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6 1/2 yrs old diagnosed

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  • #16
    Mylttlebug,

    Hi, a year ago we were in a similar situation when my then almost 7 year old was diagnosed with scoli. You can see my daughter's specifics in the signature, below. We saw numerous pediatric orthopedists and many said to wait 6 months and then continue to wait until she progressed. I can understand your desire to try and take other actions rather than simply waiting. Especially since there is close to a decade of growth left which can contribute to further progression of the curve.
    That was a choice we made as well. I don't know if it will help (although I certainly hope it will!), but as long as it does no harm and we go in with our eyes open, it's worth a shot. When you are at the stage when they are telling you to wait, it's easier to make a choice to use "alternate treatments" such as spinecor and try physical therapy than when the spine specialists are recommending a particular brace or treatment that you don't want to use. If we had waited - doing nothing- and then she had a big jump in the size of her curve (which I have seen happen with some of the children on these boards) I would always regret that we had done nothing. With spinecor and a little pilates which helps her strengthen her core muscles, maybe we are helping...however, she may still have a large jump in her curve. If so, we'll have to reevaluate what to do going forward but we should be no worse off than if we did nothing. In the short term, though, it was an easy decision. Even if spinecor only delays the progression, at least it buys my daughter a little more time to run around without the restrictions of a hard brace. I figure the $ spent on pilates helps her with her dance anyway as it strengthens core muscles so even if it does nothing for scoli, it's not bad (and she's not doing intense pilates, it's really more to improve her proprioceptive awareness which has always been a weak point of hers aside from scoli). And the $ on spinecor has been worth it in my opinion because for the last year she has been walking around with a reduced curve while in brace. That doesn't mean her curve is "fixed", but at least the "erosion" and/or effects of gravity on a curved spine over time were lessened over the past year. However, going into it we realized that we might be throwing that $ away if spinecor didn't help at all and we had to switch treatments - but that was OK with us. Still, I enter all of this with very realistic expectations and realize we may have to change my daughter's treatment over time (or heck, even next month when she gets her next xray)

    I do think the important thing is to make sure to do no harm. As Carmell pointed out, it would make sense to get the results of the MRI before engaging in chiro and such. I haven't researched the use of chiro in kids, so I don't know anything about the potential risks, but I'm sure you have.

    Anyway, I guess I rambled, but wanted to say Welcome, Good luck, I remember how I felt a year ago when we were in your shoes-it's a tough tough time, but you will all get through it.

    Also, Pam brings up a very good point, that "as dangerous as the quacks, in my opinion, are the orthos who will treat a kid for this even though they're far over their head." In hindsight, I am SO grateful that the first orthopedic surgeon we saw (the one who diagnosed her scoliosis) was confident enough in his abilities to admit that he was NOT the one who should be treating her and that we should be finding a pediatric ortho who specializes in spine and sees kids with juvenile scolio on a regular basis.
    daughter, 12, diagnosed 8/07 with 19T/13L
    -Braced in spinecor 10/07 - 8/12 with excellent in brace correction and stable/slightly decreased out of brace curves.
    -Introduced Providence brace as adjunct at night in 11/2011 in anticipation of growth spurt. Curves still stable.
    -Currently in Boston Brace. Growth spurt is here and curves (and rotation) have increased to 23T/17L

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    • #17
      It's good to have an optomistic view of what is going on with one so young. When mine had their MRI's, they put them to sleep so they would stay still during it. They woke up very cranky and loopy. I wouldn't count on getting the brace molding done the same day. They also take a few weeks to actually construct if it's not a priority.
      Just remember, in some cases, bracing can help keep the spine at a curve that they can live with and not need surgery. For others, as they grow it will keep progressing and they will eventually need surgery.
      Luckily your daughter's curve is bracible and hopefully she won't need surgery.
      But you will need to see a specialist and read up on different proceedures, that way if someone does mention surgery you can be more knowledgable and and decide what is the best treatment to choose.
      Emily

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      • #18
        Hi mylttlebug

        Welcome to the forum. I'm sure this all comes as a shock and it is a lot of information to absorb at once. My daughter was diagnosed at the beginning of this year at age 6, with essentially the same curve as your daughter's (Leah's was measured by radiologist at 30 degrees, 28 by first pedi ortho and 26 by second ortho. They said these are all the same measurement, due to the 5 degree margin of error.)

        I was braced myself for 2 years as a young teen (and really hated it), so I can't imagine trying to keep my daughter braced in any brace for 9+ years. This determination to find an alternative led us to this forum where we learned about VBS.

        I have a couple of thoughts after reading the posts above. You mentioned hoping that she can be cured, and this generated a lot of discussion. A VERY FEW Juvenile Idiopathic Scoliosis cases can have a spontaneous regression. I have read about this in several articles, it is considered rare but possible. I think the one study I read had about 110 cases of JIS. I believe 5 of those were non-progressive and spontaneously resolved. I can pull out the article and cite it if you are interested. The kids this happened to were all younger (5-6).

        Unfortunately, the large amount of growth left in our young kids is usually considered to work against them in terms of higher risk of progression. Since no one has a crystal ball, we have to hope for the best but research and be prepared for the worst.

        I agree with the other posts about the importance of seeking a pediatric scoliosis specialist. You can search through the Scoliosis Research Society (www.srs.org click on 'find a specialist') site to find one in your area. I did a quick search for Juvenile specialists in Michigan and don't think I saw the name Motts, but there are quite a few others in your area. You might want to check this out further, and/or find out if your doc specializes in pediatric spine deformities.

        Good luck with the MRI tomorrow. My daughter did just fine with a 0.5 mg tablet of Ativan--we wanted to avoid using IV anesthesia if possible.
        Last edited by leahdragonfly; 09-07-2008, 12:15 PM.
        Gayle, age 50
        Oct 2010 fusion T8-sacrum w/ pelvic fixation
        Feb 2012 lumbar revision for broken rods @ L2-3-4
        Sept 2015 major lumbar A/P revision for broken rods @ L5-S1


        mom of Leah, 15 y/o, Diagnosed '08 with 26* T JIS (age 6)
        2010 VBS Dr Luhmann Shriners St Louis
        2017 curves stable/skeletely mature

        also mom of Torrey, 12 y/o son, 16* T, stable

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        • #19
          Originally posted by mylttlebug View Post
          I'm new here and my daughter was just diagnosed last week. She goes for her MRI on monday and then hopefully into a brace soon. I guess as soon as they can from what I here they are pretty booked in ortho. If anybody has any advice it would be greatly accepted. Thanks a ton.
          mylittlebug,

          I have been on this scoliosis roller-coster for almost a year now. So much has happened. My 9 year old was diagnosed, then told it was due to a teherered cord, had surgery, then was told the scoliosis was idiopathic. Hers started at 23 and in one year has progressed to 46 degree in three places. What I have learned in the year is that everyones scoliosis is different and opinions vary greatly. We are talking surgery now, after the brace didn't work. One thing that is consistantly said and is very important is that your daughter see a SCOLIOSIS PEDIACTRIC SPECIALIST. This is a very complicated condition and after a year I am still drowning in all the options. You have to work with a doctor you trust and be willing to take advice from those who have been there and get second opinions if necessary. I is a scary, unpredictable condition that you have to take one day at a time. I thank God we live in a country where treatment is available. Good luck with the MRI and keep us posted.

          Smileyskl


          Just FYI - my daughters pediactric orthopedic specialist is completely against chiropracters. He says that the improvements only last if you continue the treatment for the rest of your life. Also, as others mentioned, the x-rays after chiropracter visits are temporary corrections. This also happens if you have an x-ray after wearing a brace but you haven't had the brace off for 24 hours. Therfore, it is not a true correction. I have a family member whos a chiropracter who swears by the treatment but from all the socliosis specialists opinions, it is a bad idea. Just a thought.
          Last edited by smileyskl; 09-07-2008, 07:51 PM.

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          • #20
            Just want you to know there are alot of supportive people on this forum, and just hang in there. Take all the doctor opinions you can and do your homework, do what you think is best for your child, and just support you child the best you can. Bracing doesn't work for all but I hope it does for your child. We went to Shriners in Erie, PA. Flew to Cleveland, and then drove there. Wanted second opinion on brace we had, Spinecor which is one they use. They could get us in before our local masonic funded hospital. Also went to Scottish Rite in TX for a second opinion. Both free, and both orthopedic surgeons braced, but said bracing would not hold my daughters curve. She did have surgery, and is doing well. She was braced by a chiropractor, and follow up on brace by a different, closer chiropractor, but Erie Shriners uses by an orthopedic surgeon recommendation.
            Shirley
            Mom to Amanda, 18, Scoliosis T58, previous Spinecor bracing for 9 months before diagnosed with Chiari I CM, and Syringomyelia (Syrinx) SM. CM/SM decompression surgery 12/4/06, Spinal fusion surgery with titanium rods and hardware and full correction 8/1/07 at Texas Scottish Rite Hospital for Children.

            Also mom to Megan, 14, with diagnosis PDD-NOS on the autism spectrum

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            • #21
              Well good news I guess. Got the MRI. Dr. called yesterday and said she has a spyrnix. Which is a fluid filled cyst on her spine which is most likely causing her curve. So the have to go in surgically and drain it and that will correct her curve. Slowly.. Then they do another MRI in about 6 months to make shure it hasn't filled up again. She has something called Chiari Type1. So I guess that is good news. Worried about the surgery though. We go for a consult on the 30th. ANyway just wanted to keep everyone posted.

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              • #22
                Hang in there! At least they found the cause and that IS good news. One question I have is that they said they plan to drain the cyst - will they also perform surgery on the chiari itself?

                Please keep us posted and best of luck to you!
                mariaf305@yahoo.com
                Mom to David, age 17, braced June 2000 to March 2004
                Vertebral Body Stapling 3/10/04 for 40 degree curve (currently mid 20's)

                https://www.facebook.com/groups/ScoliosisTethering/

                http://pediatricspinefoundation.org/

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                • #23
                  I'm glad they did the MRI. It helps in determining the next plan for her. The Chiari needs to be addressed along with the syrinx. Chiari is a potentially dangerous condition if left untreated, or under treated. Headaches, difficulty swallowing, arm weakness/tingling, etc. are all signs that should never be ignored. Hopefully you have a good ped. neurosurgeon who understands the implications of Chiari type 1 in your daughter. Each patient is different. If you research this online, remember these are usually the worst-case scenarios. There are also many people walking the streets who have Chiari issues and never know it. They never have a reason to be tested. So, a very broad range of conditions and health issues can apply.

                  Also, there is a chance the Chiari correction (did they say they will need to do a decompression surgery?) will help the scoliosis - either stop it from progressing, or best case, help it improve. However, don't be disappointed if this doesn't happen. No guarantees here at all. The scoliosis needs to take a back seat to the Chiari issues. Then, you can find the right "plan" for the scoli.

                  Good luck.
                  Carmell
                  mom to Kara, idiopathic scoliosis, Blake 19, GERD and Braydon 14, VACTERL, GERD, DGE, VEPTR #137, thoracic insufficiency, rib anomalies, congenital scoliosis, missing coccyx, fatty filum/TC, anal stenosis, horseshoe kidney, dbl ureter in left kidney, ureterocele, kidney reflux, neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes, pes cavus, single umblilical artery, etc. http://carmellb-ivil.tripod.com/myfamily/

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                  • #24
                    I certainly hope that the syrinx is the cause for the scoliosis, in our case it was not. We were told that by fixing it, it would probably stop the progression but it continued to get worse. Hers was not Chari though it was with a tethered cord so hopefully your outcome will be better. Good luck and keep us posted.

                    Smileyskl

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                    • #25
                      The Dr. told us that this is more likly what is causing her curve. They are going to do decompression surgery. Then she said they would moniter her curve to make sure it is getting better. My concern is that if it doesn't start to get better by the time they realize it it will be too late for a brace or anything. I'm scard to death of the decompression surgery. I've been doing some reasearch on it and I didn't know they had to remove part of her vertibre(sp) Possibly the top 2-3. I guess I'll learn more when we go on the 30th to talk to neurosurgery.

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                      • #26
                        Originally posted by mylttlebug View Post
                        My concern is that if it doesn't start to get better by the time they realize it it will be too late for a brace or anything.
                        A few thoughts...

                        I would ask the Dr. if the average probability and rate of progression is known in cases like your daughter's. It may or may not be. It might be known that in those cases, progression is rare or progresses only very slowly after decompression.

                        If a large percentage will progress quickly then I suspect your Dr. will call for films early and often.

                        Either way, just asking this question will hopefully allay some concern on your part.

                        Good luck.

                        sharon
                        Sharon, mother of identical twin girls with scoliosis

                        No island of sanity.

                        Question: What do you call alternative medicine that works?
                        Answer: Medicine


                        "We are all African."

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                        • #27
                          She did say that they would take more film in about 6 months after the surgery. She said that that is where Ortho and Neuro debate. Ortho thinks that the Syrinx causes the curve and Neurosugerons think the Syrinx is caused BY the curve. So now it's a question of who do I listen too. But I guess more films will tell which is which.

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