Dr. Miller: Scoliosis - A Bend in the Spine. We're going to talk about that next on Scope Radio.
Announcer: 向大发娱乐的专家大发娱乐提供有关您今天面临的最大健康问题的深入信息. The Specialists with Dr. Tom Miller is on The Scope.
What is Scoliosis?
Dr. Miller: Hi, I'm Dr. Tom Miller and I'm here with Dr. Darrel Brodke. 他是犹他大学的整形外科医生和脊柱专家. Darrel, what is scoliosis exactly?
Dr. Brodke: Scoliosis is a curve in the spine. 从技术上讲，这是脊柱侧移的曲线, 因为大发娱乐的脊柱自然地在前后平面上弯曲, but sideways it's supposed to be straight.
Scoliosis Causes
Dr. Miller: 大发娱乐是怎么患上脊柱侧凸的，这听起来有点不正常?
Dr. Brodke: Yeah, there are a number of ways to get scoliosis. 坦率地说，最常见的是老年人脊柱关节炎. 这是成年人患脊柱侧凸的常见方式. 但是当大发娱乐想到脊柱侧弯时，大发娱乐通常想到的是由学校护士发现的脊椎弯曲的十几岁孩子. That's called, the most common version of that, adolescent idiopathic scoliosis, 它也很常见，但不像老年人的退行性痴呆那么常见.
How Common is Scoliosis?
Dr. Miller: So we hear that a lot of people have scoliosis. 大多数人都没有问题，他们只是带着脊柱侧凸生活吗?
Dr. Brodke: Absolutely. In fact, 大多数患有脊柱侧凸的儿童和成人通常会发现他们患有脊柱侧凸因为他们被评估的是不同的问题在评估之前从未真正知道他们患有脊柱侧凸这对他们没有任何影响.
Scoliosis Progression
Dr. Miller: 这不会改变他们的生活方式，不会影响他们的生计.
Dr. Brodke: Exactly.
Dr. Miller: And it doesn't progress?
Dr. Brodke: It doesn't progress in most people.
Dr. Miller: 你提到的另一种脊柱侧弯是由关节炎引起的, 随着患者年龄的增长，这听起来更令人担忧.
Dr. Brodke: It can be. It can also be fairly benign. 这可能是一个偶然的发现当有人正在评估腰痛, for a muscle strain, for example, 这可能与腰痛无关. Alternatively, 这可能与病人腰背部的问题有关, for example, when there's involvement of nerve compression, and we often see that in degenerative scoliosis.
When to Seek Treatment for Scoliosis
Dr. Miller: 脊柱侧凸的病人没有任何问题, I suppose they would not need to see anyone. When would a person with scoliosis need to see a spine surgeon such as yourself? Would it be because of pain or limited mobility?
If You're Worried About It
Dr. Brodke: 可能有两个主要原因，第三个原因很常见. I'll start with that third. 常见的原因是因为他们对此感到担忧. 他们不太了解这种病，他们想和经常治疗这种病的人谈谈，希望得到更多的信息. 这是一个很常见的看医生的原因，这是一个完全有效的理由. 大多数的预约都是为了对病人进行教育和保证他们不会进行手术干预.
如果你失去平衡或出现其他症状
有时，脊柱侧凸可能是一个问题，应该由一个专家看到，治疗和操作脊柱侧凸. Probably the most common in adults, the adult scoliosis form, is when the patient feels very out of balance, 要么向前走，要么侧着走，他们无法站直, 或者他们感觉疼痛向腿部扩散或者他们的腿麻木无力他们不能做他们想做的事情.
Treating Scoliosis
Dr. Miller: So treatments would include graded therapy. 所以你要开始保守治疗还是需要进行手术治疗?
Medications & Physical Therapy
Dr. Brodke: We will almost always start conservatively with physical therapy and medications like ibuprofen or naproxen, anti-inflammatory medicines, 有时大发娱乐会升级到硬膜外类固醇注射或者对疼痛进行更积极的治疗. 如果这些都失败了，大发娱乐可能会讨论手术.
Surgery
Dr. Miller: 所以一小部分脊柱侧凸患者会进行手术?
Dr. Brodke: That's correct.
Last Thoughts
Dr. Miller: So to wrap that up for our audience, 脊柱侧弯是一种很常见的疾病尤其是在年轻患者或年轻人中, and usually is not progressive, does not cause symptoms, 而你却安然无恙地生活在其中. But in some people it is problematic. 它会损害身体机能，引起疼痛，因此你会看到 spine specialist 他们会开出不同于保守疗法的不同疗法, 包括物理治疗和非阿片类镇痛药，如布洛芬和萘普辛, and then a few would need surgery ultimately.
Announcer: Have a question about a medical procedure? Want to learn more about a health condition? With over 2,000 interviews with our physicians and specialists, 你很有可能会找到你想知道的. Check it out at TheScopeRadio.com.
updated: June 25, 2019
originally published: June 14, 2016
