Scoliosis: Complications

The following are the most important diseases or complications that may be contributed to by scoliosis:

Respiratory system (J00-J99)

  • Restriction of breathing
    • Children <10 years of age with “early-onset scoliosis (EOS)” with a progressive course have a high risk of developing restrictive pulmonary dysfunction due to the resulting thoracic changes: in infantile and congenital EOS, moderate and severe ventilatory dysfunction occurs in 34% of cases

Cardiovascular system (I00-I99).

  • Right heart strain → limitation of physical performance.

Musculoskeletal system and connective tissue (M00-M99).

  • Osteoarthritis (joint wear and tear)
  • Asymmetry of the skull
  • Pelvic obliquity (= leg length difference < 2 cm).
  • Chondrosis – degenerative cartilage disease
  • Restriction of mobility
  • Malposition, later with fixation
  • Lumbar bulge
  • Rib hump
  • Back pain
  • Spondylosis – degenerative spinal disease
  • Deformation of the vertebral bodies

Neoplasms (C00-D48)

  • Risk of cancer in scoliosis patients is increased by 46 percent compared with the general population; probable cause is frequent X-rays

Symptoms and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

  • Pain

Prognostic factors

  • The risk of progression (progression) of scoliosis is higher the more spinal growth that is outstanding at the time of diagnosis of scoliosis.
  • The risk of neurogenic scoliosis is higher the lower the mobility.