| What do Elizabeth Taylor, Renee Ruso,
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| | There are several "warning signs" to
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| Isabella Rossellini, and Linda Blair all
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| | determine if you or someone you love has
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| have in common? Aside from the obvious
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| | scoliosis. If you notice any one or more
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| fact that they are popular and gorgeous
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| | of these signs, you should schedule an
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| celebrities, these women suffer from a
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| | exam with a doctor:
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| back problem called scoliosis. Scoliosis
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| | · Shoulders are different heights; one
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| is a medical condition that is
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| | shoulder blade is more prominent than the
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| characterized by the presence of
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| | other
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| curvatures and deformities in the spine.
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| | · The head is not centered directly
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| Unlike poor posture, these curves can not
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| | above the pelvis
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| be corrected by simply learning to stand
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| | · Appearance of a raised, prominent hip
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| up straight.
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| | · Rib cages are at different heights
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| Scoliosis affects a small percentage of
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| | · Changes in look or texture of skin
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| the population, or approximately two
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| | overlying the spine like dimples, hairy
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| percent. However, scoliosis runs in
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| | patches, color changes
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| families. If someone in the family has
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| | · Uneven waist
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| scoliosis, the likelihood of an incidence
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| | · Leaning of entire body to one side
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| is approximately 20 percent. Scoliosis in
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| | If someone is suspected with scoliosis,
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| skeletally immature individuals is
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| | it is usually confirmed with an x-ray,
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| classified by age: infantile (0 to 3
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| | spinal radiograph, CT scan, MRI or bone
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| years); juvenile (3 to 10 years); and
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| | scan of the spine. The curve is then
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| adolescent (over 11 years, or from onset
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| | measured by the Cobb Method and is
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| of puberty until skeletal maturity). In
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| | discussed in terms of degrees. The Cobb
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| addition, scoliosis is classified by
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| | method has several advantages over other
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| etiology: congenital, idiopathic or
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| | methods, including the fact that it is
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| neuromuscular.
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| | more likely to be consistent even when
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| Congenital scoliosis results from
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| | the patient is measured by several
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| embryological malformation of one or more
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| | different examiners. An alternative
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| vertebrae and may occur in any location
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| | system, known as the Risser-Ferguson
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| of the spine. This is due to a problem
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| | method, is used far less commonly.
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| with the formation of vertebrae or fused
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| | Generally, a curve is considered
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| ribs during prenatal development. The
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| | significant if it is greater than 25 to
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| vertebral anomalies cause curvature and
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| | 30 degrees. Curves exceeding 45 to 50
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| other deformities of the spine and lead
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| | degrees are considered severe and often
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| to differential growth. This means that
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| | require more aggressive treatment.
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| one area of the spinal column lengthens
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| | The traditional medical management of
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| at a slower rate than the remainder.
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| | scoliosis is determined by the severity
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| Because these anomalies are present at
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| | of the curvature, skeletal maturity, and
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| birth, congenital scoliosis is usually
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| | likelihood of progression. The
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| detected at a younger age than is
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| | conventional options are initially
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| idiopathic scoliosis.
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| | through observation, followed by bracing
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| Idiopathic scoliosis refers to a spinal
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| | and surgery. Most cases of adolescent
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| curve for which there is no discernible
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| | idiopathic scoliosis that are less than
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| cause, and it typically occurs in
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| | 20 degrees require no treatment, but
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| children and adolescents who are
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| | should be checked often around every 6
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| otherwise healthy. It is of unknown
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| | months. As curves get worse which is
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| cause, and appears in a previously
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| | above 25 to 30 degrees, bracing is
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| straight spine.
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| | usually recommended to help slow the
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| Neuromuscular scoliosis is caused by
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| | progression of the curve. Curves that are
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| problems such as poor muscle control or
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| | greater than 40 degrees usually require
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| muscular weakness or paralysis due to
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| | surgery because curves this large have a
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| diseases such as cerebral palsy, muscular
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| | high risk of getting worse even after
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| dystrophy, spina bifida, and polio. It
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| | bone growth stops.
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| encompasses scoliotic spine deformities
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| | Scoliosis is a common problem that
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| that are secondary to neurologic or
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| | usually requires only observation with
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| muscular diseases. Etiologies of this
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| | repeated examination in the growing
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| type of scoliosis include cerebral palsy,
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| | years. Still, early detection is
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| spinal cord trauma, muscular dystrophy,
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| | important to make sure the curve does not
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| spinal muscular atrophy, and
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| | progress. In the relatively small
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| myelomeningocele. Spinal deformities that
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| | percentage of scoliosis that need medical
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| result from neuromuscular etiologies
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| | intervention, advances in modern
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| generally progress more rapidly than
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| | orthopedic techniques have made scoliosis
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| idiopathic scoliosis and are more
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| | a highly manageable condition.
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| difficult to manage non-surgically.
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