Levoscoliosis and dextroscoliosis are two types of scoliosis that affect the lumbar spine. Understanding their differences, causes, symptoms, and available treatment options is essential for effective management and improving quality of life.
What is the difference between two types of curvatures: Levoscoliosis vs. Dextroscoliosis?
Levoscoliosis is a spinal curvature that bends to the left. Whereas, dextroscoliosis is characterized by a spinal curve to the right.
These curvatures commonly affect the lumbar spine, but can also affect the thoracic spine. These are only two of many different abnormal curvatures that can affect the spine.
Why is it important to understand the type of curvature of scoliosis?
Categorization of spinal curvatures helps track the progression of scoliosis and identify the best treatment plan and prognosis in correlation to the symptoms a patient experiences. Progression of abnormal curvatures can be mitigated through minimally invasive methods if identified early, which can reduce the need for surgery.
Causes of Levoscoliosis and Dextroscoliosis
- Congenital Factors: Abnormal spinal development during fetal growth.
- Genetic factors: Idiopathic scoliosis has a genetic component that can be passed along the family line, that can result in complex deformities
- Genetic conditions: Disorders like Marfan’s syndrome or Ehlers-Danlos syndrome affect collagen and bone that play a role in the development of scoliosis
- Neuromuscular Conditions: Disorders like cerebral palsy or muscular dystrophy.
- Degenerative Changes: Aging-related wear and tear of spinal discs.
- Trauma: Injuries that disrupt the spine's normal alignment.
Symptoms to Watch For
- Uneven shoulders or hips
- Back pain or stiffness
- Difficulty standing or sitting for long periods
- Visible curvature of the spine
- Limited range of motion
- Loss in height
- Shortness of Breath
- Progressive unsteadiness when walking
- Numbness and weakness in extremities
Diagnosis
Accurate diagnosis involves physical exams, imaging tests like X-rays, MRIs, and CT scans. These different types of imaging allows for determination of curve patterns like levoscoliosis or dextroscoliosis, as well as playing a large role in monitoring the progression over time. A comprehensive evaluation with a knowledgeable specialist helps determine the severity and guide treatment that fits the patient.
Treatment Options
- Non-Surgical Treatments: Physical therapy, bracing, pilates, orthoses, medications, and injection therapies.
- Surgical Interventions: Symptomatic scoliosis that affects the quality of life, may require spinal fusions that would correct the curvature of the spine.
- Lifestyle Changes: Exercise, maintaining a healthy weight, and ergonomic adjustments to daily activities can help manage symptoms.
Levoscoliosis, dextroscoliosis, and other types of abnormal curvatures of the spine require personalized care plans for effective management. Consulting with a specialist ensures that the chosen treatment aligns with the severity of the condition and the patient’s overall health. If you suspect scoliosis or have been diagnosed with it, schedule a consultation with Dr. Jeremy Smith to explore your treatment options and take the first step toward a healthier spine.
