Dr Teddy Totimeh, a consultant neurosurgeon, has highlighted the importance of awareness and early detection of scoliosis , a condition that affects the spine, during his appearance on the Asaase Breakfast Show.
scoliosis is a condition where the spine curves abnormally from side to side, rather than maintaining its natural front-to-back curvature, which allows the body to distribute weight efficiently.
“The spine is like a bridge; it has curves to distribute weight evenly. But if the spine curves sideways instead of front-to-back, we call that scoliosis ,” Dr Totimeh explained.
The spine, composed of 33 small bones separated by shock-absorbing discs, protects the spinal cord while allowing humans to move freely. When scoliosis occurs, it can shift the alignment of the shoulders, hips, and head, causing one shoulder or hip to appear higher than the other.
Dr Totimeh emphasised that scoliosis is primarily a disease of young people, often becoming noticeable during growth spurts in adolescence.
During this period, disproportionate stretching of the spine’s ligaments can lead to abnormal curvature. While most cases have no identifiable cause, about 20 percent are linked to genetic or disease-related factors.
Red flags for scoliosis include uneven shoulders, changes in gait, persistent back pain, or clothing that does not fit properly.
“For most scoliosis cases, no treatment is needed other than observation,” Dr. Totimeh said. However, sharp curves may require intervention through braces, back support, or, in severe cases, surgery. Surgical procedures involve the use of rods and screws to straighten the spine functionally, allowing for normal growth and mobility.
The consultant noted that scoliosis is not prevalent in Ghana, with fewer than 10 cases per 100,000 people reported, though under-reporting is common. Treatment is available in two main centers in the country: Korle Bu Teaching Hospital in the public sector and Focus Hospital in the private sector.
Dr Totimeh also addressed lifestyle factors, stating that while poor posture or sedentary behavior does not cause scoliosis , maintaining strong back muscles and good posture can prevent progression of the condition.
“Ultimately, scoliosis is not life-threatening and does not prevent children or adolescents from leading active, normal lives,” he reassured. “Early detection, proper guidance from physicians, and staying active are key to managing the condition effectively.”
He also highlighted that certain forms of spinal deformities, such as those related to spina bifida, can be prevented through folic acid supplementation in women of childbearing age, though most scoliosis cases remain idiopathic.
Dr Totimeh’s insights underline the need for increased awareness about scoliosis , particularly among young people, their families, and schools, to ensure early detection and proper management.
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