Thoracic kyphoscoliosis

kyphoscoliosis (Thoracic) - is a complex disease of the spine in which the patient is diagnosed lateral curvature of the spine (scoliosis) and sutulochny bending forward and backward (kyphosis). The disease is both acquired and congenital. Amenable to effective treatment, only the first and second stages of kyphoscoliosis.

Overview

Kyphoscoliosis accompanied by strong pain in the back, as well as visible chest deformity and the spinal column. Due to the fact that the chest is changed, disrupted, and internal organs in this projection. Most often, the consequences kyphoscoliosis considered shortness of breath, heart disease, severe back pain, impaired gas exchange process, the amount of oxygen decreases rapidly in the blood, pulmonary insufficiency develops, certain permanent dizziness. In general, the rapidly deteriorating quality of life when kyphoscoliosis.

spine kyphoscoliosis develops gradually. On the part of such a disease of the spine looks like a trough, banal slouch. Typically, the first patient developed kyphosis, and then - scoliosis. Since a healthy spine has a number of so-called natural curvature (in the neck and waist area - deflections forward in the area of ​​the thorax and the sacrum - bending backwards), in the time under the influence of external factors, they amplified. Accordingly, the spine is curved more strongly that brings danger to all the organs and systems of the human body. In the course of the disease is developing dynamically violation of the diaphragm, chest. Kyphoscoliosis is a disease, which is subjected to extremely effective treatment in the early stages. mostly satisfied

Main reasons

Kyphoscoliosis develops rapidly during the juvenile growth of the human body. Also, disease can develop against the backdrop of spine injuries, Muscle damage, inflammation and severe abnormalities of the central nervous system.

The following factors are the main reasons:

• rickets;
• Tuberculosis of several vertebrae or vertebral column;
• mechanical injury of the vertebrae;
• low back pain;
• back injury;
• inflammatory processes that affect the development of tissues in the bones and joints;
• polio;
• tumor growth;
• surgery in the past (the so-called post-operative kyphoscoliosis);
• underdevelopment of the bones and joints in children and adolescent girls, etc.

symptoms

The main manifestations of the disease are as follows:

• slouch;
• respiratory disorders during phys. loads;
• broad dilution edges.
• severe pain in the neck, thoracic, back;
• strong headaches and dizziness;
• a feeling of weakness in the limbs, especially at the end of the day;
• fast fatiguability;
• malfunction of the gastrointestinal tract;
• narrow chest;
• problems in the cardiovascular system, the respiratory system;
• frequent heartburn;
• decreased immunity.

Kyphoscoliosis considered not just a violation of posture, and serious damage to the spine and rib cage in violation of the organs and systems of the human body.

This disease is an urgent need to treat under the supervision of a neurologist, orthopedist, surgeon, etc.

Classification

Depending on the features of the disease:

• physiological (developing as a rule, it affects the sacral segment and chest);
• pathological (developing as a consequence of mechanical injury).

Depending on the species of origin:

• rachitic (diagnosed in children from six months by disease rickets due to weak muscles and soft tissues of the spine too);
• Tuberculosis (manifested as a result of tuberculosis, Vertebral bodies is caused by the destruction and compression entities);
• physiological kyphoscoliosis (develops in patients with normal development of the spine, diagnosed in the sacrum and thoracic);
• genotype (inherited, dominant type);
• congenital kyphoscoliosis (developed because of problems in the development of the anterior vertebral bodies);
• compression (compression develops as a result of vertebral fractures);
• kyphoscoliosis age (affecting thoracic spine, occurs in people age 60+ due to degenerative changes in intervertebral tissues);
• Mobile (developed because of the weakness of the back muscles, especially during prolonged awkward position, such as sedentary work, school, etc...);
• total or arcuate (arises from diseases such as ankylosing spondylitis);
• corner (accompanied by a characteristic angular deflection of the spine, the shape of which is characteristic of tuberculosis patients).

degree of kyphoscoliosis

• 4 degree - suggests the deformity of the spine and the entire chest, manifested in the form of front and rear hump, it is considered the most difficult to treat;
• Grade 3 - is shown in the form of rib humps and chest deformation;
• 2 degree - is characterized by the deviation of the spine to the side, which is accompanied by twisting;
• 1 degree - suggests a deviation to the right side with a slight twisting of the spine.

Diagnostics

To diagnose these types of applied research:

• visual inspection of the surgeon, orthopedist, neurologist, neurologist of children;
• Radiography (a multi-view positions, when stretching the vertebrae);
• Magnetic resonance imaging (MRI);
• spine computer tomography (CT);
• ultrasound diagnostics (US);
• electrocardiogram;
• laboratory types of studies (complete blood count, urinalysis, blood analysis on hormones), etc.

In order to establish an accurate diagnosis may require additional consultation cardiologist, pulmonologist, urologist, gastroenterologist.

Treatment

For effective treatment of the disease shall apply:

• physiotherapy;
• lifestyle correction;
• Wearing corrective corset;
• Acupuncture in the cervical and thoracic;
• massotherapy;
• manual therapy;
• swimming;
• surgical correction (step involves the introduction of metal structures in the spine, in a case, the pins, screws, rods, hooks, screws, to help align the spinal column);
• after surgery gypsum recommended wearing a corset for more than 30 days.

Correction lifestyle with kyphoscoliosis:

• a person should sleep on a firm mattress;
• I need to sleep in a position lying on the back, avoiding the "side-sleep";
• you need to sit in a position where back - even, not to lean on his elbows;
• should establish motor activity (walking, running, sit-ups, minimal physical work);
• you need to exercise regularly, to strengthen the muscular system;
• recommended wearing orthopedic shoes or insoles with special patterns (e.g., in the case of different leg length);
• recommended to abandon the practice of wearing accessories on one shoulder, better to choose a special orthopedic backpacks.

In the treatment of kyphoscoliosis plays an important role make timely action. In children, these measures should be undertaken in an active growth phase - from 6 to 14 years. It is necessary to accurately follow the doctor's recommendations, regularly wear a corset, revise lifestyle, not to neglect the advice orthopedists.

prevention

Kyphoscoliosis prevention should begin in childhood.

The main recommendations of orthopedists are as follows:

• regular exercises;
• physical exercises (running, swimming, stretching);
• comfortable wearing backpacks;
• competent design of the workplace;
• regular visits to the podiatrist;
• Wearing orthopedic corsets in childhood;
• balanced diet;
• healthy lifestyle.

Forecast

The prospect of recovery or improvement of the patient's condition at kyphoscoliosis It depends on the stage of the disease. For example, in children - a more promising outlook if prevention and treatment measures have been taken to turn in 14-15 years.

Of great importance is the progression and the level of destruction speed. fully the first stage can be cured kyphoscoliosis. Patients diagnosed with such a second stage partially fails to be rehabilitated.

The least favorable prognosis - patients with the third and fourth stage of kyphoscoliosis, but with timely treatment to the doctor and adequate treatment can be stopped in time to deformity of the spine. In this case, it makes sense to partial correction, but unfortunately complete alignment of the spine - it is impossible to. But with the right approach, even in patients with an established diagnosis of kyphoscoliosis third and fourth stages, can significantly improve quality of life.

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