Causes, treatment, prevention, dysplastic scoliosis 1, 2, 3, 4 degrees

Dysplastic scoliosis is a lateral deformity of the spine with the violation of metabolism and blood circulation in the paravertebral tissues and the vertebrae rotate in a vertical plane (rotation or torsion). Most frequently the disease appears at 3 years of age. Much less dysplastic lateral curvature is observed in children aged 5-6 years.

cause of disease

Developmental disorders are defined by external examination of the child. A typical manifestation of the disease, since 1 degree is rib hump. When it appears the deformity of the chest and ribs that increases with the tilt forward. This anatomical feature of the disease significantly complicates the treatment process.

To resolve the curvature has to work not only on the return of the vertebral axis into the correct position, but also on the elimination of respiratory and heart failure. Due to the displacement of internal organs from many effective exercises complex of therapeutic exercises is necessary to refuse in dysplastic curvature.

The disease is Formed on the background of dysplasia Sacro-lumbar spinal column. Dysplasia – a violation of the anatomical shape and structure of the organ.

With changes of the vertebrae is disturbed, the vertical axis and is formed of the primary scoliotic arc. As a rule, it is localized in the lumbosacral spine. Over time the deformity progresses and leads to a number of serious consequences:

• Entrapment of the nerve root with pain;
• compression of the spinal cord with immobilization of limbs (paralysis, paraplegia);
• Mental disorders (memory loss, attention);
• Specific curvature of the toes (acrocyanosis segmental);
• Frequent night urination
• Irregular tendon reflexes on both sides of the body (knee, ankle);
• Vasomotor disorders (arterial pressure jumps, local redness of the skin).

Segmental acrocyanosis accompanied by local curvature and bruising separate the toes (depending on strangulated nerve).

The cause of pathologies are congenital anomalies of the vertebrae:

• Globalizacija – V fusion with the lumbar I sacral vertebra (L5-S1) with the formation of a clear boundary between the lumbar and the sacrum in the form of an intervertebral disk;
• Sacralization of L5 fuses with sacrum without obvious signs of differentiation;
• Spinabifida – complete nonclosure of the vertebral arches.

The Pathology is characterized by acute torsion of the vertebrae with compensatory formation of secondary arcs in the thoracic region. Their education involved the ribs and spinous processes during the deformation of the chest. This reduces the vital capacity of the lungs.

On x-ray in such a situation there is a "twisting" of the vertebrae, scoliosis arc to the right or left, as well as reduction of intervertebral disk height.

These changes result in increased joint hypermobility of the spine and weakness of the muscles of the back. At lateral curvature in the lumbar spine occur muscle damage pelvitrainer group (the buttocks and pelvis).

Methods of treatment

With dysplastic spinal deformity 1 degree, apply the following treatment methods:

• 1 Deformation degree effectively treated when swimming breaststroke for 3 months of regular training. In specialized treatment groups instructor swimming style picked individually depending on the characteristics of pathology.

• Massage is performed in combination with other methods of treating the pathology. It relaxes skeletal muscles and stimulates circulation.

• gymnastics – the basis of the deformation of the spine. Set of exercises for scoliosis 1 and 2 degrees doctors are selected only after a thorough examination of the patient.

• Normalization of the diet when there is a sideways curvature of the spine is carried out with the aim of eliminating obesity and restore physiological metabolism. It is also necessary to ensure a quality supply of nutrients to the intervertebral discs.

Diet for a right or left curvature of the spinal column involves the rejection of oily and canned food. In the daily diet should be include dairy products, fish and olive oil.

• Electrical stimulation helps relieve muscle "clips" and normalize the tone of the skeletal muscles. Method is used in large medical clinics.
• the Wearing orthopedic corsetreduces the load on the spine and prevent progression of the deformity. Product is selected by an orthopedic surgeon or a trauma surgeon.

During the deformation of the spine 3 and 4 degree is often necessary to use surgical methods.

surgery for lateral deformation of the spine

surgical treatment of scoliosis is characterized by a high risk of complications and consequences. To surgery start only when exceeding the angle of scoliotic curvature over the arc of 40 degrees.

The Indications for surgical treatment of dysplasia of the vertebrae:

• Strong pain is not relieved by conservative means;
• Fast progression of the curvature;
• Angle of curvature of over 60 degrees
• Pronounced cosmetic defect of the back (at the request of the patient).

It Should be noted that if the angle of curvature greater than 60 degrees, the condition irreversibly leads to the formation of heart and lung failure.

The Main goals of surgical intervention in spinal deformity:

• Elimination of cosmetic defects;
• Elimination of curvatures;
• Removal of compression syndrome;
• Preventing damage to the spinal cord.

Prevention

Dysplastic scoliosis of 1 degree can be effectively treated conservatively.

Prevention of dysplastic scoliosis includes the following principles:

• Regular exposure to fresh air;
• Prolonged in a horizontal position on a solid surface;
• proper posture
• exercise therapy.

Regular walks in the fresh air improve metabolism and help to provide sufficient fabric for proper cell oxygen.

Stay on the horizontal shield is recommended for patients with pain in the back. The method is quite effective, but is accompanied by psychological discomfort of the patient. To endure a 2 week lying to children is quite difficult.

The Observance of correct posture is a necessary condition for the formation of physiological spinal axis. Very often when 1 the degree of pathology normalization of the back while sitting, heavy lifting, physical exertion allows to eliminate the pathologic curvature of the vertebral column.

Physiotherapy provides a stabilizing action. With its help you can quickly achieve correction of the spinal column. Physical therapy can be used not only on stage 1 and 2 disease. She is appointed a month before the upcoming surgery for scoliosis grade 3 and 4, as well as at the stage of patient's rehabilitation.

In conclusion, I would like to remind readers about some of the important principles of the healthy development of the spine:

• If you sit motionless for more than 20 minutes, you should take a break from work and move;
• you should Frequently change the position of the legs when sitting at the Desk (place your feet together and then spread them apart. Place the socks outwards and inwards)
• Put your hands on the chair arms, to relieve stress from the spine;
• Pull your knees up to the chest.

While performing the morning exercises, try to hold her back, to eliminate the dislocation of the vertebrae.

dysplastic Scoliosis is progressing rapidly, so to "engage" them immediately after you detect.