Is it possible the successful treatment of scoliosis 4 degrees

Scoliosis 4 degrees is a real pain orthopedic traumatology. This disease can not be cured effectively, but it can lead to serious consequences.

diagnosis of the pathology on the results of the radiographs in the direct projection technique Cobb angle vertex deformation that exceeds 50 degrees.

In principle, lateral bending of the spine stage 4 is clearly seen externally.

photo of the patient with scoliosis 4 degrees

Etiology and classification of lateral curvature of the spine

Origin of scoliosis are divided into:

  • C-shape;
  • S-shaped
  • Z-shaped.

When a C-shaped back is a single scoliotic arc in one plane. S-shaped curvature characterized by a shift from different departments of the spine in the opposite planes (for example, right thoracic and left lumbar). When Z-shaped scoliosis curvature arc a little reinforced and forms a sharp peak in the area of maximum convexity.

Experts believe that scoliosis is a "disease of growth". Regardless of the degree of pathology, it has a tendency to further progression, but the rudiments of pathology appear during the period of intensive growth of the organism. A skilled practitioner can even anticipate its occurrence in a child of a certain age and if necessary to prescribe preventive treatment. However, it should be noted that the curvature of the spine stage 4 effectively treated only by surgical methods.

The Most interesting is that in the practice of orthopedic traumatology for more than 80% of the lateral curvatures of the spine are the so-called "idiopathic forms". Their cause is unknown. Most often these types are found in the female sex.

The Remaining 20% occur in the pathology of congenital deformities of the vertebrae (e.g., Klippel-File), neuromuscular disease (polio), metabolic disorders, connective tissue disease, spinal injury, malignant tumor.

x-ray photograph of a scoliosis 4 degrees

Modern treatment of scoliosis of the fourth degree

To effectively treat scoliosis 4 degrees in Europe used special anticriza gymnastics, which aims to normalize the muscle corset back. The exercise by Katharina Schroth is the leading method of treatment of lateral curvature of the spine in England. However, when 4 the extent of the disease he was appointed only a few months before surgery to relax the muscles of the back.

Corsetteria Abbott-chenault involves prolonged wearing of orthopedic fixators, posture corrector and reclination in combination with physiotherapy. A corset in combination with exercises are always assigned when the deformation angle exceeds 20 degrees.

Progressive scoliosis deformity of more than 25 degrees requires a rotational system. This product is manufactured similarly to the design features of the product Abbott-chenault, but is to be worn at least 16 hours a day. The product is removed only at the time of adoption of bath procedures.

for scoliosis 4 degrees is necessary to constantly carry out the rehabilitation procedure. To do this, patients attending specialized hospital.

Despite the constant use of the above methods, with the deformation degree 4 is difficult to guarantee effective treatment. Only a small portion of the curvature of teenagers can't correct exercises and corsetteria. In other cases, had to resort to surgical removal of pathology.

surgical methods of correction of spinal deformity

surgical treatment of pronounced lateral curvature of the spine involves the installation of metal rods, designed to limit the mobility of the vertebral column. For these purposes we use two types of access to the spine:

  • Front;
  • Rear.

Before and after the intervention is assigned x-ray examination of the spine to assess the anatomical features of the deformity. After surgery x-ray shows the location of metal structures and the level of standing.

The Indications for surgical treatment of curvature of the fourth degree:

  • the Ineffectiveness of conservative therapy and the constant progression of pathology with the angle of curvature of over 50 degrees. Progressive should be considered scoliosis, which on a series of successive radiographs at 6 months have an increasing angle of curvature
  • complications with the respiratory and cardiovascular systems. To determine at what extent of the violation of breath or blood supply necessary operation quite difficult, so this is a matter for qualified experts;
  • Warp because of neurofibromatosis, disorders of segmentation require not only the rapid restoration of the axis of the spine in the correct position, butplasty of defects of the musculoskeletal system for the formation of a correct stereotype posture of the person;
  • Relative indication is the age of 10-11 years. A few years ago in this age interval the curvature of the spine treated by conservative methods. Today the age limit is reduced;
  • Paralytic deformity require elimination of the violation of muscle tone and restore function of the spine. Motivated by a strong scoliotic deformity paresis increase.

At the rear the access, the surgeon performs an incision along the midline of the torso from the pelvic bone to the lower costal arch (depending on the localization of curvature). Using it is a metal structure, fixing the spinal column. It consists of a rod, hooks and screws.

With front-access specialists carry out the cut edges on the side. This removes the rib. In the future it will be used for transplantation of bone defects. This approach in comparison with rear access has a higher kosmetichnost, but has a major drawback: the necessity of opening the abdominal and thoracic cavity. However, operation with rear access does not require the wearing orthopedic corset.

After you install this device not only restricts the mobility of the spine, but also prevents the progression of the disease. The design also eliminates the fusion between the vertebral bodies.

Thus, treatment of scoliosis 4 degrees in most cases is carried out by surgery. To avoid this situation, you should engage in the prevention of lateral curvature of the spine from an early age.