How to identify the symptoms and treat scoliosis of 1 degree

Scoliosis of 1 degree on Chalino is characterized by the angle of curvature from 1 to 10 degrees. On the radiograph it can be not clearly expressed, but with the gradual progression leads to severe external deformation.

depending on the etiological factor the curvature of the vertebral axis in the lateral (frontal) plane can be:

• Congenital
• Acquired.

features of congenital scoliosis of the first degree

The Study of congenital curvature of the spine for a long time was American scientists (R. B. Winter). Based on these data they were able to identify the main criteria of disease progression:

• deflection does not increase more than 1 degree during the year. This form of the disease is stable, therefore, it is possible to effectively treat the pathology gymnastics, but throughout life;
• If the angle of curvature increases from 1 to 2 degrees per year, we can assume the transition to the next level of pathology after 10 years. The form is called a moderately progressive;
• With a strong progression of the disease the angle of curvature increases by more than 2 percent for the year. Respectively, for the period of childhood the child has a deformity increases on average by 20 degrees. Effective treatment of this form without surgery is impossible.

Because of the existence of the above forms of congenital scoliosis in children is quite different depending on the propensity to further deformation.

To talk about the progression of the disease, a person must have two factors:

1. Increase in deformation of the vertebral bodies, a certain spondylolithesis methods. To determine the structural changes of the spine is necessary to perform radiography at least 2 times a year;
2. During inspection observed signs of pathological increase of curvature.

Congenital scoliosis of the first degree accompanied by the appearance of the vertebrae of the following types:

• Segmented
• Hemivertebrae
• Hypoplasminogenemia anaplasmataceae and vertebrae.

Segmented vertebrae have two separate growth areas: cranial (upper) and caudal (bottom). According to the research of Winter on the side of the injury there is usually more germ zones (appear the centers of enlightenment among the bone structure).

semi-segmented vertebral number of growth zones on the side of convexity is similar to the number in the concave part. As a result of hemivertebrae are considered more favorable prognostic in terms of the disease.

Hypoplasia and anaplaziâ – the underdevelopment of the segments of the spine, leading to spinal deformity. They cannot be eliminated by conservative methods, and the most preferred treatment option is surgery.

With the advent of magnetic resonance imaging (MRI) views regarding the malignancy of segmentation has changed. Some doctors deny the existence of this concept, since in some cases the areas of separation of bone and cartilage structures of the vertebral body is not traceable, and the deformation of its shape are still observed.

To avoid confusion in the understanding of the pathogenetic link of the disease, entered the activity index of the hemivertebrae. It is determined by the ratio of distances between convex and concave side of the deformity.

The Increase of this index over time indicates the progression of the disease.

Symptoms of frontal spinal deformity

The Symptoms of scoliosis of the spine 1 stage rarely manifest clinically. Only in the congenital form may occur aching pain in the back. Variety of symptoms due to pathology have to treat, depending on the predominant lesions of the internal organs.

The fact that when scoliosis occurs, the displacement of all internal organs, accompanied by violations of their functionality. Consequently, cure frontal deformation of the spinal column 1 stage only with the close cooperation of several specialists: therapist, neurologist, orthopedist.

In the congenital form of the disease the symptoms are caused by violation of the innervation areas of the body if the infringement of the nerve roots. They are characterized by sensory loss, pain and some loss of neuromuscular reflexes (knee, Achilles).

How to diagnose and treat the disease

Diagnosis of scoliosis of the first degree is based on the x-ray method. For an external view of a patient with this pathology difficult to detect significant changes, so only a picture of the spine in the frontal projection will allow us to determine the deformation.

To assess the favorability of the process it is also important to determine the presence of torsion and rotation (twisting of the vertebrae along the vertical axis). The availability of thispathology depends on whether the doctor can cure the disease without the use of surgical techniques.

To prevent the negative effects of radiation on children in modern hospitals used without radiation methods of condylomata (Raimondi and Nash). Perhaps the study of the spine ultrasonic sensor, photocontrol or optical measurement of the profile of the back (these methods are not common in domestic medicine).

Low-dose images "lowdose" will determine the scoliosis of the first degree with a low radiation exposure of man. They are not used for definition of congenital segmentation. When it is necessary to block the mammary glands of a special x-ray protection screens.

Treatment of lateral curvature is the stage 1 for physical therapy in combination with other methods such as swimming, physical therapy.

In the European countries manage to effectively cure lateral deformity of the spine 1 stage antiscaling gymnastics in combination with corsetteria. A congenital form of pathology often requires operative fixation of the damaged segments of the metal structures.