Scoliosis Orthoses

Definition

Scoliosis is the medical term that describes the abnormal twisting and curvature of the spine. It occurs most often during the growth spurt just before puberty. It affects around three to four children in every 1,000 in the UK and is most typically seen in children between the ages of 10 and 15.

It is also more common amongst females than males.

Symptoms/causes

In 8 out of 10 cases there is no known cause; this is known as idiopathic scoliosis. The majority of the rest of the cases are caused by medical conditions: cerebral palsy, muscular dystrophy and Marfans syndrome.

Scoliosis may first be noticed by a change in the appearance of a child’s back. Visual symptoms can include:

  • A visibly curved spine
  • One shoulder higher than another
  • A difference in leg length
  • A prominent rib cage
  • One shoulder or hip being more prominent than the other

To establish the severity of the condition we use a state-of-the-art DIERS spinal scanner which provides us with a fast, contactless and radiation-free measurement of the back’s surface and spine.

Orthotic Treatments

Mild cases may self-correct as a child grows, though we may also recommend wearing ‘dynamic’ lycra garments which are designed to apply a global compression to the area of the body over which it is worn. In moderate or severe cases, where the child is still growing, a brace may be recommended to prevent the spine from curving further as a child continues to grow.

For bracing of moderate to severe cases visit our Gensingen brace and Schroth method pages.

Further information & Support

Visit our scoliosis section for further information about our non-surgical Scoliosis treatment

The Scoliosis Association (UK) is a patient support organisation for people with scoliosis and their families.

 

FAQs:

Scoliosis is a condition where there is an abnormal curvature of the spine. It is a three-dimensional condition with deviation of the vertebrae in the sagittal, coronal and transverse planes.

The operation used to treat severe scoliosis curves is typically spinal fusion surgery; a major procedure that involves moving muscles and realigning the skeleton into place. The curved, deformed vertebrae are fused together into a single bone, putting metal screws and rods into the spine to help straighten it. Surgery typically lasts between 4 and 8 hours depending on the severity of the curve. Bone graft is then taken from other parts of the body and used to cover the implants.

Following the operation, it is necessary to spend around a week in intensive care before returning home and the first few days are often uncomfortable. Most adolescents can expect to return to school from 2-4 weeks following surgery, but pain medication may be required up to 6 weeks following. A full recovery from the procedure can take up to a year, as it can take that long for the spine to heal fully.

Spinal fusion surgery causes the fused portion of the back to become permanently stiff, as a result, returning to sports that require large amounts of flexibility (ballet, yoga, gymnastics, dance) or contact (rugby, football, karate, hockey) may take longer.

Risks of spinal fusion surgery are like that of any other major procedure and include infection, blood clots and anaesthesia complications. The added risks include permanent nerve damage to the spine and paralysis.

We have the following facilities and amenities at our Kingston Upon Thames location:

  • Free parking
  • Wheelchair ramp
  • Disabled toilet
  • Baby changing facilities

We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.

We have the following facilities and amenities at our Cambridge location:

We have the following facilities and amenities at our Bristol location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • Free tea, coffee and water
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)
  • Fully wheelchair accessible
  • Short walk to Clifton Village centre for shops, restaurants & cafes

For more information, visit Litfield House Medical Centre.

LOC’s clinic is based in the University of Salford’s Podiatry Department and provides treatments for orthotics, scoliosis, pectus deformities, positional plagiocephaly and club foot.

It is also the base for LOC’s northern OSKAR clinic which is run by Sam Walmsley, clinical director of LOC, in conjunction with Elaine Owen MBE MSc SRP MCSP.

For Plagiocephaly free photo diagnosis, please upload images in accordance with our plagiocephaly photo guide (max. 2mb each).

For Pectus, please follow our pectus photo guide (max 2mb each).