I. Anatomy of the spine
The human spine has 24 vertebrae. There are 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 1 sacrum and 1 coccyx. It is connected by ligaments, joints and intervertebral discs. The cervical, thoracic, lumbar and sacral curvatures are seen in the lateral position. In the frontal view, the spine is straight. The thorax and both sides of the trunk are symmetrical.
1, the upper part of the spine supports the skull, the lower part is connected to the hip, the middle is attached to the ribs, and serves as the posterior wall of the thorax, abdominal cavity and pelvis.
2, the internal spinal column has a longitudinal canal to accommodate the spinal cord.
3, the spinal cord emits nerves that innervate the sensory, motor, and visceral activities of the skin of the head and the body.
4, the spine has the function of supporting the trunk, protecting the internal organs, protecting the spinal cord, and performing locomotion.
Muscles work with the spine to maintain the movement of the head and spine and to maintain posture. The spine is the center of the movement of the limbs, and the forces of the limbs are transmitted to the spine. From childhood, people stand in a standing position, sit in a sitting position, write in a proper posture, and have correct posture. The spine will be well developed, the five senses will be correct, and you will not get scoliosis, let alone idiopathic scoliosis.
Scoliosis diagnosis
Scoliosis should be suspected if the shoulders are not equal in height when viewed from the front or if the back is uneven when viewed from behind. A full spine x-ray in the standing position should be taken at this time, and scoliosis can be diagnosed if the frontal x-ray shows a lateral curvature of the spine greater than 10 degrees.
Etiology of scoliosis: Scoliosis is a three-dimensional deformity of the spine that includes serial abnormalities in the coronal, sagittal and axial positions.
There are two major categories of etiology: nonstructural scoliosis and structural scoliosis. In both types of scoliosis, poor posture is an important cause, and our focus today is on postural scoliosis in children and adolescents.
Non-structural scoliosis refers to temporary scoliosis caused by certain causes, which can return to normal once the cause is removed. However, it can also develop into structural scoliosis in those who have been present for a long time. In general, scoliosis often disappears on its own when the patient is lying down, and the spinal bones are normal when X-rays are taken.
Nowadays, parents attach great importance to early education, and children start to learn to draw and write from kindergarten age. As children are young, their hands are not strong, and they hold the pen very close to the end of the pen, so that children sitting upright is not able to see their own drawings, they can only tilt their heads to draw and write, until they go to elementary school and secondary school. Long-term poor posture, causing scoliosis in children.
This is an important reason why there are so many people with scoliosis.
There are seven types of idiopathic scoliosis, including idiopathic, congenital, and neuromuscular, of which idiopathic is the most common, accounting for 75% to 85% of the total. The cause is not clear, so it is called idiopathic scoliosis. Depending on the age of onset, it can be divided into three categories.
1.Infant type (0-3 years old)
2. Juvenile type (4-10 years old)
3.Adolescent type (between the ages of >10 and skeletal maturity)
Among the above three types, the adolescent type is the most common.
According to our observation, there are many causes of idiopathic scoliosis that are not clear, but mostly due to poor posture. We can see that scoliosis is caused by poor posture. In childhood, at the age of 7, 8, or 9 years, the scoliosis no longer disappears spontaneously when the child is lying flat in bed. Muscle spasms and pain at the scoliosis point and other places are easily corrected with treatment. It is said to be easy, but it also takes 2 years.
1. The juvenile type is relatively difficult to treat. These children already have scoliosis as children, but it is just relatively mild and undetected. As they get older, especially when girls are 11 or 12 years old, they begin to develop, their bodies grow rapidly, and their scoliosis develops and worsens rapidly before it is discovered by their parents.
2, this type of juvenile-type idiopathic scoliosis, observe their writing posture, sitting posture, are not normal. Moreover, most of them are girls who study seriously and spend a long time doing homework every day. This improper writing posture spinal curvature, is often the reality of her own scoliosis shape.
3, lying flat on the bed, the spine can not become straight, the pain points next to the spine more and more serious. Need to spend a lot of effort to treat the pain points, exercise the relevant muscles, often need to wear a brace together with a variety of methods to correct. It takes at least 2 to 3 years to have a better result.
To summarize.
1, children and adolescents with non-structural scoliosis or structural scoliosis, most of them are caused by poor posture. The focus of prevention and treatment to correct posture, correcting bad habits.
2, manipulation and exercise body is very important, can play a role in the discovery of scoliosis primary point, targeted treatment. Severe cases need to wear braces, with long and short feet can wear insoles (the lower beam is not correct, the upper beam is crooked).
3, early treatment, early prevention is the most important.