SCOLIOSIS

Julienne
JulienneChyla
Julienne ChylaIbe
Chyla Ibe
Ibe
BSN
BSN4D
BSN 4DGroup
4D Group2-A
Group 2-A
2-A
CHINESE
CHINESEGENERAL
CHINESE GENERALHOSPITAL
GENERAL HOSPITALCOLLEGES
HOSPITAL COLLEGES
COLLEGES
Scoliosis Is the lateral curvature of
the spine

Rotation of the vertebrae column

around its axis -may cause rib cage
deformity
Spine
2 TYPES:
FUNCTIONAL SCOLIOSIS
not a fixed deformity of the vertebral column
Result of poor posture / discrepancy in leg
lengths.

STRUCTURAL SCOLIOSIS
deformity of the vertebral bodies.
1. Idiopathic
2. Congenital
3. Paralytic

IDIOPATHIC SCOLIOSIS
unknown cause
Classified into 3 groups(based on
age at time of diagnosis
Infantile - before 3 y/o
Juvenile - between 3v/o -10 v/o
Adolescent - 10 y/o - teen years
PARALYTIC /
MUSCULOSKELETAL/
CONGENITAL SCOLIOSIS
NEUROMUSCULAR
unknown cause
scoliosis occurs when the vertebrae Develops several months after
do not form normally before a baby is asymmetrical paralvsis of the
born. trunk muscles
Malformation of one or more vertebral Neuromuscular” implies there is
bodies
some type of problem with the
Asymmetric growth
muscles that support the spine
SIGNS AND SYMPTOMS
Top of shoulders are uneven.
One shoulder blade is more prominent or visible
than the other.
One hip appears higher than the other.
One side of the rib cage is higher than the other
when bending forward.

In addition to visible symptoms, scoliosis may lead to:

Low back pain
Back stiffness
Pain and numbness in your legs
Fatigue due to muscle strain
Breathing difficulty due to upper spine curve

PATHOPHYSIOLOGY

DIAGNOSIS (PHYSICAL EXAMINATION )

ADAMS FORWARD BENDING TEST

common method used to diagnose scoliosis. The
patient puts their hands together and bends
forward with straight knees, which makes their
spine visible through their skin. The clinician looks
for unevenness in the hips, ribs, or shoulders. If
there is a curve, we may use a scoliometer, to
measure the degree of the curve. A curve of more
than five to seven degrees on the scoliometer may
indicate scoliosis.
DIAGNOSIS (IMAGING TEST)
X-RAY
useful in identifying the degree of the
scoliosis curvature, as well as observing
progression to determine the best
treatment method
MRI
scoliosis may be recommended when a
patient has numbness, weakness, pain, or
an asymmetric loss of reflexes.
 TREATMENT &
MANAGEMENT
SEVERE/ DANGEROUS
MILD SCOLIOSIS MODERATE SCOLIOSIS
This curve measures over 10 SCOLIOSIS a curve of 40 to 70 degrees or
degrees and less than 25. In those
Cob angle between 25 and 40 degrees, more. § Severe twisting of the
with curves measuring less than 20
the condition has already progressed. spine- ribs press against the
degrees, the risk of progression is
§ Requires spinal exercises and brace lungs, restrict breathing, and
usually low (around 20%).
reduce oxygen levels.

OBSERVATION AND
OBSERVATION AND MONITORING
MONITORING
Children with a mild curve, less than 25 degrees, are typically
monitored at regular doctor visits to be sure the curve does
not get worse. In young children, mild curves of the spine have
the potential to become worse as the child grows and
develops. In older teens who have reached their mature height, NON-
mild curves may not be a problem.
SURGICAL
PHYSICAL THERAPY
PHYSICAL THERAPY MANAGEMENT
The goal of physical therapy is to maximize physical
function to lead an active life. Physical therapy can
address pain and imbalance

BRACING
BRACING
If the curve is between 25 and 45 degrees, or if it is getting worse, A
physician may recommend bracing. A scoliosis brace will be
specifically designed for a particular curve The brace holds the in a
straighter position.
 SPINAL FUSION
SPINAL FUSION
Spinal fusion surgery is the most common surgical
treatment for severe scoliosis.
Using metal rods, hooks, screws, and wires (known as
instrumentation)
SURGICAL
the procedure straightens the spine and solidifies the MANAGEMENT
bone to prevent further abnormal curving.
For six to 12 months after surgery, the spine fuses in
much the same way that a broken bone heals; It may
need to wear a brace during this time.
 NURSING CARE
NURSING CARE
Promote mobility
Prevent injury
Prevent skin irritation
Promote positive body image.
Promote compliance with therapy.
THANK YOU!