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Researchers Discover First Gene Associated With Idiopathic Scoliosis

Posted : Thu, 26 Apr 2007 18:20:00 GMT
Author : Texas Scottish Rite Hospital for Children
Category : Press Release
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DALLAS, April 26 /PRNewswire/ -- Researchers at Texas Scottish Rite Hospital for Children (TSRHC), one of the nation's leading pediatric centers for research and the treatment of orthopaedic conditions, have identified the first gene -- CHD7 -- associated with idiopathic scoliosis (I.S.), the most common spinal deformity in children. With no known cause or cure, idiopathic scoliosis poses a significant health burden to the pediatric population. The condition affects approximately two to three percent of school age children in the U.S. and costs an estimated several billion dollars in surgical treatment each year.
The medical breakthrough is a result of a 10-year study conducted at the Sarah M. and Charles E. Seay/Martha and Pat Beard Center for Excellence in Spine Research at Texas Scottish Rite Hospital for Children, led by Carol Wise, Ph.D. With the goal of identifying genes causing idiopathic scoliosis, the research team conducted genome-wide scans and follow-up studies of 53 large families, totaling 130 individuals with a confirmed I.S. diagnosis. As a result, the team identified the first gene associated with I.S., allowing the medical community to form hypotheses to explain what causes the condition, and providing tools for future studies.
"This is the most definitive link between genetics and scoliosis that has been reported so far," said Dr. Wise, director of molecular genetics at Texas Scottish Rite Hospital for Children. "It has been known for many decades that scoliosis tends to be inherited within families, but now we have found a gene which is clearly related to the development of scoliosis."
Most often seen in otherwise healthy children, I.S. is an S-shaped curvature of the spine as viewed from the front that develops as the child grows. Onset typically occurs during the period of rapid growth at adolescence, and children who are still growing, particularly girls, are at the greatest risk for developing severe disease. A long-known condition, I.S. was described by the ancient Greeks and affects all populations worldwide.
"This discovery lays the groundwork for future research that will hopefully identify the specific abnormalities which cause the spine curvature," said Dr. Tony Herring, chief of staff at Texas Scottish Rite Hospital for Children. "When we understand these mechanisms, we may be able to develop new preventative measures and better treatment methods."
With expert researchers, biomedical engineers, physicians, staff and patients all under the same roof, Texas Scottish Rite Hospital for Children has a record of interdepartmental cooperation that generates an exceptional number of patents, discoveries and improved treatments for patients. The hospital's prestigious research efforts and innovative treatment methods make it a leader in spine research and have allowed the hospital and its staff to significantly improve care of young patients with spinal deformities throughout Texas, the United States and the world.
About Texas Scottish Rite Hospital for Children
This research was funded through generous contributions from: Fondation Yves Cotrel pour la Recherche en Pathologie Rachidienne de l'Institut de France and the Scoliosis Research Society. The hospital's work is also made possible through the establishment of the Pediatric Molecular Genetics Research Laboratory at Texas Scottish Rite Hospital for Children, which was funded by: The Crystal Charity Ball 1997; Beneke Companies; Horace C. Cabe Foundation; The Cain Foundation, in honor of Effie Marie Cain; The Florence Foundation; The Hillcrest Foundation, founded by Mrs. W. W. Caruth, Sr.; Hoblitzelle Foundation; The Hoglund Foundation; Kimberly Clark Corporation; Rauscher Pierce Refsnes; Mr. and Mrs. Jack Reynolds; The Harold Simmons Foundation; Mr. and Mrs. Douglas McWilliams Smith; The Roy and Christine Sturgis Charitable and Educational Trust; USLIFE Companies; and Mr. and Mrs. Terry Worrell.
Texas Scottish Rite Hospital for Children

Copyright © 2008 PR Newswire. All rights reserved.




Article : Researchers Discover First Gene Associated With Idiopathic Scoliosis
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scoliosis
By: gary bannister , Mon, 27 Aug 2007 12:18:06 GMT

We live in the United Kingdom, our son is now eleven years old but for the last six years has undergone over ten spinal operations to try and halt his curvature of the spine. It has been a terrible time for all of us, his story has now been published by Authorhouse.com and it's called Every Road Has A Bend..but can i say that even though it took us six years to get where we are now,please if you see any difference in you or your childrens posture,any lumps or bumps,any uneveness,please please seek medical advice.


herrington rod
By: Joy Hadley , Sat, 25 Aug 2007 01:24:36 GMT

I had a herrington rod inserted to improve the curvature of my spine when I was 12 years old (1982). I was fortunate to only wear the cast for 6 months. I am now 36. I have not experienced any complications - praise God. I had a backward S curve with 90 degrees on the upper thoracic and 45 degrees on the lumbar. It was corrected to 45 degrees on the top and about 25-30 degrees on the bottom. I began experiencing extreme hip pain during my second pregnancy - partly due to carrying a child in the womb and a 12 month old on my hip. At that time I started seeing a chiropractor. He resolve my pain instantly, and I have been seeing him for the last 7 years. I am maintaining a my spinal health above and below the rod with chiropractic care along with muscle strengthening and cardio exercise. I thank God for the surgery and the doctor who performed it as well as the chiropractor who helps me maintain my current spinal health. But I agree that the surgical doctor did not provide appropriate direction for after care. I will be taking my 7 year old daughter for a scoliosis screening with our chiropractor at the direction of my family doctor. My husband and I will be researching weight training and appropriate exercise for all 3 of our children. While I believe that excercise and muscle strengthening will certainly help the spinal health, everything that I read is clear that it will not cure nor will it prevent a nasty case of scoliosis from surfacing.

I will pray for the Mother and Daughter that are refusing the brace. If you have read these testimonials, then please note that this condition can get worse with age, the stress on the spine with pregnancy, as well as typical daily functions. Please do not disregard the benefits of a brace along with the strength training and exercise that you are self prescribing to. I have read that there are braces that can be worn at night. A few sacrifices during adolescents may be the saving grace to your daughter's future health and quality of life. Clearly you are a Mother who will provide your daughter with the guidance and support that she would need to strengthen her self esteem during a time like this. I also thank God that my Mother was brave enough to stand up to my Father and force him to see my condition for what it was and to trust the right doctor with my care (after multiple second opinions). Although I did not know it at the time, the quality of life that I live now is to her credit for caring enough about me to make the tough decisions.


new
By: Dana Simmons , Sat, 28 Jul 2007 14:41:11 GMT

i am 49 years old and have just found out that i have scoliosis. it is all new to me. i have not had any problems until recently and have not known of any one in my family that has had it. i am researching on how to manage and cope with it.


My girl
By: Rosanna Askenas , Sat, 21 Jul 2007 04:30:56 GMT

I have a 9 year old who was diagnosed with scoliosis at the age of 7. When she was diagnosed, I immediately set up appointments for the chiropractor. She has been going since the the time she was diagnosed. Her numbers began at 23 degrees, upper and lower.The news is, since she is now going through her puberty stages, she is growing and curving. The orthopeadist never mentioned physical therapy for her and therefore, I thought she would be fine. The news is that her curve, from impoving numbers, was now worsening due to her growing. Dr. said bracing was the next step. I was dumb founded and angry that I was not able to prevent the curvature from increasing during these 2 years. I am happy to read Denise Hart's story where she is doing all she can to keep the muscles on her children back firm to prevent the spine from curving on weak muscle, if ever they become scoliotic.My wish, that it doen't happen. Needless to say, I am making sure that my daughter is swimming and is exercising to strengthen back muscle and abdominals. Also, keeping her weight stable. Stomach muscle should be just as tight as the brace that would have to go on her.
I would rather put her through strength training and develop all muscle tone than to have her go through wearing a brace for the next five years, 24/7. Muscle should be the brace she wears for the rest of her life. I am not having her get braced for the next 5 years and then learn she needs to be operated on anyway at age 15. She won't have any muscle tone and will be suffering after surgery. What good have I done having her go through all the emotional and physical pain if I just bow my head to the doctor who dosen't believe you can heal yourself. Thanks Denise for seeing it the way I do. My goal is to cheat my daughter's way out of getting a brace, 3 months at a time, for the next 5 years.(or so)Wish us luck!
Rosanna


progress
By: Jean Eng , Wed, 27 Jun 2007 21:20:19 GMT

I am 56 years old and live in OK. My curves are 155,80,and 50 at last measurement. I have had no surgeries etc. My lungs are so compromised now that I am on full time oxygen and sleep with 02 and Bipap machine. Iam excited when anyone talks about identifying gene for scoliosis. I hope they find a cause for sure to prevent others (my family incl.) from having to live with the scoliosis beast.


Scoliosis pain - 30 yeard old
By: Allison Osborn , Fri, 22 Jun 2007 22:38:50 GMT

I was diagnosed with Scoliosis at age 10 with a 34 degree lumbar curve. I wore a brace for 3 years. My curve was 30 degrees after removal of my brace and held for 3 years before increasing to 35 degrees. This was the last time I was checked at Shriners. Now, 12 years later I am in constant pain. The pain has been constant for about 9 months. I have had 2 MRI's and many X-rays and am going in next week to an orthopedic surgeon. What do you think might be the cause of my pain? Any good doctors you would recommend in the Portland Oregon area?


Just found out and I'm 61
By: Nancy Moore , Fri, 22 Jun 2007 19:17:43 GMT

I was having some severe upper back pain on my right side, between my shoulder blades. I had been to my doctor once before for it and she gave me medication for the pain and inflammation. It seemed to improve. Then I started noticing my upper back was hurting, and it finally became so bad I couldn't sleep, so my doctor took an X-Ray and told me I had a mild case of Scoliosis curving slightly to the right, in the upper part of my back. She has recommended therapy for it and in the meantime some medicine for the pain.

My Doctor told me I probably have had it since I was a teenager, but no one ever diagnosed it.

Will my age make this condition more painful or should therapy help it improve?

Thank You
Nancy


Scoliosis in Older Adult / Initial Treatment-Milwaukee Brace
By: Marilyn Sutton , Mon, 04 Jun 2007 01:52:57 GMT

I am 52 1/2 this year. I wore a Milwaukee Brace as a Pre-Teen. My curve was corrected to 15% at 15 yrs old. It has now progressed to 65%. I realize I need surgery but feel I have perhaps a year or 2. I have had pain but managed it well until I was in a car accident in 2003. I have always been a very flexible person but the Scoliosis is now getting the better of me. My pain levels are increasing and I am losing mobility. I am looking for the very best Doctor(s) to go to. I live in the Monterey, CA 93933 area. I want to have this done by someone that is wonderful at what they do. Any suggestions? I have heard of the Rippington Clinic in the San Francisco Bay Area.
Thank you.


will it worsen
By: susi , Sat, 02 Jun 2007 11:47:26 GMT

friend of mine has 10°of initial stage of scoliosis will she require any medical management she is 29yrs will it worsen the condition.


re;denise harth
By: donna thompson , Mon, 21 May 2007 01:38:18 GMT

I had harrington rod place 35yrs ago am now 48 and have also developed sever ddd in the lumbar spine and severe stenosis at the bottom of the rod which is pretty much where yours is placed.My pain is mostly in my leg and lower back and severe leg weakness,am sceduled for 2 suregeries in July have worried for years that this would some day come back to haunt me but until a year or so ago i had no problems even though I have been had a very physically demanding profession for 21 years(am a nurse).I was lucky with my children my daughter is fine,my son has a very min. curve and has never reqired any treatment.I have been doing a lot of research and am finding alot of older,scoliosis patients with very similar problems and requiring revisions but hey,when we had it done there was no way of knowing the long term effects,i've just always been VERY thankful i wasn't born say 50 yrs sooner when there really was no treatment i probably wouldn't be here writing this!!


my girls
By: denise harth , Wed, 02 May 2007 14:17:46 GMT

I am a mother(41) of 2 girls ages 7 and 10 1/2. I had scoliosis surgery when I was 12 years old, I iherited it from my mother and her from on her fathers side (her aunt). Mine was pretty bad a 70 degree curve on top and 40 on bottom. My mother's didn't get bad till she was in her 30's after kids, then she had the surgery at 36. I am concerned about my daughters also inheriting it. I take them to a chiropractor 2x's a month for ajustments and to keep checking. I have learned from the years that the curve starts because of the muscles being weak in the back that causes the spine to curve to the weak side. I would believe that with regular ajustments as the kids are growning and excersize strengthing the back muscles could help to possibly prevent the curve.
what are your responses? Also as it's been 29 years since my surgery, I have developed a fews years ago degenertive disc disease in my lower lumbar. I was told from all the wear and usage of my lower spine where the rod ends could be the cause. because where the spine was fused and the rod is that area was protected and every where else had more work. my rod starts I think at c7 or t1 to L5. so most of my pain now is in my neck and lower spine. what I don't think the doctor's thought of was the long term effect on what would happen to the patients after 20-30 years after their surgery. What are your responses on this issue? My only hope now is surgery to releive my lower back pain for my disc problem. Please respond, thank you
Denise Harth




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