Spinal Deformity

Description

Mr Nick Birch provides his expert insights during an overview of spinal deformities, delineating the types (scoliosis, kyphosis, lordosis) and discussing their anatomical planes—coronal, sagittal, and axial. Mr Birch elaborates on the definitions and causes of various spinal deformities, including congenital causes linked to fetal development, idiopathic curves arising at different ages, neuromuscular conditions, degenerative changes, and trauma-related deformities. Clinical features of scoliosis, including shoulder asymmetry and rib humps, are examined, along with assessment techniques such as physical exams and x-rays. Management options for scoliosis are discussed, highlighting observation for curves below 25 degrees, bracing for moderate curves, and surgical interventions for severe cases. Special considerations for surgery—such as neurological monitoring and addressing growth in younger patients—are underscored, alongside potential complications associated with traction methods. Overall, this material serves as a comprehensive guide for understanding the nature, evaluation, and treatment of spinal deformities.




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DOI: 10.1302/3114-251107

Specialties