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Information & Treatment
About the treatment
Symptoms and Pain Localisation
Teenage scoliosis is often asymptomatic, discovered during a routine examination or by a visible change in posture (unbalanced shoulders or hips, curvature of the back).
In some cases, back pain, lumbar pain or muscle tension may appear.
Pain is not a predominant symptom, but can occur with more severe curvatures.
About the treatment
Causes & Factors
Adolescent scoliosis is generally idiopathic, i.e. it has no known cause.
It may be influenced by genetic factors and develops mainly during the period of rapid growth in adolescence.
Other causes include congenital anomalies of the spine or neuromuscular disorders.
About the treatment
Duration and treatment
Mild scoliosis can be monitored by a doctor with regular check-ups to track progress.
- If the curvature progresses, treatment such as wearing a corset may be prescribed to limit worsening.
- In cases of severe scoliosis, corrective surgery may be considered to straighten and stabilize the spine.
- The duration of treatment depends on the evolution of the curvature and the adolescent's growth.
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Diagnosis
Adolescent scoliosis is often detected during a routine medical or radiological examination. X-rays to measure the angle of curvature and assess progression. MRI may be prescribed if an underlying cause is suspected.
Conservative Treatment
Regular monitoring with check-ups for mild scoliosis. If the curvature progresses, an orthopedic corset can be prescribed to limit aggravation, particularly during the period of rapid growth.
Physical therapy
Can help improve posture and musculature for mild scoliosis. Muscle strengthening and postural correction exercises can reduce pain and improve alignment.
Indications for Surgery
Surgery considered for severe scoliosis (curvatures of more than 40-50°) or in cases of rapid progression. Objective: straighten and stabilize the spine to avoid future complications.
When to seek emergency treatment
In the event of severe pain, respiratory problems, or if the curvature progresses rapidly despite conservative treatment.
Types of Surgery
Surgical options for correcting scoliosis include the placement of spinal rods and screws, with gradual reduction of curvature, and spinal fusion techniques to stabilize the spine.
Post-operative convalescence
Most patients experience improved posture and reduced pain after surgery. Full recovery may take several months, with a gradual reduction in post-operative pain.
Persistent pain
Pain may persist if the curvature was severe prior to surgery. Musculoskeletal or neuropathic pain can be treated medically or with physiotherapy.
Spinal Reduction and Fusion Surgery
This procedure aims to reduce the curvature of scoliosis by realigning the vertebrae, then fusing them together to stabilize the spine. Rods and screws are used to maintain the new position, helping to prevent future progression of scoliosis.
Purpose of the operation
The main objective is to correct the abnormal curvature of the spine and prevent its progression. Post-operative rehabilitation aims to strengthen muscles and improve posture and flexibility.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
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