Scoliosis in children:- Early the diagnosis better is the results!

Scoliosis is a three dimensional deformity of spine in which spine get deform and bend on either side of body. Early diagnosis of scoliosis can give better chances of correction as spine becomes more rigid with increasing age. Treatment can be started in very early age group so that angle of scoliosis can either reverse or stable with increasing age. Sometimes it remains unnoticeable till adolescent age group when curve start appearing. That’s why routine screening of spine for scoliosis can diagnose it very early stage. Screening is very easy and takes hardly few minutes.

Children with family history of scoliosis have more chances of having scoliosis and should be given more attention.

There are certain screening test and symptoms which can be done easily by teachers, parents, and other care givers. There are certain visual indicators of scoliosis which give us idea about scoliosis like uneven shoulder level, limb length discrepancy, uneven level of hips, and lump on either side of body, gap in between either side of body and arm and limp while walking.

SCFE (Slipped Capital femoral Epiphysis)

A disorder of hip joint during adolescent age group during growth spurt. A painless stable mobile hip joint is necessary for all physical activities like walking, running, jumping. But slipped capital femoral epiphysis (SCFE) is a hip condition that causes painful restrictions of movements with limp or even unable bear the weight. Timely diagnosis and appropriate intervention prevent possible complications and deformities.

In slipped capital femoral epiphysis (SCFE) femur (thigh bone) head slips over neck results in painful restriction of movements.

Causes

Commonly seen in obese and hyperactive children with some endocrinal disorders. During growth spurt slip occur at weakest zone of growth plate.

Symptoms

Painful restriction of movements of hip, limp, unable to bear weight and deformity are commonly seen symptoms. A child may experience intermittent pain in his groin, knee, thigh, or hip, if he is suffering from mild or stable SCFE. On the other hand, symptoms of severe or unstable SCFE includes a child experiencing pain suddenly, inability to walk or run, and the affected leg turning outward. Symptoms of SCFE may aggravate when the child performs any physical activity.

Diagnosis

Pain in hip/groin/knee during the growth years should be examined properly by an expert. Clinical examination is significantly important as it gives great help in making diagnosis. While diagnosing SCFE, an orthopaedic checks if the child is finding it difficult to move his leg or hip. A series of X-ray and magnetic resonance imaging (MRI) scan of the pelvis with both hip is also helpful.

Treatment

It’s a surgical emergency and needed emergency surgery. However, we recommend the child to take adequate rest, use crutches, and avoid putting pressure on the affected leg to prevent the growth plate from slipping further. The experienced orthopaedic even advise the parents to get the child admitted to the hospital and perform the surgery without any delay. The surgery is performed under general anesthesia and using specialized equipment.

Recovery

Once the surgery is over, the child can walk with crutches after a few days. Post op physiotherapy and exercises are recommended for faster recovery.

FAQs

Q: – Is surgery is necessary?? Any medical treatment available??

A: – Yes, surgery is recommended for it without any delay to prevent further complications.