the Connection Between Scoliosis and Torticollis: Treatment Options

Scoliosis with a curvature of 32 degrees, second inquiry?

Thank you for your response, doctor.
I have another question.
I was born with severe torticollis.
When I was younger, I underwent rehabilitation (around one year old) to help with neck movement.
Later, it was suggested that surgery was necessary for improvement, but my parents were concerned and did not proceed.
Now, I have a crooked neck and have been laughed at many times during my childhood.
Now that I am older, I want to correct it.

Could you please tell me if there is a congenital relationship between my scoliosis and torticollis? Which specialist should I consult for both my torticollis and scoliosis? Is surgery still the only treatment option for torticollis? Which type of surgeon should I see? Thank you for your response, doctor.

Xiao Yu, 30~39 year old female. Ask Date: 2013/10/04

Dr. Shi Guozheng reply Orthopedics

Congenital torticollis can be treated with rehabilitation during childhood.
However, if it becomes more severe as one grows older, surgery may be necessary.
It is advisable to consult a physician to determine if surgical intervention is required.

Reply Date: 2013/10/04

More Info

Scoliosis and torticollis are two distinct conditions, but they can indeed be interconnected, particularly when considering congenital forms of these disorders. Scoliosis refers to an abnormal lateral curvature of the spine, while torticollis, often referred to as "wry neck," involves a twisting of the neck that can cause the head to tilt to one side.
In your case, since you mentioned having both conditions from a young age, it is possible that they are related. Congenital torticollis can lead to muscle imbalances and postural changes that may contribute to the development of scoliosis over time. The muscles on one side of the neck may become tighter, while those on the opposite side may weaken, potentially affecting spinal alignment.
When it comes to treatment options, the approach can vary depending on the severity of both conditions. For torticollis, treatment options may include physical therapy, which focuses on stretching and strengthening the neck muscles, improving range of motion, and correcting posture. In some cases, if conservative treatments do not yield satisfactory results, surgical intervention may be considered, especially if the torticollis is causing significant functional impairment or discomfort.

For scoliosis, treatment options also depend on the degree of curvature and the age of the patient. Mild scoliosis may not require any treatment other than regular monitoring, while moderate to severe cases may necessitate bracing or surgical intervention. Surgery is typically considered when the curvature exceeds a certain threshold (usually around 40-50 degrees) and is progressive or causing significant symptoms.

Given your concerns about both conditions, it would be advisable to consult with a specialist who can evaluate your specific situation. An orthopedic surgeon specializing in spinal disorders would be an appropriate choice, as they can assess both your scoliosis and torticollis. They may also collaborate with a physical therapist to develop a comprehensive treatment plan tailored to your needs.

In summary, there is a potential connection between scoliosis and torticollis, particularly in congenital cases. Treatment options range from physical therapy to surgical interventions, depending on the severity of each condition. Consulting with an orthopedic specialist will provide you with the best guidance on how to manage both issues effectively. Remember, it's important to address both conditions holistically, as they can influence each other and impact your overall quality of life.

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