How back injuries are treated in childhood
In Guiainfantil.com we tell you what are the treatments to follow for the most common back injuries in childhood: spondylitis, kyphosis, lordosis and scholiasis. We tell you how to detect them in time, because before the child suffers from discomfort and back pain, the premise of prevention and earl
In Guiainfantil.com we tell you what are the treatments to follow for the most common back injuries in childhood: spondylitis, kyphosis, lordosis and scholiasis.
We tell you how to detect them in time, because before the child suffers from discomfort and back pain, the premise of prevention and early attention are essential.
Treatments for back injuries in children
1. Ankylosing Spondylitis and Spondylolisthesis. In general, it requires only symptomatic treatment such as analgesics or anti-inflammatories and / or some type of lumbar orthosis that holds the area well. Depending on the physiognomy of the child, they can carry whales for greater support and accommodate to the extent of their lumbar capacity, that is why these patients should be attended by a qualified orthopedic technician who measures and adapts the person with the most suitable orthosis. And only very rarely does it require surgery to join both parts of the vertebra.
How to detect it? Parents begin to see this pathology when the child does not walk completely upright, but is slightly flexed by the lower back, when there is a lameness not related to limb dysmetria, when our children warn us of the pain they suffer in this area and does not return with medication and is recurrent even if it is resting.
2. Kyphosis. The treatment depends on the degree of curvature: in mild cases it is treated with stretching physiotherapy and corrective orthopedic braces to help us correct posture. In more severe cases with special corsets and only very severe cases may require corrective surgery. An orthopedic brace can prevent kyphosis from getting worse sostener and hold the person's back while growing, but can not fix kyphosis permanently. If you need to wear a corset, the traumatologist will talk with the child and your parents about what type of corset is best for him. Some types of orthopedic brace are used only at night, while others are designed to be worn day and night. Orthopedists, along with doctors, are constantly looking for ways to improve the design of corsets for children. Therefore, orthopedic corsets are becoming lighter, more comfortable and easier to carry. If a corset is needed, such as the swan corset, it is important that it be used properly, or else it will not work as it should. When the spine stops growing, it is most likely that the kyphosis stops causing problems and no longer need the corset.
3. Lordosis:We will look at a child who has a marked lordosis, when lying on his back on a hard surface, shows a space between the lower back and the surface on which he is lying. If the lordotic curve is flexible, that is, that it returns to its normal shape when the child leans forward, it is a sign of minimal medical importance; but if the curve is fixed, a medical evaluation must be carried out. The pediatrician will guide us on the exercises that we must perform to increase the flexibility of the pelvic area and in some cases, even reduce the curvature.
It is very important to emphasize in this section that the body of the children, especially between 0 and 5 years old undergoes many physical changes that are normal and do not have to produce future pathologies. For example, children of approximately 12 to 36 months have a pronounced lumbar lordosis and a prominent belly that will regulate with growth. 4. Scoliosis:
Scoliosis treatments are diverse and depend mainly on the curvature and rotation of the vertebrae. The most common is the orthopedic brace, of which there are many types and the pediatrician along with the orthopedic surgeon is the one who should value and recommend the best type of corset. We will name the main types of customized thermoformed corsets such as: Cheneau, Milwaukee, Malaga, Boston, etc.The evolution of these corsets in the children's plane is very extensive, in the past plaster corsets were used and they had to be changed every 6 months, this was obsolete and ineffective, and it evolved to thermoformed lining in the interior
, until today in day where the best evolution of the child has been verified and the correction or braking of the scoliosis with dynamic corrective corsets that "grow" with the patient, for example the Spinecor corset, treatment much better accepted by the children since it offers an almost total freedom movement, allowing the child to continue practicing sports and participating in normal day-to-day activities, being also very discreet under clothing, improving their self-image (element to be taken into account in these ages where child cruelty is on the rise and the need to belong to a group in school is so valued). The last treatment resource for scoliosis is surgery, taking place today in 1 of every 23 patients and only when scoliosis is very severe, when it worsens very quickly or when there is a very important deformity of the child's trunk .