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28 In general, the severity of the scoliosis depends on the degree of the curvature and whether it threatens vital organs, specifically the lungs and heart. (It should be noted, however, that in general, the morality rate for patients who had adolescent idiopathic scoliosis is normal.) Effect of Mild Scoliosis (less than 20 degrees). Mild scoliosis is not serious and requires no treatment other than monitoring. Effect of Moderate Scoliosis (Between 25 and 70 degrees). It is still not clear whether moderate scoliosis causes significant health problems. In one study, adults with moderate scoliosis had normal lung function, although they had difficulty exercising. (The researchers believed that this low exercise tolerance might have been because many patients with scoliosis do not engage in regular physical activity.) Effect of Severe Scoliosis (Over 70 degrees). If the curvature exceeds 70 degrees, the severe twisting of the spine that occurs in structural scoliosis can cause the ribs to press against the lungs, restrict breathing and reduce oxygen levels. One study concluded that almost two-thirds of patients with curves of 90 degrees and under had less than 80% of normal lung capacity. The distortions can also affect the heart and cause dangerous changes. Effect of Very Severe Scoliosis (Over 100 degrees). Eventually, if the curve reaches over 100 degrees, both the lungs and heart can be injured. Patients with this degree of severity are susceptible to lung infections and pneumonia.

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30 RIPAS doctors to perform scoliosis surgeries independently Borneo Bulletin - Sunday, November 15, 2009 http://www.bt.com.bn/news-national/2009/11/15/ripas-doctors-perform- scoliosis-surgeries-independently Scoliosis: Earlier Detection Means Easier Treatment Borneo Bulletin – Tuesday July 19, 2011 http://www.bt.com.bn/news-national/2011/07/19/early-detection-scoliosis- stressed The 1st Scoliosis Surgery in Brunei http://doctorsbrunei.blogspot.com/2007/07/1st-scoliosis-correction-surgery- in.html SCOLIOSIS SURGERY WORKSHOP IN BRUNEI DARUSSALAM (22ND - 29TH JANUARY 2008) http://www.moh.gov.bn/news/20080128a.htm International Workshop on Scoliosis http://www.rtbnews.rtb.gov.bn/?c=newsDetail&news_id=22438 Brunei on


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