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Definition
Scoliosis is a lateral (toward the side) curvature in the normally straight vertical line of
the spine. The normal spine curves gently backward in the upper back and gently inward in the
lower back. When viewed from the side, the spine should show a mild roundness in the upper
back and shows a degree of swayback (inward curvature) in the lower back. When a person with
a normal spine is viewed from the front or back, the spine appears to be straight. When a person
with scoliosis is viewed from the front or back, the spine appears to be curved.
Causes
There are many types and causes of scoliosis, including:
Alternatives
In children with immature skeletons and remaining growth potential, Schroth-method
physical therapy is used in combination with the Rigo System-Cheneau brace, not only to
prevent progression of (and often reduce) the abnormal curvature, but also to train and strengthen
patients in holding their bodies in a corrected position after completion of the bracing treatment
(i.e., when the skeleton has reached maturity). A patient’s consistent practicing of an
individualized Schroth program has been clinically shown to inhibit the mechanical forces,
exacerbated by poor postural habits and gravity, that otherwise perpetuate the progression of the
curvature over time (the so-called “vicious cycle”), even after the cessation of physical growth.
Pathophysiology