The Different Types of Scoliosis & Their Causes

Scoliosis is described as lateral abnormal curvature of the backbone. Broadly speaking, there are two types of scoliosis, nonstructural and structural

Nonstructural Scoliosis: There is not any structural abnormality in the backbone although in this kind of scoliosis, the spine has a curvature. The curvature is to an illness process or routine in reaction to. The spine is structurally regular with a curvature, no rotation, with no asymmetry.

Types of nonstructural scoliosis:

• Postural: This curvature is due to use of a wrong posture. When the kid is lies down it resolves.
• Compensatory: It’s triggered by leg-length discrepancy. There’s no rotation of the vertebrae on sitting plus it typically goes off.
• Sciatic: This curve results from attempting to prevent pain from an irritated nerve
• Inflammatory: Here a curvature in the backbone is triggered through an infective process such as an appendicitis. The body curves to the disease or muscle spasm in reaction.
• Hysterical: very rare and has an underlying component that is mental

Structural Scoliosis: A scoliosis is the one that requires both a curvature and rotation of the vertebrae. Most frequent type is the one where no cause may be found.

Idiopathic Scoliosis: Where the trigger isn’t known, most frequent type of scoliosis is idiopathic. Scoliosis is categorized based on the age when scoliosis develops. For example in a person less than 3 years old, it’s called infantile idiopathic scoliosis.

Non Idiopathic Scoliosis: Neuromuscular; It’s caused by an abnormal development of the bones of the spine for instance hemivertebra or due to other issues. Degenerative; Scoliosis occurs in older adults. Degenerative changes might lead to weakening of the ligaments that are typical and gentle tissues of the spine. In existence of arthritic changes abnormal curvature may result

Miscellaneous: Any pathology in the backbone like spine tumors may cause people to lean to the side that is contrary to reduce discomfort. Posturing may lead to scoliosis.

When no cause is known most common type of scoliosis is idiopathic, a term used in medical literature. Non structural scoliosis forms a small percentage of scoliosis.

Most common causes in this group are neuro muscular illnesses such as hemivertebra such as poliomyelitis, cerebral palsy or muscular dystrophy or delivery defects. Injury may be another cause. Infections or tumors also might give rise to curvature of the spine.

Here is the list of causes of non idiopathic structural scoliosis.

• Cerebral palsy
• Spinocerebellar degeneration
• Friedreich’s ataxia
• Hereditary Motor and Sensory Neuropathies
• Trauma
• Spinal tumor
• Syringomyelia
• Poliomyelitis
• Spinal muscular atrophy I-IV (usually right sided curve)
• Dysautonomia
• Arthrogryposis
• Muscular dystrophies
• Fibre type disproportion
• Congenital hypotonia
• Myotonia dystrophica
• Achondroplasia and hypochondroplasia – mainly lordosis or thoracolumbar kyphosis.
• Spondylolisthesis
• Mesenchymal disorders like Marfan’s syndrome or Ehler’s-Danlos syndrome
• Spina bifida especially thoracic type
• Neurofibromatosis
• Rheumatoid disease
• Tumors:
  – Osteoid osteoma
  – Osteoblastoma
  – Eosinophilic granuloma
  – Intraspinal tumours like ependymoma, astrocytoma, epidermoid cyst

Neuromuscular Scoliosis: Neuromuscular scoliosis develops at a younger age than idiopathic curves along with a greater percentage of neuro muscular curves are progressive. Usually neuro muscular curves are long, C- shaped curves and associated pelvic obliquity is frequent.

The fundamental treatment methods are similar – observation, orthotic therapy, and surgery.

The objective of remedy is to maintain a backbone balanced in the sagittal and coronal planes over an amount pelvis.

These individuals generally are compliant with administration and surgery is linked complications like less bone inventory, improved bleeding, fusions that are lengthier, and also the the need for fusion to the pelvis.

More About the Types of Scoliosis

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 . 
By Dr. Alex Jimenez

Additional Topics: Scoliosis Pain and Chiropractic

According to recent research studies, chiropractic care and exercise can substantially help correct scoliosis. Scoliosis is a well-known type of spinal misalignment, or subluxation, characterized by the abnormal, lateral curvature of the spine. While there are two different types of scoliosis, chiropractic treatment techniques, including spinal adjustments and manual manipulations, are safe and effective alternative treatment measures which have been demonstrated to help correct the curve of the spine, restoring the original function of the spine.

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