Special spinal surgery
Why rapid diagnosis and continuous monitoring are important
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On sunny beach days, when children play happily in their swimsuits and their body contours are clearly visible, small abnormalities such as uneven shoulder height, an asymmetrical waistline, or a slight rib hump can be particularly noticeable. These visual clues are often the first signs of early childhood scoliosis. In this interview, Dr. Oliver Meier, Chief of Special Spinal Surgery at the Deutsches Wirbelsäulen- und Skoliosezentrum at Sportklinik Hellersen, explains how parents can recognize these symptoms early on and what treatment options are available.
What exactly is scoliosis, and how common is it in children?
Dr. Oliver Meier: Scoliosis is a three-dimensional deformity of the spine. It manifests itself as a sideways curvature accompanied by a rotation of the spine. This condition is not uncommon — it affects around 0.5% to 2% of children. However, the presence of scoliosis does not necessarily mean that every form of the condition needs to be treated or operated on.
How can parents recognize the first signs of scoliosis in their children?
Dr. Oliver Meier: Parents often notice scoliosis in their children after a beach vacation, when the children have only been wearing swimwear. This is when the rib hump caused by the rotation of the spine and thorax is most noticeable. If the scoliosis is located lower down, i.e., not in the thorax area, an uneven waist triangle forms, which can also indicate scoliosis. Parents should look out for such signs as well as uneven shoulder or pelvic position.
How is scoliosis diagnosed and what treatment options are available for children?
Dr. Oliver Meier: A diagnosis is usually preceded by an examination by a pediatrician. If the pediatrician notices any abnormalities, the child is referred to an orthopedist. There, the scoliosis is examined more closely and the severity of the deformity is determined. The children are then often referred to us at the Deutsches Wirbelsäulen- und Skoliosezentrum at the Sportklinik Hellersen for further treatment.
The therapy depends largely on the severity of the curvature. To determine this, we take X-rays of the entire spine. These images enable us to measure the angle of curvature precisely and monitor the progression of the disease.
In milder cases, special physiotherapy, such as Katharina Schroth therapy, which aims to bring the three-dimensional misalignment of the spine into a more symmetrical position, is often sufficient. Inpatient spa treatments can also help to treat early childhood scoliosis. In cases of more pronounced curvature, corset therapy can control the growth of the spine and prevent worsening. In particularly severe cases, however, surgical correction is the only option.
How long does the treatment of scoliosis take and how important are regular check-ups?
Dr. Oliver Meier: The success of treatment depends heavily on when therapy begins. The earlier treatment starts, the better the chances of improvement. Once the patient has reached full growth, such as a 16-year-old girl, conservative measures are no longer effective. It is crucial that therapy is consistent and regular, ideally by the same doctor who monitors progress. Regular check-ups are essential. Children with scoliosis should be examined at least every six months to prevent the disease from progressing.
Are there factors that increase the likelihood of scoliosis?
Dr. Oliver Meier: Although the exact cause of scoliosis is not fully understood, it is believed to be a growth disorder of the bones and the musculoskeletal system. However, factors such as obesity and poorly trained muscles can exacerbate the condition. Regular exercise and a balanced diet are therefore important for prevention.
What role does the Deutsches Wirbelsäulen- und Skoliosezentrum play in the treatment of scoliosis?
Dr. Oliver Meier: We offer comprehensive care from an experienced team of doctors who have decades of expertise in the treatment of scoliosis. This experience is crucial for the successful and long-term care of patients.
Do you need a referral to be treated at the center?
Dr. Oliver Meier: Yes, a referral from an orthopedist, pediatrician, or surgeon is required for treatment at the Deutsches Wirbelsäulen- und Skoliosezentrum.
Video: Scoliosis in children
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In this video, Chief Dr. Oliver Meier explains how parents can recognize the first signs of scoliosis and what to do if they notice them. Watch now to learn more!
