One of the questions frequently asked by people who use a lower limb prosthesis is how prosthesis use may affect spinal health and the spinal curvature known as scoliosis. This article discusses the topic in general terms for informational purposes.
Scoliosis and spinal balance
Scoliosis is defined as a sideways curvature of the spine. When the body's symmetrical load distribution is disturbed, the spine may try to compensate. In people who use a lower limb prosthesis, maintaining balance is important for both gait quality and posture.
How can prosthesis use affect the spine?
A prosthesis that is not properly fitted can lead to imbalances in the body; for this reason the prosthetic adaptation process, in which socket fit is reviewed, is also important for spinal balance. In this situation, the spine may develop adaptations to compensate for the resulting difference. Possible factors may include:
- Imbalance at the level of the pelvis
- A leg length difference due to incorrect height adjustment of the prosthesis
- Changes in gait pattern and muscle imbalances
Whether these effects occur varies from person to person, and it does not mean that scoliosis will develop in every prosthesis user.
General information on protecting spinal health
Paying attention to the following points may be helpful for noticing possible problems early:
- Regular assessment of the fit and alignment of the prosthesis by the specialist physician and prosthetist-orthotist as part of patient assessment and appropriate prosthesis selection
- Monitoring signs such as back pain, postural problems, or a difference in shoulder or hip level
- Doing physiotherapy and posture exercises if recommended by the physician
Prosthetic and orthotic fittings are planned in line with a specialist physician's prescription and medical report; adjustments and assessments are made with the relevant specialists.
This content is for informational purposes only; you should consult your physician for diagnosis and treatment.
