Spinal Asymmetry and Scoliosis in Turner Syndrome: Diagnosis and Treatment

Could this be something besides scoliosis?

In Turner syndrome, curvature of the spine as scoliosis is related to the supporting tissues of the spine. It is rare to have problems with the vertebrae (bones of the spinal column) themselves. There are other conditions in which the vertebrae are not formed correctly.

How do doctors test for scoliosis in people with Turner syndrome?

Testing depends on the curvature of the spine. Extremely mild scoliosis in Turner syndrome can be checked in the office by using the “bend over test” (as the person bends forward and a provider examines the spine from the back). This may be checked by the primary care physician or Turner syndrome specialist.

X-rays are often ordered to evaluate the spine. When scoliosis is more than mild, an individual may be referred to an orthopaedic surgeon (surgeon who helps people with problems that affect the spine).

How do doctors treat scoliosis?

Physical therapy exercises at home to improve posture may be helpful in the short-term. For some teens and young adults without symptoms, it might be challenging to follow a home exercise program.

Other treatments can include:

• Bracing. This refers to wearing a brace to gently and slowly move the spine into a better position.
• Surgery. There are many types of surgery for severe scoliosis, such as spinal fusion or vertebral body tethering (VBT, only in pediatric patients).

Rev. 1/2023. This document is intended to provide health related information so that you may be better informed. It is not a substitute for a doctor's medical advice and should not be used to diagnose or treat any medical conditions.