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It is a 3-dimensional deformity that also affects the rib cage, characterized by the spine bending sideways and rotating around itself. The most common type is Adolescent Idiopathic Scoliosis and its cause is not fully understood.
It is mostly seen in girls and it progresses during the premenstrual rapid growth period, resulting in deformity in the spine. Its incidence is increasing in children with a family history of scoliosis. Scoliosis, which develops congenitally and is due to neuromuscular diseases, may progress very rapidly and may require surgical intervention in the early period. Clinically; Rib hump, which is evident by bending forward in the back, can be recognized by shoulder asymmetry, lateral displacement of the trunk, and leg length inequality due to asymmetry of the pelvis.
With special x-rays, the size of the curvatures and their localization in the spine are determined and their effects on the spine and trunk balance are investigated. In general, curves of 20 degrees and below in children with growth potential are followed clinically/radiologically, while braces and special scoliosis physiotherapy are applied for curves between 20-40 degrees. Curvatures of 45 degrees or more in the back region and 35 degrees or more in the lumbar region are treated with surgical treatment methods, since they adversely affect the spine balance and tend to progress after growth.
The surgical technique is determined according to the age of the patient, the flexibility of the spine and the layout of the curvatures, and by correcting and controlling the curvatures after the surgical treatment, trunk balance can be achieved and both organic and psychological diseases that may develop in the future can be prevented.
