Spinal Curvature Not Life-Threatening: U.S. Study

Wed Feb 5,10:29 AM ET

CHICAGO (Reuters) - Curvature of the spine, or scoliosis, may lead to chronic back pain for many but it is not a serious threat to health, researchers said on Tuesday.

Previous studies have suggested that scoliosis, in which vertebrae bend to the side and the spine sometimes forms an S-shape, may pinch internal organs such as the lungs or create an over-large cavity for the heart to fill, leading to early death.

But a follow-up survey of 117 people--104 of whom were women--who had been diagnosed with scoliosis between 1932 and 1948 and who had not been treated surgically found a half-century later that their mortality rate was no higher than average.

Over the past decade only three of 36 deaths in the study group might have been attributable to scoliosis, said study author Stuart Weinstein of the University of Iowa.

"We did not find evidence to link untreated (scoliosis) with increased rates of mortality in general or from cardiac or pulmonary conditions potentially related to the curvature," said the report appearing in this week's issue of the Journal of the American Medical Association.

The survey polled people with the most common type of spinal curvature, late-onset idiopathic scoliosis, which appears during adolescence and is likely an inherited, though mysterious, deformity. Curvature of the spine also can occur if one leg is shorter than the other, if muscles on one side of the back are weaker than the other, or after an injury.

Spinal curvature is sometimes halted with a body cast or corrected by fusing vertebrae or inserting a metal rod in the back, but the condition often goes untreated unless the curvature is extreme.

Nearly two-thirds of the scoliosis sufferers reported chronic back pain, about twice the proportion as in a control group of volunteers who did not have the condition, but the pain was usually mild to moderate and few took medications to quell it. Twenty-two percent of the scoliosis sufferers reported shortness of breath, a figure that was close to the 15% reported in the control group.

 

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