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Your Kids' Shoulder Has Different Heights, Scoliosis ?

by. Tim Dr. Eko Agus Subagio, Sp. BS - Spine (Tulang Belakang), Dokter Saraf Kecetit
24 June 2015
Your Kids' Shoulder Has Different Heights, Scoliosis ?

Scoliosis is not a disease, but rather it is a term used to describe any abnormal, sideways curvature of the spine. Viewed from the back, a typical spine is straight. When scoliosis occurs, the spine can curve in one of three ways:

  • The spine curves to the side as a single curve to the left (shaped like the letter C), called levoscoliosis
  • The spine curves to the side as a single curve to the right (shaped like a backwards letter C), called dextroscoliosis
  • The spine has two curves (shaped like the letter S).

The Scoliosis Research Society has declared June to be the National Scoliosis Awareness Month, emphasizing that early detection and bracing is key to help sufferers avoid a lifetime of complications.

Recent scoliosis data

Facts and data about scoliosis include:

  • Scoliosis affects 2%-3% of the American population (7 million people).
  • It is the most common spinal deformity in the country.
  • It affects people of all races, ages, and socioeconomic classes.
  • Scoliosis is diagnosed equally among males and females, although females with scoliosis are 8 times more likely than males to have a curve that requires treatment.
  • It usually starts between the ages of 10 to 15.
  • It requires medical attention in ? of diagnosed children.
  • Scoliosis has no identifiable cause in 85% of the cases.

Importance of scoliosis awareness

Catching the beginning of scoliosis in children and teenagers ensures the most option for treating the curvature and slowing or stopping the progression. Children's bones are not yet fully hardened, so non-surgical treatments like bracing are frequently employed. These interventions attempt to correct existing abnormalities, and in severe cases to delay the need for surgery until the child is older.

Scoliosis screenings

Most students are given the Adam?s Forward Bend Test routinely in school, typically when they are in 5th and/or 6th grade, to determine whether or not they may have scoliosis. However, the Scoliosis Research Society warns many schools are stopping the screenings.


Early screening is key to successful treatment.

As long as the child is regularly seeing a pediatrician, he or she will be screened.

The test involves the student bending forward with arms stretched downward toward the floor and knees straight, while being observed by a health care professional. This angle most clearly shows any asymmetry in the spine and/or trunk of the adolescent?s body. The health care professional is looking for abnormal appearance in the spine, hips, and shoulders, specifically:

  • A hump or uneven appearance in the rib cage
  • Any lateral deviation in the spine (asymmetry)
  • Shoulders at different heights
  • One hip more prominent than the other


What should you do if you suspect you or your child has scoliosis?

Make an appointment to have your child evaluated by a physician. If a visual/external exam indicates an abnormal spinal curve, the doctor will probably order an X-ray or, if the patient is a child under the age of 11, an MRI to determine the degree of the curvature. A lateral spinal curve greater than 25 to 30 degrees is considered significant. A curve greater than 45 degrees is severe and requires aggressive treatment.

Let untreated, severe scoliosis can lead to respiratory issues and restricted activity. Most cases of scoliosis are not painful, but certain types can be without a proper course of treatment.

Surabaya Spine Clinic

Klinik Tulang Belakang

Siloam Hospitals Surabaya

Surabaya, East Java Indonesia

Hotline (+62) 0822 3322 7788

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