Ka scoliosis ideaática It is a deformity of the vertebral column that causes a deviationón of the same, and that gives it an appearance of “S” o de “C”, instead of having an aspect of itístraight line seen from front. Además, is the cause of a severe functional disorder and isético for the patient, as it can cause the bones of the spine to rotate causing a shoulder to, a manóplate or a hip remain más higher on one side than on the other.
The témino idiopáethical means that the cause of the disorder is unknown. Nevertheless, in líIn general terms, there are two factors that decisively influence the development of the deformity., that are the predispositionón genéethics and growth.
Index
¿Whaté treatments have scoliosis?
At the moment there are only two possible treatments: the orthopéI say with corsé and the correctionón wantúrgy using spindlesón vertebral. Nevertheless, both options are partial solutions, since the hearté it is not able to correct the deformity but to stop its process, and the surgeryía consists of merging segments móvillas of the column, which reduces curvature. But really, currently there are noneún treatment aimed at correcting the cause of the deformity.
Currently there are twoílines of treatment for idiop scoliosisáteenager's tica: conservative and chirúrgica. the choiceóNo treatment dependá aspects such as age, the maturationón óbe of the patient, the type of curve and if éit's progressing.
Conservative treatment is recommended for patients with moderate curves or in those cases in which it is anticipated.é a Ráeager to progressón. the hearté is the optionón conservativeás backed by studies, ya what isá shown that it can avoid surgeryíto in meás of a 70% from the patients.
The results of the treatment areán directly related to the núnumber of hours of cors usageé. Corsés cláPhysicians such as Boston or Milwaukee have been considered standards of orthopedic treatment.éI say during años, but its principles of correctnessón isán being replaced by biomech conceptsáunique three-dimensional.
the hearté de Chêneau-Rigo is one of those that best applies the three-dimensional concept in remodeling.ón of the trunk and stands out for its effectiveness in the fight to avoid the progressionóno scoliosis. The specific physiotherapyífica, like the método Schroth, It is an ideal therapy as a complement to corsé in stages or as treatment úunique in others, as it helps improve posture, make the curves more flexible and tone in a special wayípays to patients.
¿Whaté it's a hearté ortopémedicine for scoliosis?
a hearté ortopédico is a plastic vestástic rígido that is placed around the torso, from under the armpits to the hips. It has straps to keep it in place, in order to straighten the spine.
the hearté ortopéI say tambiéit's not called “orthotics”. Hay corsés of several different types. A traumaólogo or another person specializing in orthopedics worká with you to choose the corsé let it be meáit's right for you. the hearté right to beá the one that works best for the type of curvature of your spine and alsoén the one that you find más cóway of carrying.
¿Whyé se colocan corsés?
wear a corseté is usually the first step taken if you need treatment for idiop scoliosisática. The méI tell you to prescribeá a hearté ortopéI am saying in the hope that it will prevent your spinal curvature from getting worse and to prevent a operationón of fuseóno spinal (o vertebral).
¿Cóyou actúin the hearté?
For a cors to go wellé, you must still be growingía. Before prescribing you a corsé, the team that attends you studyá your case to make sure it is notáIt's too far along in the development process.. For it, measure youánot the height; tea hasáno questions about theíears in case you're a girl; of the harán radiographeríace of the hip bones, the hand and the muñeca.
Los corsés do not go well with all kinds of curvatures. Los corsés are not useful when the curvature of the spine is excessive (usually from meás de 40 degrees). And they are not necessary when the curvature is scarce (of less than 20 degrees).
A traumaólogo or another orthopedic specialist to review youá and recommendá a hearté basádepending on the type of scoliosis you have, how serious it is and its locationón in column.
The body and curvature of each patient are úunique, so cors must be manufacturedés customized for each patient. The team that takes you will send youá to an orthotics specialist to fit you into a braceé. Some hospitals have orthotics specialists who can even fabricate braces.és solo a día. In other cases, it can take several weeks to make a corsé.
As you grow, orthotics specialists may need to fit or even replace your braceé.
Corsés de Wilmington y de Boston
These colorsés vest type are used to treat moderate curvatures of the torso cageácica and the lower part of the vertebral column. Both are backed by an excellent track record related to both use and research.ón.
both corsés are worn under clothing. They cover the torso from the hips to the armpits and areán made with plasticálight and r sticoíguide. They adapt to the body, using special molds and fillings that allow adjusting the alignmentón from the column to the hearté.
- the hearté from Wilmington closes in front (or through the chest) and his designñwhere isá customized for each person's body. The heart specialistés makes a plaster cast of the torso, that you use to create the corsé.
- the hearté from Boston closes behindás or from behind. East á available in many different sizes that are customized by padding and trimming.
The number of hours per dayía during which people need to wear corsetsé wasía, but usually ranges from 12 and 20 hours.
Corsé de Cheneau
It is a corseté the plácustom stico that is sometimes used with the méall physiotherapy Schroth.
Corsé from Charleston
It's overé only worn at night. Like the vests they wear during the dayía, it is a pieceólida de pláStico that holds the back in the positionón proper. Instead of helping the person to stand upright, Eastá diseñthere are para “overcorrect” the curvature by keeping the spine bent to one side. He is a course guyé it only usually helps with C-shaped curves that affect the lower back.
Corsé the Milwaukee
It is the first type of corsé what is inventedó to treat scoliosis. just like the corsés type vest, people wear them 12 a 20 hours a dayía. It is a pieceólida de pláElastic that fits around the hips and waist with vertical bars at the front and back that are attached to a ring that goes around the neck. Since it is más difíeasy to carry, it's overé práhas practically ceased to be used.
Corsé corrective dinámico SpineCor
It is a méall subjectón más flexible using webbing and a cotton vestón. Anyway, doesn't seem to be as effective as the other corsés.
