Symptoms and treatment of vertebral deformity
The classification of scoliosis according to the type of deformity is mainly divided into formation obstacles, poor segmentation and mixed deformities.
An example of a hemivertebra that forms the most typical example of a disorder; a typical segmental defect is a bone bridge, that is, a fracture of two or more vertebral bodies, or a bilateral osseous connection; a mixed type, that is, the same patient has more than 2 deformities at the same time.
Patients with congenital scoliosis may have many other malformations. The highest proportion is abnormalities of the genitourinary system, such as single kidney, double ureter cross-renal ectopic, urinary tract obstruction and so on.
In addition, it is often accompanied by many other abnormalities such as congenital heart disease, Spregel’s deformity, KlippellFeil’s deformity, Goldenhar syndrome, total or metatarsal hypoplasia, and anal atresia.
There are still too many patients with spinal cord abnormalities, of which longitudinal spina bifida and spinal cord tethering syndrome are the most common.
Therefore, for patients with congenital scoliosis, a comprehensive examination should be performed for a correct diagnosis.
For congenital scoliosis, the most important thing is to judge the progress of scoliosis, but sometimes it is difficult to make a decision at the first diagnosis. For example, some patients with mixed deformities have multiple deformities at the same time, including hemivertebrae and osteoporosisThe parts of the body may cancel each other’s effects and balance the spine, and the progress may be small.
This requires predicting in advance and making a timely and correct assessment of the potential for malformation.
There are many factors that affect the treatment of congenital scoliosis, such as patient age, gender, location of deformity, degree of scoliosis, segment length, type of deformity, flexibility and progression, etc. are of great significance.
Doctors should choose different treatments according to different situations.
Treatment of butterfly vertebrae and hemivertebra deformities does not require treatment itself, but if this congenital malformation causes significant scoliosis or kyphosis, it should be taken seriously!
Scoliosis caused by congenital vertebral deformity, congenital scoliosis, develops rapidly, and the scoliosis is relatively stiff, and surgery should be taken as soon as possible!