What to do with scoliosis in children? Treat according to the situation

Scoliosis is very common in children. It not only affects children physically, but also psychologically. It does not mean that all children with scoliosis need treatment. Generally, mild scoliosis is common. We should pay attention to timely correction and understand how to detect scoliosis in children as early as possible.

1. Not all scoliosis requires treatment

1. Clinical practice has shown that not all scoliosis patients require treatment, which requires a judgment of the scoliosis condition.

2. The incidence of idiopathic scoliosis is the highest among scoliosis, and most idiopathic scoliosis occurs in adolescence. The incidence of idiopathic scoliosis greater than 10° in children and adolescents is 0.5%~3%; the incidence of idiopathic scoliosis greater than 30° is 1.5‰~3‰. Therefore, it can be seen that mild to moderate idiopathic scoliosis is more common, while severe patients requiring treatment are rare.

3. The progression of scoliosis can be determined based on gender, remaining bone growth capacity, location of the curvature, and severity of the curvature. If the Risser sign is 1 or less, the risk of scoliosis progression is 60% to 70%. If the Risser sign is 3, the risk of progression is 10%.

4. Secondly, it is necessary to combine the scoliotic parts. Scoliosis above 12 thoracic vertebrae is more likely to progress than isolated lumbar scoliosis. The more severe the curve is at initial diagnosis, the more likely it is to worsen with growth.

5. Because scoliosis still has the risk of worsening after adulthood, it is clinically recommended to perform surgical treatment on children with a high risk of progression.

2. How to detect scoliosis in children early

Since the appearance abnormalities caused by early scoliosis are not obvious, it is difficult to detect in time. But most children with scoliosis are tall and thin and may have the following symptoms:

1. When the child bends forward in an upright position, the back of the child is not at the same height on both sides;

2. The neckline and shoulders are uneven;

3. Abnormal bulge on one side of the back;

4. Asymmetrical breast development in girls;

5. There are wrinkles on one side of the waist;

6. The hips on both sides are not at the same height;

7. The lower limbs on both sides are of unequal length.

If parents find these abnormalities in their children, they should be sufficiently vigilant and it is best to take their children to an orthopedic or rehabilitation medicine department to diagnose or rule out scoliosis.