Advice 1: How to determine the degree of scoliosis

Scoliosis is a complex deformity of the spine, which has different causes and is divided into 4 classifications. The diagnosis of the degree of curvature is established after inspection and radiological examination according to the degree of deviation from the norm, defined in degrees.
How to determine the degree of scoliosis
Instruction
1
Radiological classification of scoliosis is carried out according to the method of V. D. Chaklin the First degree of scoliosis is a diagnosis which is put in the case, if the angle of deviation of the spine from the norm is equal to 1-10 degrees. In addition to the angle of deflection on x-ray can detect objective evidence during the inspection. The head of the patient can be lowered, shoulders rolled one shoulder girdle above the other. There may also be asymmetry of the waist, when bending forward arc is detected; if the patient is rectified, then the arc on the spine becomes invisible.
2
The diagnosis of "scoliosis" put x-ray examination, when the deflection angle of the spine is 11-25 degrees. Appears asymmetry of the neck, the pelvis of the patient is uneven, and lowered on the side of the curvature, the lumbar has a deep cushion, while the thoracic spine has a significant protrusion. If at the first stages of the disease, the curvature can be detected only when the inclination of the second degree curvature is visible at any position of the body.
3
The third degree of scoliosis. Radiograph showing the angle of deviation of the spine to correspond 26-50 degrees. The patient is skewed, there is strongly delineated by a rib hump on one side and the indents of the ribs on the other hand, muscle deep, on the side of a skewed arc edges contiguous with the iliac bone.
4
The fourth degree of scoliosis is characterized by the angle on radiographs of more than 50 degrees, the patient is fully bent, the ribs in the curve fall on each other, while on the other hand the muscles are stretched to the limit and the intercostal space is maximally stretched.
5
Third and fourth degree – this is a very severe form of scoliosis, which most often progresses and leads to complete immobility. Disturbed function of the heart, lungs, pelvic organs, which leads the patient to disability.
6
The shape of the curvature at any degree of scoliosis may be C-shaped, where the curve of the arc, S-shaped with two arcs, E-shaped with three or more arcs.
7
Localization of curvature is in the cervical-thoracic, thoracic, grodnovodokanal, lumbar and lumbosacral.
8
If you are diagnosed with scoliosis, you must comply with all recommendations of the doctor, systematically undergo re-examination.

Advice 2: Do in the army with scoliosis of 1 degree?

Scoliosis of 1 degree is not a ground for exemption from military service. Recruits with this diagnosis perform military duty on General grounds, because it does not fall into the category of those who have been released from the army.
Do in the army with scoliosis of 1 degree?
Scoliosis of 1 degree is a common disease that is diagnosed in a large number of recruits at the stage of medical examination. However, the diagnosis does not entitle you to exemption from military service because of objective disorders of the musculoskeletal system in this case is not observed. This is stipulated in paragraph 66 of the Schedule of diseases approved by the resolution of the Government of the Russian Federation. This regulation describes in detail all diseases of the spine, and review the specific features of assignment of recruits to particular categories of life.

How to determine the degree of spinal curvature



The degree of curvature of the spine with the passage of the draft Commission cannot be set approximately, so it is determined by the surgeon based on the study of x-ray pictures. The specified value is set on the scale after V. D. Chaklin, as explicitly stated in the notes to item 66 of the Schedule of diseases. To the first degree of curvature is the angle of scoliosis in the range of 1-10 degrees; second degree – 11-25 degrees; the third degree correspond 26-50 degrees; fourth degree – more than 50 degrees. While preliminary x-rays are usually done in standing and lying down, since the total value of scoliosis may vary slightly.

When the recruit with scoliosis is released from the army



Fully from service in the army exempt recruits, which revealed a 4-degree scoliosis. This diagnosis is recognized as significant dysfunction of the spine and involves the establishment of a category "D" (not fit for military service). In the presence of scoliosis a third or second degree, the category "B" (partially fit for military service), which also eliminates the actual conscription. The detection of scoliosis of 3 degrees is considered moderate dysfunction of the spine, and the presence of scoliosis of 2 degrees – slight dysfunction of the spine. Only 1 degree of scoliosis is not considered a basis for establishing any relief, so recruits with this diagnosis taken into the army on a General basis. The disease is not reflected in the Schedule of diseases, and so identification is not necessary to count on establishment of a category "B" in which the person is deemed to be unfit for performance of military duties with few restrictions.
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