Does your child have a Pediatric Spinal Disorder?

Does your child have a Pediatric Spinal Disorder?

Pediatric Spine Overview

There are a number of different spinal conditions that can affect babies, children, and adolescents. Whether this condition is present from birth, develops as they get older, or is caused by a traumatic injury or disease, it can be a challenging experience for both the child and their parent.

The effects of pediatric spinal conditions can be seen and experienced in different ways. Some conditions can affect mobility and the individual’s ability to move around in the world. This can interfere with their ability to participate in interactive play with their peers, which is an important aspect of human development. Other conditions affect the neurological component of development, which can disrupt coordination and negatively affect the growth and function of the nerves and spinal cord.

Whatever the cause, it is important to seek the assistance of a medical professional regarding any childhood conditions of the spine. These ages are a crucial time in skeletal development, and arguably the best time to deal with any skeletal problems. Once a person has reached adulthood, altering the bones becomes a much more difficult, and sometimes invasive, task. The award-winning doctors at the Advanced Spine Center have years of experience in treating complicated and multifaceted spinal disorders in children. You can trust them to work with you and your child one-on-one to develop an individualized treatment plan.

Types of Pediatric Spine Conditions

There are many different types of spinal disorders that can affect infants, young children, or adolescents. Some of the most common of these include:  

Spina Bifida: With three levels of severity, spina bifida is a deformity in the growth of the vertebrae that surround the spinal cord. In the most severe cases, the spinal nerves may bulge out of the back, possibly even becoming exposed through the skin. This instability, due to spinal cord malformation, can lead to muscular degeneration and spasms, as well as abnormal spinal curvature.

Scoliosis: Scoliosis is the abnormal curvature of the spine, typically from side to side in an s-curve or in one large c-curve. The spine can also twist in connection with this abnormal curvature. More often seen in female children and adolescents, the severity of this curve can vary greatly. Elements (such as genetics or neuromuscular disruptions) often direct the trajectory of how this spinal deformity will develop.

Scheuermann’s Disease: This condition appears in children and adolescents and is similar to kyphosis in that it causes an exaggerated hump in the thoracic spine. Rather than caused by age-related degeneration, Scheuermann’s disease is caused by the abnormal growth of spinal bones. Nerve compression caused by this condition can cause painful symptoms.

Split-Cord Malformation: Split-cord malformation is just as it sounds; the division of the spinal cord into two separate cords. There can sometimes be a bony fragment that runs up in between these two cords, practically forming two spinal canals instead of one. Tethered cord may occur, leading to neurological complications as the spinal cord embeds in surrounding tissues.

Spondylolysis: As it occurs in adults as well, spondylolysis is what we would consider a fracture of the bones due to stress. In children and adolescents, this is most often caused by repetitive use of certain joints, especially the lower back. Those who participate in sports such as gymnastics, rowing, and football may experience this painful condition.

Didn’t see your child’s condition mentioned on this list? Don’t fret: Our team of orthopedic surgeons at the Advanced Spine Center ranks among the best spinal surgeons for pediatrics in the world! Our surgeons are internationally recognized for diagnosing and correcting the most complex pediatric spine cases known to orthopedic medicine.

Causes of Pediatric Spine Conditions

The list of possible causes for pediatric spine conditions is many, with congenital causes falling near the top of the list. Congenital is a term that refers to those who are born with a particular condition, or the genes for a condition. Symptoms of the condition may show up at birth, while others may appear later in childhood. This is especially common with scoliosis, as it tends to appear in late childhood into adolescence. Tests can be performed while a baby is in utero to check for possible congenital spine conditions.

Another broad, categorical source of pediatric spine conditions is neuromuscular, often stemming from neuromuscular conditions such as spina bifida and cerebral palsy. These specific diseases affect the spinal cord and nerves, which can lead to long-term muscular issues. Muscles can develop in abnormal directions or become spastic and weak. This in turn can cause the vertebral column to form abnormally, leading to scoliosis, kyphosis, or other skeletal challenges.

For others, the trigger for the development of a pediatric spinal condition may be completely idiopathic, or unknown.

Additional possible causes for pediatric spinal conditions are as follows: bone dysplasia (abnormal bone growth), variation in leg lengths, spinal cord injury with a degree of paralysis, cancer and tumors, or spinal infections such as meningitis.

Pediatric Spine Treatment Options

Bracing

Bracing involves the use of external supports or traction of the neck and/or back. Braces can be used in both the long-term (to influence the developing shape of the spine) or in the short-term (to provide additional stability and to prepare for surgery).

Physical Therapy

Physical therapy is an important aspect of treatment for children and adolescents. It can help developing bodies to build and maintain muscle strength, teach children skills for daily life, and even boost self-esteem that may be negatively affected by a spinal deformity.

Decompression surgeries, such as foraminotomies and laminectomies, are minimally invasive procedures that can be used to remove bony material that may be compressing nerves and causing pain or other neurological symptoms.

Decompression surgeries, such as foraminotomies and laminectomies, are minimally invasive procedures that can be used to remove bony material that may be compressing nerves and causing pain or other neurological symptoms.

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