A.Scoliosis has several different forms. The most common is known as adolescent idiopathic scoliosis. The term “idiopathic” means there is no known cause. Another form, congenital scoliosis, involves a deformity that the patient is born with.
Scoliosis can entail significant progression of the curvature, which can be serious and require surgery. With adolescent scoliosis, if the curve hasn’t become too large by the time of skeletal maturity (end of growth), then the risk that the curvature will increase (progress) is minimal. On the other hand, if the curve is large at the end of growth, then the risk of progression is greater. Patients whose curve is borderline need to receive regular X-rays to make certain that the curve is not worsening. As the curve with scoliosis becomes more severe, the patient risks developing problems with the lungs, as the curved spine impinges upon the lung space. In a patient with significant curvature from scoliosis, surgery may be required. This usually involves inserting rods and screws to help correct the curvature and prevent further curving.
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