Authors:
Masadah
and
Nurul Kusuma Wardani
Affiliation:
Universitas Airlangga, Indonesia
Keyword(s):
Congenital scoliosis, Hemivertebrae, Boston Brace, Exercise, Rehabilitation
Abstract:
Congenital scoliosis is a lateral deviation of the spine associated with one of a broad range of congenital vertebral malformations that can form during in utero development. The etiology is not properly understood. A 4-year-old boy was brought by his mother to the physical medicine and rehabilitation outpatient clinic because of a curved spine. His mother noticed her child’s spine was bent to the right since birth and increased with age. Since 2 years of age, her child often felt tired with shortness of breath when walking and playing. The right shoulder is higher than the left side and right papilla mammae protrude more, with a hump at the right scapula, hyperlaxity and decreased chest expansion. Supporting X-rays revealed hemivertebrae at vertebrae thoracic VII, IX, XI, and scoliosis C curve T5-L2, right convexity, apex at T10, Cobb’s Angle 60o, MOE I, Risser 0. The aim of this treatment was a stable balanced spine and prevention of progression of deformity while allowing spinal g
rowth. Bracing and exercise are possible options to correct scoliosis in younger children. Because congenital scoliosis is a serious problem in children, early diagnosis and treatment are important to improve posture and flexibility of the spine.
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