Scoliosis
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Synopsis
Lateral curvature of the spine measuring 10 degrees or more on x-ray, in an S or C shape. Depending on severity, the spine may be rotated, causing abnormal rib cage structure. Most cases are mild with no symptoms and do not require treatment. Some patients will present with neck or shoulder pain, uneven hips or shoulders, and altered rib cages. Females are predominantly affected and represent the most severe cases.
Scoliosis types are based on etiology. Idiopathic scoliosis is the most common. It is usually diagnosed in adolescence, but can also be diagnosed in juveniles or infants. Neuromuscular scoliosis is associated with conditions such as cerebral palsy, myopathy, and spina bifida. Congenital scoliosis is the rarest form. It is present at birth and is caused by incomplete prenatal spine development. In rare instances, early severe progressive scoliosis is associated with an autosomal recessive deficiency in sensation due to a mutation of PIEZO2. Adult degenerative scoliosis is associated with age-related degeneration of disks and joints.
In cases that require treatment, braces are the mainstay of therapy. Severe cases may require surgery.
Scoliosis types are based on etiology. Idiopathic scoliosis is the most common. It is usually diagnosed in adolescence, but can also be diagnosed in juveniles or infants. Neuromuscular scoliosis is associated with conditions such as cerebral palsy, myopathy, and spina bifida. Congenital scoliosis is the rarest form. It is present at birth and is caused by incomplete prenatal spine development. In rare instances, early severe progressive scoliosis is associated with an autosomal recessive deficiency in sensation due to a mutation of PIEZO2. Adult degenerative scoliosis is associated with age-related degeneration of disks and joints.
In cases that require treatment, braces are the mainstay of therapy. Severe cases may require surgery.
Codes
ICD10CM:
M41.9 – Scoliosis, unspecified
SNOMEDCT:
298382003 – Scoliosis deformity of spine
M41.9 – Scoliosis, unspecified
SNOMEDCT:
298382003 – Scoliosis deformity of spine
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Last Updated:11/27/2023