Definition
Health is more than just the absence of disease. For some, health is a state of physical, mental and social wellbeing. To achieve optimal health, an individual must maintain an active lifestyle, nutritionally balanced diet, and positive environment. Coronal scoliosis is an abnormal curvature of the spine which can result in issues such as impaired posture, pain, and joint movement, as well as difficulty breathing. Through proper treatment, individuals can find relief from the complications of coronal scoliosis and return to optimal health.
Cause
Coronal Scoliosis is an abnormal curvature of the spine that occurs in the “coronal plane”, or side-to-side orientation. This type of scoliosis is caused by a variety of factors, some of which include:
- Genetics – Studies have show that coronal scoliosis has a familial or genetic predisposition.
- Muscular Dystrophy – Coronal scoliosis can result from certain types of neuromuscular disorders, such as muscular dystrophy.
- Birth Defects – Diseases such as cerebral palsy, spina bifida, and poliomyelitis can cause coronal scoliosis.
- Osteoporosis – Coronal scoliosis can result from low bone density and weakened bones.
- Injury – Severe injuries such as a broken leg or arm can cause coronal scoliosis.
In some cases, the exact cause of coronal scoliosis cannot be determined. Regardless of the cause, coronal scoliosis can lead to a number of complications for affected individuals. It is important to see a doctor for proper diagnosis and treatment if you or a loved one are experiencing any of the symptoms of this condition.
Symptoms
Coronal Scoliosis is a condition in which the spine curves sideways, in an S or C shape. It is most common in young children and teenagers, but can happen at any age. It can affect both boys and girls.
Symptoms
People with coronal scoliosis may experience the following symptoms:
- Uneven shoulders
- A “rib hump” or protrusion of the ribs on one side of the spine
- Uneven waistline
- Back pain
- Trouble breathing
- Tingling or numbness in the legs
These symptoms can vary depending on the severity of the scoliotic curvature. If you are experiencing any of these symptoms, it is important to see a doctor for diagnosis and treatment.
Diagnosis
Coronal scoliosis is a type of spinal curvature disorder that affects the alignment of the spine in its coronal (sideways) plane. The condition typically appears during childhood or adolescent development, when the spine is growing quickly. Symptoms of coronal scoliosis include uneven shoulder height, one hip jutting higher than the other, and a leaning or tilting torso. Diagnosing coronal scoliosis involves a physical examination as well as imaging techniques such as an X-ray, MRI or CT scan to examine the spine for curvature, rotational positioning and vertebral alignment. Diagnosis can also involve electrical studies such as an electromyogram (EMG) to check for nerve impingements. If coronal scoliosis is identified, a treatment plan can be created to reduce the symptoms and manage the progression of the condition.
Treatment
Treating coronal scoliosis requires a multi-faceted approach. Depending on the severity of the condition, standard treatments may include bracing and physical therapy, or in some cases, spinal fusion surgery. Bracing is typically the first line of treatment recommended for patients with scoliosis, especially those with mild curve progression. In some cases, a brace can help to halt the curve from getting worse. Physical therapy can also be helpful, as it strengthens the core muscles, improves posture, and can help manage pain. Surgery is generally considered as a last resort, and when it is necessary, it involves the use of rods, screws, and/or wires to permanently stabilize the spine. Through careful diagnosis and evaluation, your doctor will determine the best treatment plan for you and your individual condition.
Prevention
Preventing coronal scoliosis begins with understanding the condition. It is important to be aware that this type of scoliosis is a progressive condition, meaning that it will worsen over time without proper treatment. To prevent the condition from worsening, it is recommended to stay active and maintain a healthy lifestyle. Regular exercise, such as yoga and Pilates, can help to strengthen the core muscles, which can help to keep the spine in alignment. Additionally, good posture and avoiding activities that can cause injury to the spine should be avoided as much as possible. It can also be beneficial to wear a brace during certain activities such as sports and lifting to support the spine and protect it from further injury. Finally, it is important to seek medical attention if signs of scoliosis begin to appear. Early detection and treatment can often help to prevent the condition from progressing.
Outlook
Coronal scoliosis is a common form of spinal curvature, which can cause a variety of musculoskeletal and neurological complications in those affected by it. Fortunately, with the right care and proactive management, the outlook for those with coronal scoliosis can be positive. Depending on the severity of the curvature, treatment options range from physical therapy, bracing, to surgical interventions. Physical therapy can help with muscle strengthening and flexibility, while bracing can help in preventing the further curvature of the spine. Surgery can help to restore the spine to a more anatomically correct position. If curative surgery is not possible, there are procedures which can reduce pain and improve mobility. For those affected by coronal scoliosis, a full assessment by a qualified orthopedic surgeon can help to create an individualized treatment plan. With an accurate diagnosis, appropriate treatment, and ongoing monitoring, those affected by coronal scoliosis can live fuller, healthier lives.
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