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A normal spine appears as a straight line with no curves in the back. Scoliosis is when, apart from the spine, it bends sideways. Scoliosis is divided into three types according to the etiology (cause or origin of a disease): idiopathic, congenital and paralytic neuromuscular. Idiopathic scoliosis is the most common of these types. It occurs in children ages 10 to 14 and is more common in girls than boys. Scoliosis will get worse over time if not treated early. If it worsens, it can cause chest deformities and affect heart and lung function. Medical experts have found that if patients regularly wear a brace for correction and comply with rehabilitation exercises, they can control the development of deformities and correct the angle of the scoliosis to prevent future disabilities.
In the past, children with scoliosis typically had to wait until age 14 before they could have corrective spine surgery. Pending this surgery, as they were in a growth and development stage, their scoliosis developed rapidly, exacerbating their deformity. If we do not treat and control the development of scoliosis in a timely manner, even if we wait until a suitable age for surgery, the difficulty of surgical correction will increase. Nowadays, with the development of science and technology, synthetic polymer materials are widely used. People also combine medicine with engineering and use orthopedic technology within modern rehabilitation engineering to treat mild and moderate scoliosis and correct or control the development of deformities. The scoliosis curve is usually evaluated using the scientific method of the Cobb angle. When the Cobb angle is less than 15-20 degrees, the patient can perform rehabilitation exercises under the guidance of rehabilitation doctors. Scoliosis can usually be controlled and the patient can recover, but the patient should be seen regularly. When the Cobb angle is greater than 20 degrees but less than 45-50 degrees, the patient should wear a brace and participate in treatment to prevent the scoliosis from worsening. When the Cobb angle is greater than 50 degrees, the patient should consider orthopedic spinal surgery to correct the deformity.
A. What is an orthosis?
An orthosis is an external device used to change the functional characteristics or structures of the nerves, muscles, and skeletal system. Why can play a role in the correction? Here, we can remember that long ago, people knew that if a small tree grows in a crooked direction, they tied a straight stick to the bent part to make it grow to its full size. This would allow an outside force to slowly straighten the bent part of the tree during its growth process. People gradually use this method of applying external force to biologically correct the human body, which is how we have modern braces.
B. How can a spinal orthosis play a role in correction?
A scoliosis brace uses the three-point force principle to correct deformities in children as they grow. The site of the scoliosis, the degree of curvature and the contour of the body are different depending on the individual, so scoliosis braces are customized based on the degree of scoliosis taken from the patient’s x-rays and in conjunction with the shape of his or her body. Body. The direction and site of the force must meet the requirements of human biomechanics and correctness.
We hope that parents regularly observe the growth status of their child’s spine for early detection and timely treatment of scoliosis. This will prevent future deformities.