Live Discussion with Dr. Manoj Miglani
Questions doctors asked during the Jivo Masterclass on Adolescent Idiopathic Scoliosis, taught by Dr. Manoj Miglani, Principal Director - Orthopaedics, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India, on . Written by Jivo Healthcare from the transcript of the session, drafted with AI assistance and edited by the Jivo team.
Is adolescent idiopathic scoliosis hereditary?
Asked by Dr. Omudu
In adolescent idiopathic scoliosis, a hereditary or familial presence is seen in around 30% of cases. Congenital scoliosis, and some neuromuscular or syndromic scolioses especially, have a greater chance of being hereditary.
Answered by Dr. Manoj Miglani
For a patient under observation with a curve between 10 and 20 degrees, is it acceptable to start rehabilitation exercises, or should one wait?
Asked by Dr. Michael
If the curve is between 10 and 20 degrees, the only thing to do is focus on exercises that keep the back muscles healthy and avoid extremes of posture. The age of the child and the Risser sign decide how often to follow up with X-rays: every 3 months, 6 months or one year. No intervention is needed for a curve of 10 to 20 degrees.
Answered by Dr. Manoj Miglani
You said between 3 to 6 months for the X-ray follow-up. Can you clarify how that's decided?
Asked by Dr. Paul Kambala
If the child is young, say 10 years old with a 20-degree deformity, X-rays should be done every 3 months since they are likely to progress more. If the child is 13-14 years old with the same 20-degree curve, X-rays every 6 months to a year are enough, just to confirm the deformity isn't progressing rapidly.
Answered by Dr. Manoj Miglani
Since the cause is unknown, is there any preventive measure, such as exercises at school, bed positioning or diet, that can help avoid developing idiopathic scoliosis?
Asked by Dr. Paul Kambala
No, there are no preventive measures for idiopathic scoliosis, because we do not know why it happens. For congenital scoliosis, prenatal scans done while the child is in utero can pick it up, and the family can then decide with their obstetrician how to proceed if the deformity is serious. For idiopathic scoliosis, the only advice is that the child should stay active, moving around and playing, as children usually do.
Answered by Dr. Manoj Miglani
A participant asks about his own post-traumatic scoliosis, with a Cobb angle of 22 degrees: should he wear a removable brace?
Asked by Moderator
If this is post-traumatic scoliosis of around 22 degrees and there is no pain in that area of the spine, no bracing is needed. The curve is unlikely to progress: if it is not causing pain, it has already stabilised in its position, and nothing really needs to be done for 22 degrees of deformity.
Answered by Dr. Manoj Miglani
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