14yr girl presents with secondary scoliosis of the lower back along with a tuft of hair growing over her left buttock. Additionally,she reveals the wasted muscles of her Lt. thigh. Treatment?. a. surgical correction b. Rpt. X-ray in 1yr c. Lower back bracket d.Myelography surgical correction here the question ask you treatment ,and from history in question is secondery scoliosis ,hair tuft ,wasting muscles all these togother urge you to do surgery. There are three general causes of scoliosis: 1-Congenital scoliosis is due to a problem with the formation of vertebrae or fused ribs during prenatal development. 2-Neuromuscular scoliosis is caused by problems such as poor muscle control or muscular weakness or paralysis due to diseases such as cerebral palsy, muscular dystrophy, spina bifida, and polio. 3-Idiopathic scoliosis is of unknown cause, and appears in a previously straight spine. What is Congenital ScolioDoctors would describe it as a condition due to congenitally anomalous vertebral development, but it's easier to say it is a curvature of the spine caused by birth defects in the spine itselfsis?What sorts of birth defects cause congenital scoliosis? A: The most common birth defect is called hemivertebra, which means half of one side of a vertebra forms while the other side doesn't. Another defect is called a unilateral bar, a condition where you will find three to four vertebrae stuck or fused together on one side. At present, no one knows what causes these defects. it occurs about 60% of the time n girls, 40% in boys Congenital scoliosis patients tend to have other problems as well, such as kidney dysfunction's or urinary tract abnormalities. In fact, 25-30% of patients have kidney -bladder problems as well. 40% of patients have other nomalies of spinal cord development. 10% have congenital heart problems. There may be signs such as a rib hump or a small "bump" on the back. There may be foot problems, such as a club foot, which could be a tip off. Quite commonly, one will find a hair patch somewhere along the spine. Treatment of congenital is quite different from treatment of idiopathic scoliosis. For example, with congenital bracing seldom works; the bones themselves are crooked or deformed and a brace on the outside simply can't affect a discrepancy on one side or the other of the vertebral column. The only treatment that works is surgery.