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Uploaded byJohny Wilbert
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Spine curvature disorders

The document discusses spine curvature disorders including lordosis, kyphosis, and scoliosis. It defines the conditions, describes common causes such as genetics and injuries, and outlines treatments which range from exercise and bracing for mild cases to surgery like spinal fusion or disc replacement for more severe curvatures. Diagnosis involves physical exams, imaging tests like x-rays, and measuring the degree of curvature.

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SPINE CURVATURE DISORDERS JOHNY WILBERT, M.Sc[N] LECTURER, APOLLO INSTITUTE OF HOSPITAL MANAGEMENT AND ALLIED SCIENCE
DEFINITION  When abnormalities of the spine occur, the natural curvatures of the spine are misaligned or exaggerated in certain areas.
TYPES  Lordosis. Also called swayback, the spine of a person with lordosis curves significantly inward at the lower back.  Kyphosis. Kyphosis is characterized by an abnormally rounded upper back (more than 50 degrees of curvature).  Scoliosis. A person with scoliosis has a sideways curve to their spine. The curve is often S-shaped or C-shaped.
LORDOSIS
KYPHOSIS
SCOLIOSIS
CAUSES  Achondroplasia.  Spondylolisthesis.  Osteoporosis,  Obesity, or being extremely overweight  Kyphosis. A condition marked by an abnormally rounded upper back  Discitis. Inflammation of the disc space between the bones of the spine most often caused by infection  Benign (harmless) juvenile lordosis
 The following conditions can cause kyphosis:  Abnormal vertebrae development in utero (congenital kyphosis)  Poor posture or slouching (postural kyphosis)  Scheuermann's disease, a condition that causes vertebrae to be misshaped (Scheuermann's kyphosis)  Arthritis  Osteoporosis  Spina bifida,  Spine infections  Spine tumors.
SIGNS & SYMPTOMS  Symptoms of lordosis may include:  Appearing swayback, with the buttocks being more pronounced  Having a large gap between the lower back and the floor when lying on the back on a hard surface that does not change while bendding forward  Back pain and discomfort  Problems moving certain ways
 Symptoms of kyphosis are usually visible in nature and include:  Bending forward of the head compared to the rest of the body  Hump or curve to the upper back  Fatigue in back or legs  Postural kyphosis does not typically cause back pain; however, physical activity and long periods of standing and sitting can cause discomfort for people with Scheuermann's kyphosis.  Symptoms of scoliosis may include having:  Uneven shoulder blades with one being higher than the other  An uneven waist or hip  Leaning toward one side
DIAGNOSTIC EVALUATIONS:  History collection,  Physical examination: to examine the curve of spine  Imaging tests, like x-rays, to look more closely at the spine. X- rays can show if there are any abnormalities to the bones of the spine and can also measure how much curve is present.
 TREATMENT  In general, treatment is determined based on the severity and type of spinal curvature disorder have. Mild spinal curvature, as occurs with postural kyphosis, may not be treated at all. More severe spinal curvature may require the use of a back brace or surgery.  Treatment for lordosis may include:  Medication to relieve pain and swelling  Exercise and physical therapy to increase muscle strength and flexibility  Wearing a back brace  Weight loss  Surgery
 Treatment for kyphosis may include:  Exercise and anti-inflammatory medication to ease pain or discomfort  Wearing a back brace  Surgery to correct severe spine curvature and congenital kyphosis  Exercises and physical therapy to increase muscle strength
Treatment for scoliosis may include:  Observation. If there is a slight curve the doctor may choose to check the back every four to six months to see if the curve gets worse.  Bracing. Depending on the degree of the curve, a back brace is sometimes prescribed for kids and adolescents who are still growing. Bracing can help prevent the curve from getting worse.  Surgery. If the curve is severe and is getting worse, surgery is sometimes needed.
 Types of surgery  The following procedures may be used to treat spine curvature disorders:  Spinal instrumentation. Instruments such as hooks, rods, and wire are attached to the spine to realign the bones of the spine and keep them secure following spinal fusion.  Artificial disc replacement. Degenerated discs in the spine are replaced with artificial devices.  Kyphoplasty. A balloon is inserted inside the spine to straighten and stabilize the affected area and relieve pain.
SPINAL FUSION