Real doctors of HROT

[Hoosierhawkeye]

My oldest had a checkup recently and got flagged as a scoliosis concern. So he got an X ray.

What's this all mean?

Mild biconvex thoracolumbar curvature, less than 10 degrees.

Mild thoracic dextrocurvature of approximately 5 degrees.
Mild lumbar levocurvature of approximately 8 degrees.
Apparent curvature of the cervical spine appears positional.

Patient is Risser classification 0

 

[Colonoscopy]

My oldest had a checkup recently and got flagged as a scoliosis concern. So he got an X ray.

What's this all mean?

Mild biconvex thoracolumbar curvature, less than 10 degrees.

Mild thoracic dextrocurvature of approximately 5 degrees.
Mild lumbar levocurvature of approximately 8 degrees.
Apparent curvature of the cervical spine appears positional.

Patient is Risser classification 0

Risser seems to refer to skeletal maturity.

 

[Hoosierhawkeye]

I did a little googling myself, my wife couldn't figure it out.

It sounds to me like we're going to have to harp on him about sitting up straight and standing up straight.

 

[at4iowa]

My oldest had a checkup recently and got flagged as a scoliosis concern. So he got an X ray.

What's this all mean?

Mild biconvex thoracolumbar curvature, less than 10 degrees.

Mild thoracic dextrocurvature of approximately 5 degrees.
Mild lumbar levocurvature of approximately 8 degrees.
Apparent curvature of the cervical spine appears positional.

Patient is Risser classification 0

Curves less than 10 degrees are normal and don't even meet the definition of scoliosis. Small curves are common and have no clinical significance. Usually, no follow-up other than routine screening at well-child visits is needed. Repeat imaging is not indicated unless there is more curvature on exam or pain.

The Risser classification of 0 just basically means that your kid has a lot of growing left to do. If he had significant curvature and a Risser score of 0, that would be concerning because it would mean that he already has a curvature and it will likely get worse because he has a lot of growing left to do. If there isn't a lot of curvature (there isn't) then we don't worry so much about the Risser classification. I would generally reassure you that this will not be a big deal for him.

 

[bdcolt45er]

I did a little googling myself, my wife couldn't figure it out.

It sounds to me like we're going to have to harp on him about sitting up straight and standing up straight.

I don't think telling him to stand up straight will have any affect on his spine curvature.

I think you will be told that there is nothing to be done. Just monitor.

 

[Hoosierhawkeye]

Curves less than 10 degrees are normal and don't even meet the definition of scoliosis. Small curves are common and have no clinical significance. Usually, no follow-up other than routine screening at well-child visits is needed. Repeat imaging is not indicated unless there is more curvature on exam or pain.

The Risser classification of 0 just basically means that your kid has a lot of growing left to do. If he had significant curvature and a Risser score of 0, that would be concerning because it would mean that he already has a curvature and it will likely get worse because he has a lot of growing left to do. If there isn't a lot of curvature (there isn't) then we don't worry so much about the Risser classification. I would generally reassure you that this will not be a big deal for him.

Ok that's good.

Scary that he has a lot of growing to do. I mean I kind of knew that because he's only 11. But he's already up to my chest and I'm 6'1" Kid will probably be at least 6'3" when he finishes growing.

His younger sister is like an inch shorter than him and a year younger. I figure on her being between 5'10" and 6'

 

[Colonoscopy]

Thread hijack. How unusual is adult onset scoliosis? I had a chest X-ray back in January and it said I had scoliosis. (Upper part of spine) Looking at the curvature it doesn't look severe.


Prior to that don't remember ever being diagnosed...granted, first bit of imaging that would diagnose it as far as I know.

In recent years I've been doing a lot of standing military presses. Any way that might've tweaked things out?

Also found out I have military neck via an MRI recently.

 

[KFsdisciple]

I can't be the only one who read the title and immediately thought "Real Men of Genius"

 

[QChawks]

he has a lot of growing left to do so I wouldn't be overly concerned right now, although I would make sure he tries to maintain good health and flexibility. it's usually a hereditary trait.

as someone with a 30+ degree, mine really worsened in late high school/early college years. a lot of surgeons have wanted to open me up but I can do everything I want with pain meds