View Full Version : Curve Estimate

15-10-2012, 04:13 PM
:o Hi Dr Scoliosis,

I have booked in to see a specialist about my scoliosis however it is quite a lengthy wait. Are you able to estimate the degree of my curve? I dont know how to measure a cobb angle accurately and I am very interested as to the degree, so i can prepare myself for the specialist appointment.

My xray image is here, they didnt do a very good job of the xray i am afraid. please see here ---> http://tinypic.com/r/iojhu9/6

Also, how long post-surgery do office workers return to work on average? given that they are healthy, fit, non-smoker with decent muscle mass, age 24? Obviously everyone is different but is it likely to be a month or a year?

Thank you so much for you help. I am so nervous about the appointment.:sad:

Dr Scoliosis
19-10-2012, 05:02 PM
Thank you for your enquiry.

The erect x-ray of your spine shows your curve measures in the order of 30 degrees by the Cobb technique but, more important, you are quite out of balance to the right. This is why your left hip is more prominent than your right. Further, the x-ray suggests that you have a slight difference in your leg lengths, which is accentuating the hip prominence.

The decision to treat scoliosis of the type you have is influenced by many factors. It is not the degree of the curve alone. Being out of balance, such as you are, is an unfavourable long-term sign. It is well to remember that the object of the surgery is to put your spine back in balance so that your head is centred over the pelvis. Otherwise the distribution of weight on the lumbar intervertebral discs is uneven. A simple analogy is that the tyres on a car wear out more quickly if the wheels are not aligned. If the spine is out of balance then this does predispose to wear and tear changes which can be demanding symptomatically.

In view of your concerns, it would be very reasonable for your family doctor to request an earlier consultation. Most patients manage far better when they know exactly what they confront and surgeons tend to have a fairly fixed routine for different types of curvature treated in a variety of fashions. There is no one set of rules which fits all post-operative care periods in fusion for scoliosis.

I regret I cannot be more helpful to you on this occasion.

Dr Scoliosis

19-10-2012, 05:09 PM
Thank you for your help :) I really appreciate it.
I will try to get an earlier appointment. I know it depends on my specialist but under normal circumstances do you think that surgery would be recommended for me?

Also, I have early menopause (I am 24 with primary ovarian failure) and I worry that low oestrogen will be problematic to my scoliosis in the future. I am on hormone therapy but so far it hasnt been able to correct any of my hormone results. My bone density is still within normal range however.

I am not sure how this will impact my scoliosis and whether it will influence whether or not I will be put forward for surgery?

Thank you so much.

Dr Scoliosis
22-10-2012, 04:30 PM
Further to my previous post I state again that whether or not your curve comes into the surgical category depends on many factors and a full examination and so on is required to put forward balanced advice.

There is no evidence that low oestrogen levels are linked with the onset or progression of scoliosis. The major hormonal influence of the development of so-called idiopathic scoliosis is growth hormone and that is why curves progress during the rapid growth spurt in girls, which is between 11 and 13 years of age. The average age for the onset of periods in Caucasian girls is 13 years and 4 months of age. Hence, the growth spurt occurs well before menarche.

I think it is fair for you to assume your ovarian insufficiency will not influence treatment decisions.

Dr Scoliosis