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    Scoliosis

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    Zai Cruz
    Scoliosis is an abnormal curvature of the spine that causes it to appear S-shaped or C-shaped. It can be caused by congenital abnormalities, neuromuscular conditions, or idiopathic factors. Treatment depends on the severity of the curvature and may involve bracing, physiotherapy, or spinal fusion surgery to prevent further progression. Nursing care focuses on assessing for skin irritation from bracing and instructing patients on proper brace use and skin care.

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    Scoliosis

    Uploaded by

    Zai Cruz
    217 views2 pages
    Scoliosis is an abnormal curvature of the spine that causes it to appear S-shaped or C-shaped. It can be caused by congenital abnormalities, neuromuscular conditions, or idiopathic factors. Treatment depends on the severity of the curvature and may involve bracing, physiotherapy, or spinal fusion surgery to prevent further progression. Nursing care focuses on assessing for skin irritation from bracing and instructing patients on proper brace use and skin care.

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    Scoliosis is an abnormal curvature of the spine that causes it to appear S-shaped or C-shaped. It can be caused by congenital abnormalities, neuromuscular conditions, or idiopathic factors. Treatment depends on the severity of the curvature and may involve bracing, physiotherapy, or spinal fusion surgery to prevent further progression. Nursing care focuses on assessing for skin irritation from bracing and instructing patients on proper brace use and skin care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    217 views2 pages

    Scoliosis

    Uploaded by

    Zai Cruz
    Scoliosis is an abnormal curvature of the spine that causes it to appear S-shaped or C-shaped. It can be caused by congenital abnormalities, neuromuscular conditions, or idiopathic factors. Treatment depends on the severity of the curvature and may involve bracing, physiotherapy, or spinal fusion surgery to prevent further progression. Nursing care focuses on assessing for skin irritation from bracing and instructing patients on proper brace use and skin care.

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    “Scoliosis” 2.

    Congenital scoliosis
     asscociated with abnormalities of the vertebrae such
    >abnormal curvature of the spine (S or C shaped) as hemi or fused vertebrae. There is frequent
    >bones are rotated slightly making the person waist or association with spina bifida and there may also be a
    shoulders appear uneven. paralytic element in such cases.

    • Causes: 3. Infantile scoliosis


    *congenital  curve develops during the first 3 years without
    *Neuromuscular vertebral anomalies. There is often plagiocephaly.
    *Idiopathic The curve is often thoracic or thoraco lumbar.
    *Osteopathic
    4. Adolescent Idiopathic scoliosis
    • Common Types of Curves:  can be noticed at the age of 10 or even earlier. The
    prognosis depends on the age of onset and on the
    level of the curve.

    5. Structural scoliosis
     possible causes are numerous, including the
    following:
    o Idiopathic
    o Congenital
    o Neuromuscular (eg. Poliomyelitis, cerebral
    palsy, syringomyelia, muscular dystrophy,
    amyotonia congenital, Friedreich's ataxia)
    o Neurofibromatosis
    o Mesenchymal disorder (eg. Marfan's
    syndrome, Morquio's syndrome, rheumatoid
    arthritis, osteogenesis imperfect, certain
    dwarves)
    o Trauma ( fractures, irradiation, surgery)
    • Classifications:
    1. Nonstructural Scoliosis
     structurally normal spine appears curved due to one
    or more underlying conditions (eg hip deformity, • Types:
    defference in leg length, tumor or infection of the  Mild: <25 curvature
    spine and spasm of the spinal muscle associated with - Regular monitoring
    a prolapsed disc) - View an X-ray of the spine every 3 mos.
    - No bracing or special treatment
     Moderate: 20-40 curvature b.Milwaukee brace: full torso brace has a neck ring with
    - Bracing is applied rests for the child and for the back of the head.
     Severe: curve >40 Cobb’s curvature with
    kyphosis c. Yamamoto brace
    -insertion of metal rods in the pt.’s back and
    fusing together several vertebrae is seriously  Physiotherapy: gives more emphasis on posture,
    considered. streghtening of muscles and correction of muscle
    imbalance.
    • Manifestations:  Surgery: SPINAL FUSION- joining of two pieces
    >uneven shoulder together. It involves connecting 2 or more vertebrae
    >uneven waist with pieces of bone taken from pelvis. Eventually, the
    >one hip higher than the vertebrae and the pieces of bone fuse together
    other preventing further progression of the curve.
    >leaning to one side Instrumentation:
    >ribs on one side of the 1. Harrington Procedure
    body to stick out farther 2. Cotrel-Dubousset Procedure
    than the other side
    >unequal gaps between the • Nursing Management
    arms and the trunk  Assess for skin irritation.
    >back pain  Assess for movement, color and sensation
    >spine obviously curve  Teach to aid use use of powder and lotion
     Instruct to use undergarments to reduce friction
     Instruct to loosen brace during meals and for the
    • Diagnostic tests:
    1st 30 mins after meals.
    1. Physical Examination:
    (Adam’s Forward Bending Test)
    2. X-rays
    3. Magnetic Resonance Imaging (MRI)
    4. Blood tests
    5. Computed Tomography Scan (CT Scan)
    6. Sonography
    7. Radionuclide bone scan

    • Treatment:
     Braces: prevents further
    progression of the curve
    a.Underarm or low profile brace aka
    thoracolumbar orthosis (TLSO)

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