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Pay attention to abnormal curvature of the spine during the period of rapid growth in children


Scoliosis which is described as a sideways curvature of the spine at thoracic and lumbar regions develops more commonly in girls immediately before starting menstruation during the period of rapid growth.


Specialists state that heavy school bags or poor sitting posture does not lead to scoliosis, namely abnormally curved spine, which is common in adolescents. Prof. Dr. Alpaslan Şenköylü, Spine Surgeon from Medicana International Ankara Hospital, indicated that the condition is mostly observed in girls in the period of early adolescence and caused by genetic and environmental factors. Prof. Dr. Şenköylü stated that surgery will possibly not be required with a corset that is supplied within this period and said “For early diagnosis, parents should check whether there is back contour asymmetry in the children who are about to reach puberty or just entered puberty”.


Prof. Dr. Şenköylü stated that the normal spine appears totally steep and there is no abnormal curvature in the anterior-posterior plane and said “Scoliosis implies S-or C-shaped spine along with curvature in the anterior -posterior plane”. Prof. Dr. Şenköylü specified that the symptoms are shoulder asymmetry, lumbar curve asymmetry and rib hump deformity and said “Incomplete formation or separation of vertebrae may be observed in cases with congenital scoliosis. Neuromuscular scoliosis may be secondary to muscular disorders or neurological condition. The most common one is idiopathic scoliosis”.


School bag causes pain, does not cause scoliosis…


Prof. Dr. Şenköylü indicated that poor sitting position or carrying an asymmetric school bag may result in back pain, not scoliosis, and gave information about how to diagnose this condition as follows:


“Forward bend test is used to assess the presence of a scoliosis. If there is an asymmetry, scoliosis is considered. However, it is required to consult with a deformity surgeon to obtain more reliable information. Scoliosis mostly occurs in adolescence period at 10-14 years of age. The condition develops more commonly in girls immediately before starting menstruation during the period of rapid growth. Surgery will possibly not be required with a corset that is supplied within this period. Scoliosis is an unavoidable disease, but progression of scoliosis can be stopped”

In surgery preferred for advanced scoliosis,

3D technology


Prof. Dr. Şenköylü stated that surgical treatment is recommended for any advanced scoliosis, with a curve over 45 degrees, and gave information about surgical treatment and postoperative period as follows:


“Surgical treatment is performed along with the screws that are driven to vertebrae and the rods that fix them.


The risk of scoliosis surgery is reduced, when surgery is performed by experienced surgeons. Besides, technological advancements provide surgeons with opportunity on this issue. We use 3D technology in order to drive screws appropriately and avoid surrounding vital tissue damage in spinal surgeries. Postoperative care is different for each of the scoliosis types. Patient-controlled analgesia method is applied for first 2 or 3 days. If no extra problem is experienced during the entire process, patient can be discharged on postoperative Day 4. Patients can return to school approximately 15 to 20 days later. Generally, there is no need of corset in postoperative period”.