What Is Neuromuscular Scoliosis?

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When scoliosis is diagnosed, it's further classified based on several key variables:

Patient's age: adolescent, adult, infant, juvenile scoliosis.
Severity: mild, moderate, severe, or very severe scoliosis.
Curve location: cervical, thoracic, thoracolumbar, or lumbar scoliosis.
Condition type, indicating causation: idiopathic, degenerative, congenital, and neuromuscular scoliosis.
Let’s delve deeper into these types:

Idiopathic Scoliosis: This is the most commonly diagnosed form of scoliosis, affecting both children and adults. The term ""idiopathic"" indicates that there's no known singular cause. This condition is multifactorial, potentially resulting from a combination of traumatic, environmental, and genetic factors. Adolescent idiopathic scoliosis is the most recognized subtype, typically diagnosed between ages 10 and 18. While the exact cause remains uncertain, growth spurts often trigger its progression. A common question revolves around the genetic component: if one family member has scoliosis, will others? While there's a familial element, it's not solely genetic. Studies on identical twins reveal that only about 60% share scoliosis, and even then, their curves might differ in size and type.

Degenerative Scoliosis: This is the second most common type in adults after idiopathic scoliosis. While the most prevalent form of adult scoliosis is adolescent-onset (either previously diagnosed or newly identified), degenerative scoliosis emerges during adulthood. It often stems from a specific spinal event that triggers misalignment. This misalignment accelerates degeneration in the affected area, most commonly the lumbar spine. It's frequently diagnosed in women in their 50s or 60s and often presents symptoms like lower back pain or sciatica.

Congenital Scoliosis: This rare form results from a spinal malformation that occurs in utero. Affected individuals might have a hemivertebra or another malformed bone in their spine. Congenital scoliosis can be associated with other congenital anomalies. If one anomaly is identified, doctors often check the spine for potential abnormalities. Though growth can exacerbate this type of scoliosis, the curve is typically more pronounced at a young age.

Neuromuscular Scoliosis: This type arises when a patient has an underlying neuromuscular condition such as spina bifida, cerebral palsy, muscular dystrophy, Down syndrome, neurofibromatosis, or Marfan syndrome. The severity and presentation of these conditions vary. Some may primarily affect connective tissue or the nervous system. Most are treated separately for their neuromuscular symptoms and their scoliosis. However, growth remains a common trigger for curve progression in these patients. The primary symptom prompting a scoliosis diagnosis, whether in idiopathic or neuromuscular cases, is an asymmetrical posture.

It's essential to note that not every individual with a neuromuscular condition develops scoliosis. Still, if they do, that condition is likely a contributing factor. Neuromuscular conditions can also lead to balance and mobility issues. Some patients might even be non-ambulatory due to the severity of their condition. Treatment complexity varies; some cases resemble idiopathic scoliosis treatment, while others are more intricate. No treatment guarantees results, but it's always worthwhile to explore conservative approaches. For many neuromuscular patients undergoing multiple surgeries and interventions, managing their scoliosis conservatively can mean fewer procedures and a better overall quality of life.

You can learn more about this topic here:
https://www.scoliosisreductioncenter.com/blog/neuromuscular-scoliosis?utm_source=youtube&utm_medium=video&utm_content=what_is_neuromuscular_scoliosis_

Ready for a consultation or want more information? You can contact us here:
https://www.scoliosisreductioncenter.com/contact?utm_source=youtube&utm_medium=video&utm_content=what_is_neuromuscular_scoliosis_

00:00 What Is Neuromuscular Scoliosis?
00:39 Idiopathic Scoliosis
02:10 Degenerative Scoliosis
03:10 Congenital Scoliosis
04:06 Neuromuscular Scoliosis
06:11 Symptoms and Treatment for Neuromuscular Scoliosis

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