Scoliosis: Long-Term Effects and Pregnancy Considerations

Regarding scoliosis (spiral form)

Dear Doctor: I have a friend who has congenital scoliosis.
I only know that it is spiral in shape, and he mentioned that his sternum has not been deformed due to the scoliosis.
He underwent surgery around the age of 12-13.
He did not specify which vertebrae were involved, but he said there are two rods near the cervical region and one rod near the lumbar region for stabilization.
Additionally, a piece of bone was taken from his pelvis (according to the surgeon, that piece of bone was deemed unnecessary).
I have observed that he walks and exercises (running about 1000 meters and playing badminton) without any issues.
His forward bending while sitting measures 18 cm.
I would like to ask if the aforementioned conditions could lead to increased complications in his later years due to osteoporosis or other factors compared to the general population.
Furthermore, will this have any impact on future pregnancies (in comparison to the general population)? (I apologize for my limited knowledge and insufficient information for these questions.) Also, since there is a scar on his back, can this be removed through plastic surgery? I apologize for the numerous questions and hope you can provide some clarity.
Thank you!

Dai Dai, 10~19 year old female. Ask Date: 2004/02/10

Dr. Shi Guozheng reply Orthopedics

After spinal scoliosis surgery, it is important to assess the degree of deformity correction.
If the angle is already small, there is likely to be minimal future impact.
However, if the angle remains significant, there may be a risk of lower back pain or further deterioration.
A detailed evaluation by a physician, including X-ray examination, is necessary to determine the exact situation.
Pregnancy is unlikely to have an impact, and for scar management, it may be beneficial to consult a plastic surgeon who might be able to provide treatment options.

Reply Date: 2004/02/10

More Info

Scoliosis, a condition characterized by an abnormal lateral curvature of the spine, can have various long-term effects on an individual's health, particularly as they age. Your friend's case, involving surgical intervention at a young age, is not uncommon. The presence of rods and screws for spinal stabilization indicates a significant curvature that required correction. While your friend seems to be managing well with physical activities like running and playing badminton, there are several considerations regarding long-term effects and pregnancy.

Long-Term Effects of Scoliosis
1. Bone Health: Individuals with scoliosis may be at a higher risk for osteoporosis, especially if they have undergone spinal surgery. The surgical procedure can affect the natural biomechanics of the spine, potentially leading to uneven stress distribution on the vertebrae. As your friend ages, it is crucial to monitor bone density, as osteoporosis can lead to fractures and increased pain. Regular check-ups with a healthcare provider, including bone density scans, can help assess this risk.

2. Postural Changes: Over time, the body may adapt to the curvature of the spine, which can lead to compensatory postural changes. These adaptations can result in muscle imbalances, which may cause discomfort or pain in other areas, such as the hips, knees, or back. Engaging in physical therapy or exercises that focus on strengthening the core and improving flexibility can be beneficial.

3. Joint Health: The altered mechanics of the spine can also affect the joints, particularly in the lower back and pelvis. This may lead to early onset of degenerative joint diseases, such as osteoarthritis. Regular physical activity, maintaining a healthy weight, and avoiding high-impact sports can help mitigate these risks.

Pregnancy Considerations
Regarding pregnancy, women with scoliosis can generally conceive and carry a pregnancy to term. However, there are some considerations:
1. Physical Changes: Pregnancy causes significant changes in the body, including weight gain and changes in posture. For someone with scoliosis, these changes may exacerbate discomfort or pain. It is advisable for your friend to consult with her healthcare provider before pregnancy to discuss any potential risks and management strategies.

2. Delivery: Depending on the severity of the scoliosis and any associated complications, delivery may require special considerations. While many women with scoliosis can have a vaginal delivery, some may need a cesarean section, especially if there are concerns about the spine's stability or if there are other complications.

3. Postpartum Recovery: After delivery, the body will undergo further changes as it returns to its pre-pregnancy state. Your friend should be aware of the importance of postpartum care, including physical therapy if necessary, to address any spinal or muscular issues that may arise.

Scar Management
Regarding the scar from the surgery, it is possible to consider cosmetic procedures to improve its appearance. Options include laser therapy, silicone gel sheets, or surgical revision, depending on the scar's characteristics and the individual's preferences. Consulting with a dermatologist or plastic surgeon specializing in scar management can provide tailored recommendations.

Conclusion
In summary, while your friend is currently managing well with her scoliosis, it is essential to remain vigilant about her bone health and overall physical condition as she ages. Regular medical check-ups, a healthy lifestyle, and possibly engaging in physical therapy can help mitigate long-term risks. Regarding pregnancy, with proper planning and medical guidance, she can have a healthy pregnancy and delivery. Lastly, options for scar management are available, and consulting with a specialist can provide her with the best course of action.

Similar Q&A

Does Scoliosis Pose Risks During Pregnancy? Key Considerations

Dear Lobster, 1. If your girlfriend becomes pregnant, there may be physical impacts on both her body and the baby. The risks can vary depending on the severity of her scoliosis and overall health. It is essential for her to consult with her healthcare provider to assess any pote...

Dr. Shao Guoning reply Neurosurgery
Hello: In response to your question, a primary scoliosis with an angle of less than 30 degrees typically does not require surgical correction. If the scoliosis is caused by trauma, the assessment will depend on the location of the injury. Generally, a curvature of less than 30 de...

Understanding Scoliosis: Impact on Pregnancy and Long-Term Health

1. Will scoliosis affect the ability to have children? 2. If I seek treatment at a traditional Chinese medicine clinic, how much time should I expect to spend? 3. Will there be any long-term effects as I age?

Dr. Luo Zhongwei reply Orthopedics
Scoliosis only affects the spinal column above the pelvis, so it does not impact the labor process during childbirth. Correction of scoliosis through traditional Chinese medicine is absolutely ineffective, so there is no need to waste time on it. In older age, back pain is often ...

Managing Back Pain During Pregnancy: Effects on Spine Health

Experiencing lower back pain during pregnancy, especially upon waking up in the morning and having difficulty straightening the body, can have implications for the spine. If there was a pre-existing condition such as scoliosis before pregnancy, it may potentially worsen during pr...

Dr. Zhou Lizhi reply Orthopedics
During pregnancy, hormonal changes can lead to increased ligament laxity, which often results in lower back pain. Scoliosis does not affect delivery; however, as the weight of the fetus increases during pregnancy, it can indeed exacerbate discomfort. Therefore, it is advisable to...

Impact of Scoliosis on Delivery Methods: Natural Birth vs. C-Section

Dear Dr. Lin, I would like to inquire about the impact of scoliosis on delivery methods—specifically, whether there are any restrictions regarding vaginal delivery or cesarean section. I underwent corrective surgery for severe S-shaped scoliosis at the age of 14, and I don'...

Dr. Lin Manying reply Obstetrics and Gynecology
The severity of scoliosis should be assessed to determine if it has led to pelvic deformities or narrowing. Pelvic imaging may be considered, and during full-term labor, if the fetal position is normal and the fetal head has descended, vaginal delivery should be attempted as the ...