Scoliosis has become the third most high-incidence disease that endangers children's health, and Jiangcheng experts say that early detection and early treatment are the key

Jimu news reporter Li Manying Liu Xun

Correspondent Gao Chenchen JingTong

In recent days, the topic of "scoliosis of more than 5 million primary and secondary school students in China" has rushed to the hot search, and after becoming obese and myopic, it has become the third highest incidence of diseases in children and adolescents in China, and has increased at a rate of about 300,000 per year.

Jimu News reporters visited many hospitals in Jiangcheng and learned that many children and adolescents in Hubei Province also found scoliosis. In this regard, experts remind parents not to be too nervous, help children develop good living habits, early detection and early treatment is the key to preventing and coping with scoliosis.

A 5-year-old girl's curvature compresses the lungs

5-year-old girl Rui Rui lives in Huanggang, when she was 2 years old, she suddenly turned around when she was playing with toys on the bed, and her father accidentally found that the child was abnormal, and her back was bent when she came over. The father was so anxious that he rushed to the local hospital with his daughter, and after careful diagnosis by the doctor, the child was diagnosed with scoliosis, that is, the spine could not stand upright, and it was 15 degrees lateral than normal. After that, the father took his daughter to do conservative treatment, but the effect was not good.

Rui Rui's body is bent, and he walks "one foot deep and one foot shallow", and he can't run and jump. In kindergarten, other children do not want to play with her, she can only watch the children play. As her illness became more and more serious, Rui Rui's lungs were squeezed badly, which made her often suffer from pneumonia and always had to run to the hospital. Speaking of this, Mr. Tian's heart ached.

In May 2018, experts from Wuhan Children's Hospital went to the local area for free screening of children with congenital structural deformities, only to discover Rui Rui's condition. Rui Rui's father said that his daughter's shoulders could not be balanced, her back could not stand upright for many years, her hands could not hold objects strongly, and her feet could not walk smoothly. Eventually, she was transferred to Wuhan Children's Hospital for surgery.

Shen Xiantao, director of the orthopedic department of the hospital, introduced that the doctor adjusted the curvature of Rui Rui's spine by 50% through growth induction technology, and through the X-ray of Rui Rui after surgery, it can be seen that the spine has no longer oppressed the lungs, the entire body shape has changed greatly, and it has also "grown" 3 cm, and the correction effect is very good. Now, Rui Rui has been treated for more than 3 years, her back has been "straightened", and she can play normally like a child, and her father is very pleased.

Early detection of scoliosis is important

Jimu News reporters learned from the orthopedic department of many hospitals in Jiangcheng that from the clinical reception data, the proportion of scoliosis in adolescents has increased in recent years.

So what exactly is scoliosis? Zhou Zhiguo, deputy chief doctor of the Department of Orthopedics of Wuhan Children's Hospital, introduced that scoliosis is a common name for scoliosis, and the spine of normal people should be a straight line from behind, and the sides of the trunk are symmetrical. If you look at the shoulders from the front or see the back uneven left and right, it may be scoliosis. If scoliosis is greater than 10 degrees, if 10 to 20 degrees can be treated conservatively, go to the hospital for professional sports training guidance, at least once a month, and review spinal X-rays every 6 months; if it is 40 degrees, wear braces and undergo sports training and physical therapy; once it is greater than 40 degrees, it is necessary to undergo surgery.

"Judging from the admissions, the incidence of scoliosis in children and adolescents is about one in a thousand." Li Fan, director of the Department of Pediatric Orthopedics of Wuhan Fourth Hospital, introduced that children with scoliosis were found to be of all ages, and children of different ages often came to see different types of scoliosis deformities. In Wuhan Children's Hospital, which is also concentrated in 10 to 15 years old, the orthopedic surgery department of the hospital currently corrects the spine of more than 40 children with severe scoliosis every year and successfully recovers.

Li Fan said that children with congenital scoliosis deformity are often younger, and most of the children who come to the clinic are under 5 years old; those who suffer from idiopathic scoliosis are often "big children" after the age of 10, and the children at this stage develop faster, the deformity becomes obvious, and parents will come to the doctor after discovering it; the children who cause scoliosis due to personal bad living habits are mostly school-age children, mainly concentrated in primary school students and junior high school students above the 4th grade, which is related to their sedentary, Poor sitting posture and relatively heavy study load have a certain relationship.

Urge your child to sit in a correct posture and exercise more

The 2020 Clinical Practice Guidelines and Pathway Guidelines for Scoliosis Screening in Adolescents in China point out that it is recommended to use three or more screening methods as screening methods for scoliosis, among which there is a rapid screening method of visual inspection and anterior flexion method suitable for home self-examination. Zhou Zhiguo said that the deformation of the spine can lead to uneven shoulders and backs, deformities of the thoracic cage, tilt of the pelvis, long and short legs, etc., and these parents can detect changes with the naked eye.

Zhou Zhiguo reminded that once the shape of the spine changes, the harm in future life and movement can not be as simple as hunching the chest. Scoliosis leads to a decrease in the volume of the chest cavity, which also affects ventilation and blood circulation, and respiratory disorders such as shortness of breath and wheezing. If the child's shoulders, back and waist are in an unbalanced state for a long time, over time, serious symptoms such as nerve damage, nerve compression, limb sensory impairment, numbness in the lower limbs, abnormal bowel movements, and hydronephrosis will occur over time.

Li Fan said that there are many causes of scoliosis, some of which can be prevented, most of which are caused by congenital or other objective factors. He reminded parents to pay attention to observe whether the child's back is straight, whether the shoulders are the same height, if the paresthesia, to take the child to a professional medical institution in time to confirm whether there is scoliosis, so as to achieve early detection and early intervention and early treatment. At the same time, in ordinary life, help children develop a good sitting posture, remind children to "sit like loose", participate in more sports, more outdoor sports, increase exercise and balance ability, do not sit still for a long time, these can effectively prevent scoliosis.

Li Fan suggested that when the doctor recommends that the child do surgery after evaluation, parents should try not to wait and let the child receive the operation as soon as possible, so as not to miss the time for treatment. At the same time, he reminded that brace orthopedic treatment is a long and somewhat painful process, treatment must be adhered to, do not discount during the period, nor can it be played arbitrarily, only in this way, it is possible to obtain a good therapeutic effect.

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