Spinal curvature

Introduction Spinal curvature means that one or more segments of the spine are bent laterally from the midline of the body in the coronal plane to form a curvature of the spine, usually accompanied by rotation of the spine and kyphosis or protrusion of the sagittal plane. The increase or decrease, as well as the ribs around the height of the ribs, the rotation of the pelvis and the ligaments and muscle abnormalities of the paravertebral, it is a symptom or X-ray sign, can be caused by a variety of diseases. Such malformations occur mostly in the thoracolumbar or lumbosacral segments, and the curvature appears early and develops rapidly. Generally, patients with 3 to 4 years old can have more significant deformities.

Cause

1. Attitude and functional spine curvature: often caused by some incorrect posture, often found in school-age children. This type of spinal curvature is not severe, when the patient is lying down or holding the horizontal bar with both hands. Malformations can disappear automatically.

2. Neuropathological spinal curvature: due to polio, neurofibroma, syringomyelia, cerebral palsy, etc. caused by imbalance of muscle tension. The younger the patient's onset age, the more severe the deformity of the bend.

3. Chest pathological spinal curvature: juvenile irritable or tuberculous pleurisy, excessive thickening of the rib pleura and contracture; or thoracoplasty in childhood, disturbing the balance of the spine during development. Can cause the curvature of the spine.

4. Osteoporotic spinal curvature: Osteoporotic vertebrae deform, so that the intervertebral space is not equal, which will cause the curvature of the spine.

5. Malnutrition Spine Bending: Spinal curvature can also occur in children with rickets due to vitamin D deficiency.

an examination

Related inspection

Spinal MRI examination of human leukocyte antigen B27 (HLA-B27) mammography

First, the symptoms: patients with spinal curvature may have the following symptoms, such as back pain, indigestion, loss of appetite, accelerated heart rate, palpitation, shortness of breath, fullness of chest and abdomen, muscle weakness of limbs, sensitivity of limbs, and short trunk. Physical strength is weak.

Second, physical signs: After the doctor's examination will find the following signs, such as a vertebrae deviated from the midline, the sternum shoulder deviated from the midline, the shoulders are not equal, the back is not equal, the pelvis is not equal, and the lower limbs are not equal. Semi-vertebral, wedge-shaped vertebral bodies, butterfly vertebrae, vertebral arches and their accessory structures are underdeveloped.

Differential diagnosis

1. Scoliosis usually occurs in the cervical spine, the thoracic vertebra, or the spine between the chest and the waist, or it can occur separately in the lower back. The scoliosis appears on the side of the spine and is in the "C" shape; or on both sides, in the "S" shape. It reduces the volume of the chest, abdomen and pelvic cavity and also reduces the height.

2. Scoliosis: Scoliosis means that one or more segments of the spine are bent laterally from the midline of the body in the coronal plane to form a curvature of the spine, usually accompanied by rotation and sagittal rotation of the spine. Increase or decrease of kyphosis or protrusion on the surface, as well as uneven ribs, rotatory malformation of the pelvis and abnormalities of the ligaments and muscles of the paravertebral. It is a symptom or X-ray sign. Caused by the disease.

3. Posterior spine: The posterior process of the spine means that one or more segments of the spine are bent backwards from the midline of the body in the coronal plane, forming a curvature of the spine, usually accompanied by the rotation and sagittal plane of the spine. Increase or decrease of the posterior bulge or protrusion, as well as the ribs of the ribs, the rotation of the pelvis and the abnormalities of the ligaments and muscles of the paravertebral. It is a symptom or X-ray sign and can be caused by various diseases. cause.

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