Scoliosis such as neurofibromatosis. Diagnosis is confirmed with X-rays. Scoliosis is typically classified as either structural in which the curve is fixed, or functional in which the underlying spine is normal. Treatment depends on the degree of curve, location, and cause. Minor curves may simply be watched periodically. Treatments may include bracing or surgery. The brace must be fitted to the person and used daily until growing stops. Evidence that chiropractic manipulation, dietary supplements, or exercises can prevent the condition from worsening is lacking. However, exercise is still recommended due to its other health benefits. Scoliosis occurs in about 3% of
Scoliosis in life secondary to degenerative (may or may not be associated with aging) changes. This is a type of deformity that starts and progresses because of the collapse of the vertebral column in an asymmetrical manner. People who initially present with scoliosis undergo physical examination to determine whether the deformity has an underlying cause and to exclude the possibility of underlying condition more serious than simple scoliosis. The person's gait is assessed, with an exam for signs of other abnormalities (e.g., spina bifida as evidenced by a dimple, hairy patch, lipoma, or hemangioma). A thorough neurological examination is also performed,