. Juvenile Scoliosis • 20% of curves of >20 degrees are due to underlying medical cause • In many cases, cause is unknown • This group accounts for 10-15% of children’s cases with unknown causes

  14. Adult Scoliosis • May be the result of aging or medical problem • May have been present since childhood • Often diagnosed when patient feels pain or loss of function

  15. Adolescent Scoliosis • Occurs after age 10, before growth stops • Often has no known cause (idiopathic) • Most common type

  16. What causes scoliosis? Cause is usually unknown May be the result of birth defects and other medical conditions Sometimes runs in families

  17. What causes scoliosis? Scoliosis is NOT caused by: Physical activity Carrying heavy things Bad posture Sleep position Lack of calcium

  18. Who is affected? Curves occur equally in boys and girls Girls more often require treatment Racial/ethnic groups equally affected

  19. Diagnosing Scoliosis • Visual screenings: • Visual check by school nurse • More complete exam by physician

  20. Diagnosing Scoliosis X-rays confirm physician’s diagnosis CT scan or MRI may be recommended to make things clearer

  21. Treating Scoliosis Orthopaedic surgeons take care of muscle and bone problems An orthopaedic surgeon with special training in children’s spine problems will best be able to treat scoliosis

  22. Treating Scoliosis Orthopaedics = “Straightening the child”

  23. Treating Scoliosis Complementary practices: Can help patients feel better overall Can help strength and flexibility

  24. Treating Scoliosis Complementary practices: Should not replace traditional medical care Beware of practitioners offering “cures”

  25. Treating Scoliosis Observation Back brace Surgery

  26. Treating Scoliosis: Observation Curves of <20 degrees in growing children Curves of <40 degrees in older patients

  27. Treating Scoliosis: Observation Ongoing x-rays are taken to measure the curve and determine whether it is changing

  28. Treating Scoliosis: Bracing Does not correct curve —only prevents worsening For patients with 20-40 degree curves

  29. Treating Scoliosis: Bracing • Selected for specific patient and condition • Milwaukee brace (Cervico-Thoraco-Lumbo-Sacral-Orthosis) • Boston brace (Thoraco-Lumbo-Sacral-Orthosis or TLSO) • Charleston bending brace

  30. Treating Scoliosis: Bracing • Must be worn for certain number of hours every day • ALWAYS follow orthopaedic surgeon’s instructions

  31. Treating Scoliosis: Bracing “Time off” from brace can be used for sports or similar activities Brace should be worn every day until child stops growing

  32. Treating Scoliosis: Surgery May be recommended for children with curve of >45 degrees If patient is done growing, may be recommended if curve is >50 degrees

  33. Treating Scoliosis: Surgery Implants and bone grafts straighten and fuse the spine Surgery is the only treatment that will straighten the spine

  34. Treating Scoliosis: Surgery Potential risks include: • Nerve/spinal cord injury • Healing problems • Hardware problems

  35. Treating Scoliosis: Surgery Walk without brace: 2-3 days Discharge from hospital: <7 days Return to sports: 6-9 months

  36. Living With Scoliosis: Nutrition Eat a healthy diet, with 1,000 i.u. of vitamin D and 1,300 mg of calcium Eat calcium-rich foods

  37. Living With Scoliosis: Nutrition Maintain a healthy body weight Absolutely NO SMOKING

  38. Living With Scoliosis: Exercise Can help maintain strength and flexibility Can help minimize discomfort and loss of function

  39. Living With Scoliosis: Exercise Aerobic sports recommended Focus on flexibility and core strength High-impact sports may be restricted

  40. Living With Scoliosis: Exercise Exercise cannot correct scoliosis Avoid any practitioner who makes such claims

  41. Living With Scoliosis: Exercise Consult with your orthopaedic surgeon before beginning any exercise program

  42. Living With Scoliosis Curving often slows or stops in adulthood Most normal activities are safe Pregnancy and childbirth usually safe Follow up with orthopaedic surgeon

  43. Every patient and every case is different Treatment is customized to your needs Ask question, stay informed Partner with your orthopaedic surgeon Living With Scoliosis

  44. Resources American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018 orthoinfo.org Pediatric Orthopaedic Society of North America posna.org Scoliosis Research Society srs.org

  45. Get the Facts about Scoliosis What are your questions and concerns?

  46. Get the Facts about Scoliosis • Thank you for participating today • Remember, your orthopaedic surgeon can help get you back in the game

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