Dextroscoliosis information: Causes, Symptoms, TreatmentsThe vertebral column is composed of spinal bones that are arranged in a specific manner to absorb shock and allow for fluid movements. Natural curvatures of the spine are seen within the cervical, thoracic, lumbar and sacral vertebrae. However, in some cases the vertebral column may be abnormally curved to the side. This sideward curvature of the vertebral column is known as scoliosis. Specifically, curvature of the spine towards the right is called dextroscoliosis.
In this article, we shall take a brief look at this clinical condition, discussing the clinical symptoms and how to treat it.
What it Dextroscoliosis?Is curvature of the vertebral column to the right. It is an abnormality that may be present since birth but can develop later on in adult hood due to various disease processes. Certain congenital conditions such as muscular dystrophy and Marfan's syndrome are also associated with scoliosis. If the scoliosis results in the spine being curved to the right, it is dextroscoliosis.
Dextroscoliosis is commonly seen at the thoracic level of the spine, which is called Thoracic Dextroscoliosis
Dextroscoliosis SymptomsPatients who are born with this defect often do not complain of any symptoms. However, there are clear abnormalities on examination of the patient. In particular, the spine is curved to the right and the corresponding scapula is prominent. One side of the hip is elevated above the other. Patients notice difficulty performing certain day-to-day activities such as bending down and twisting around.
The impact that dextroscoliosis has is not just limited to the vertebral column. The organs within the chest cavity can also be displaced as a result of this. In other words, the lungs may not be able to expand to their maximum capacity during inspiration and consequently patients may feel slightly breathless. The heart may be abnormally positioned as well.
DiagnosisA clinical diagnosis can be easily made from examination of the patient. However, further tests may be required to ascertain the degree of dextroscoliosis. Tests can include an x-ray of the spine and if required more specialised tests such as a CT scan and MRI scan.
Dextroscoliosis TreatmentsMild cases do not require any specific treatment. Exercises can help keep the spinal column mobile and allow patients to lead their lives normally. In young adults and even in children, a spinal brace may be offered that can help correct the position of the spine as the child grows up.
However, in more severe cases, surgical correction may be required. This involves removing parts of the vertebral column and fusing them together in an attempt to realign the spine. Results are generally very good and patients can get back to their activities of daily living with the aid of physical therapy and regular exercise.
The approach to management must also involve a psychology team. This is because a large proportion of patients may experience a distorted body image and psychological stress due to low self-esteem.