Scoliosis and Spinal Deformity: Treatment Options Available in Bangladesh

A straight spine is essential for balance, movement, and a pain-free life. But for many in Bangladesh, scoliosis and other spinal deformities disrupt this alignment—causing chronic discomfort, postural issues, and sometimes even breathing difficulties.

Scoliosis is more than just a curved spine. Left untreated, it can severely impact a person’s physical function, self-esteem, and overall health. Fortunately, modern treatments—including both non-surgical and surgical options—are now available in Bangladesh through experts like Professor Dr. Md. Shafiul Alam, a leading spine surgeon in Bangladesh with deep experience in scoliosis treatment in Dhaka.

Let’s explore what scoliosis is, how to detect it early, and the best ways to correct spinal deformities safely and effectively.

Understanding Scoliosis and Spinal Deformities

What Is Scoliosis?

Scoliosis is a condition where the spine curves sideways, forming an “S” or “C” shape. It most often develops during the growth spurt before puberty, but it can also appear in adults due to degeneration, injuries, or other conditions.

The main types of scoliosis include:

Idiopathic Scoliosis – no clear cause (most common in adolescents)
Congenital Scoliosis – due to spinal malformation at birth
Neuromuscular Scoliosis – associated with conditions like cerebral palsy or muscular dystrophy

Other Spinal Deformities:

Kyphosis – excessive outward rounding of the upper back
Lordosis – abnormal inward curve in the lower back
Flat Back Syndrome – loss of natural lumbar curve, causing imbalance

These conditions not only alter appearance but may also impair movement, breathing, and nerve function if left untreated.

Symptoms and Warning Signs

Watch for these signs—especially in children and adolescents:

Uneven shoulders or hips
Visible curve in the back when bending forward
One shoulder blade sticking out more than the other
Back pain, fatigue, or stiffness
Difficulty standing upright or walking long distances
Breathing difficulty in advanced cases

Early detection is crucial for preventing progression and minimizing long-term complications.

Diagnosis and Evaluation Process

If scoliosis or spinal deformity is suspected, Professor Dr. Md. Shafiul Alam begins with:

Clinical examination – spine flexibility, posture analysis, limb length check
Imaging tests – X-rays to measure the curve (Cobb angle), MRI or CT scans for detailed evaluation
Functional assessments – balance, gait, and neurological exams

This comprehensive approach ensures an accurate diagnosis and the right treatment plan.

Non-Surgical Treatment Options in Bangladesh

Not every case of scoliosis requires surgery. In mild to moderate cases, the following are recommended:

Physiotherapy – tailored exercises to strengthen back muscles and correct posture
Bracing – for children and teens with progressive curves (especially during growth)
Postural training – ergonomic advice for sitting, sleeping, and daily activities
Regular monitoring – to track curve progression and avoid unnecessary surgery

These conservative treatments are effective when started early—especially under the supervision of a qualified spine surgeon in Bangladesh like Dr. Alam.

When Surgery Is Needed for Spinal Deformity Correction

Surgical intervention becomes necessary when:

The spinal curve progresses rapidly (above 40–50 degrees)
Pain, mobility issues, or breathing problems develop
Bracing and physiotherapy fail to stop the curve
The patient experiences nerve compression or deformity-related disability

At this point, Dr. Alam may recommend spinal curvature surgery to correct and stabilize the spine.

Espinal Curvature Surgery – What to Expect

Spinal deformity correction surgery is advanced and highly effective, especially when performed by specialists like Dr. Shafiul Alam. Key procedures include:

Spinal Fusion – metal rods, screws, and bone grafts are used to align and permanently join spinal bones
Osteotomy – bone cutting and realignment for severe curves
Vertebral column resection – for rigid or complex deformities

Advantages of Surgery: