The symptoms and treatment of scoliosis of the 3rd degree

3 degrees of Scoliosis is characterized by an arc of a deformation of the vertebral axis with an angle of 26 degrees to 50 degrees. Chalino is allocated according to a 4 degree lateral curvature of the axis of the vertebral column:

• 1 degree – angle arc deformation up to 10 degrees
• 2 degree angle from 11 to 25 degrees;
• stage 3 – 26 to 50 degree;
• grade 4 – more than 50 degrees.

Etiology and clinical forms of scoliosis of the 3rd degree

Lateral curvature of the spine stage 3 in 80% of cases are considered idiopathic. That is, its cause is not determined credible. In world practice it is accepted to distinguish the time intervals in the course of the disease to properly treat him:

• Idiopathic (infantile) scoliosis are observed between the 1st and the 2nd year of the child;
• Idiopathic (juvenile) of curvature appear in 4-6 years
• Teenage (adolescentia) form are observed between 10 and 14 years and, as a rule, associated with the rapid growth of the vertebral column on the hormonal changes.

depending on the exact nature of strain localization are the following forms:

• Thoracic – thoracic spine;
• Lumbar – in the lumbar spine;
• Thoracolumbar – one strain in the thoracic and the second lumbar;
• Combo – there are several distortions that deform the spine into a shape of the letter "S".

Significantly, the diagnosis of "scoliosis of the 3rd degree" can be set only after the evaluation of x-ray according to the method of Cobb. Method involves carrying out 2 lines that are parallel to the vertebral end plates of the vertebral bodies. At the point of their intersection the angle is measured.

Symptoms and effects of the frontal curvature of the spine

The Clinical picture of lateral curvature of 3 degrees is characterized by the following syndromes:

• Compression;
• Myofascial
• Neurological
• cardiovascular.

Compression syndrome involves the presence of pain in a particular part, caused by infringement of the nerve root or spinal cord compression.

Myofascial pain syndrome is manifested by violation of muscle tone, leading to shifting of internal organs, disruption of blood supply and compression of the anatomical structures passing in the thickness of skeletal muscles.

Neurological syndrome characterized by a wide range of neurological disorders: loss of skin sensitivity prior to full immobilization (paralysis) of the limbs.

Cardiovascular syndrome is characterized by increased blood pressure and change in heart rate on the background of compression of blood vessels by muscles or vertebrae.

surgical treatment

The Most effective treatment of frontal spinal deformity of 3 degrees – operational. For these purposes there are 2 main types of surgery: posterior and anterior spinal fusion.

In posterior access incision is performed along the line between the tibia and the midline of the body. Once access to the vertebral column it is injected in metal design, intended to maintain its axis in the physiological position. To stabilize the design using special screws and hooks, which are fixed to the vertebrae. Thus, the curved portion of the spine becomes stable, but the mobility of the axis is limited.

In the anterior access incision is done along the ribs in the lateral parts. As a result of intervention will have to remove a rib and later to use it as a graft for fixation.

After opening the abdominal and thoracic cavities the spine is released, and the surgeon is able to install metal structures. As the correction of damaged discs are removed and installed in their place grafts. The segments of the spine rods are fixed with screws. Typically, for reliable stabilization rod 2 is installed.

The Advantage of anterior is a small cosmetic defect, but a major drawback – at the same time opening the abdominal and thoracic cavities. After both types of operations a certain time will be required to wear corrective corset. It should be noted that scoliosis be cured by the installation of metal clips is impossible, but the technique is used to eliminate the symptoms of the disease and prevent further progression.

Conservative treatment

To Conservatively treat scoliosis of 3 degrees, if the disease does not limit a disabled person. Basic principles of treatment of:

• Discharge mode during the day. For these purposes, the school the child should be placed on a special couch, sleep in a plaster bed and wearing orthopedic corset;
• General health involves the hardening and balanced diet;
• Developing individual and dynamicstatic mode involves limiting activity and maintenance of optimum mode of work and rest;
• Functional correction of deformity is achieved by a complex of medical gymnastics, which assigns a specialist. Simultaneously with exercise therapy applies electrical stimulation of muscles, swimming, stretching the spine.

To properly treat scoliosis of the third degree with conservative methods it is necessary in the initial stages of the pathology can stop its progression. For these purposes shall be designated orthopedic corsets. They firmly stabilize the spinal axis and prevent its displacement. This exercise takes place in between wearing corsets.

In practice, the treatment of the curvature of the 3-stage corseted rarely brings a positive effect without surgery. However, in foreign clinics medical gymnastics is assigned for several months before surgery to prepare skeletal muscles for surgery.

Today, it is obvious that to cure the deformity of the spinal column in the side of the 3 degree at home impossible. Best if the child will attend group rehabilitation in specialized institutions. Have all opportunities for effective prevention of the progression of the disease.