https://kidzspinedoc.com/kennethillingworth daily 1.0 2023-10-26 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/2722ab1a-7bc6-4150-8dee-8f2242cacfc1/27363-NS-NEU-RST-Kenneth+Illingworth-MD-0725.jpg About - Kenneth David Illingworth, MD https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/498e20e6-d9f9-4151-a974-4b2099b03898/Guerin+Website.jpg About https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/10118802-ffa6-4e7e-831a-bb9f127ba981/SpineHope+Website.jpg About https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/ee7891cb-5e45-491c-9814-caf287ca2a9b/academy-2-line-red.jpg About https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/b98d5d74-f26a-4108-a2ee-46cc9b6a8ba8/logo.jpeg About https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/aeca533c-e86f-4581-989a-5c3e1810df72/1578676645897.jpeg About https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/67a5d025-c254-43d2-896f-d44387eb3ba4/Scoliosis_logo_WEB.jpeg About https://kidzspinedoc.com/conditions daily 0.75 2023-10-24 https://kidzspinedoc.com/appointments-4 daily 0.75 2022-05-18 https://kidzspinedoc.com/adolescent daily 0.75 2024-03-15 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/7e8a63a0-608b-40aa-80b0-64c069b18964/unsplash-image-8-9EC69SiEY.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/efe25ac7-1f1b-4f4f-9e8c-459b22ed2c3b/GettyImages-1304727332.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/22439211-8bca-4cc6-aeb7-acc0e10f4ab0/Brace+AIS.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/78f8f13f-e93f-421a-9c4d-3138917fdb1f/JD+Website.jpg Adolescent Idiopathic Scoliosis https://kidzspinedoc.com/neuromuscular-scoliosis daily 0.75 2024-03-15 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/66705380-e38e-4154-9eeb-889188f36026/Screen+Shot+2020-01-18+at+7.55.34+AM.jpg Neuromuscular Scoliosis - Neuromuscular Scoliosis The term neuromuscular scoliosis describes development of spinal curvatures in patients with pre-existing neuromuscular conditions. The most common conditions are cerebral palsy, Duchenne’s muscular dystrophy, spina bifida, spinal muscular atrophy, Friedrich’s ataxia and spinal cord injuries. In general, the degree of curve severity and risk for progression is related to the child’s functional status, where the rates of scoliosis in non-ambulatory neuromuscular patients approaches 100%. Severe progressive neuromuscular scoliosis can be associated with significant morbidity and health concerns including: Difficulties in daily care Difficulties in wheelchair positioning and sitting balance Pain Skin breakdown Progressive severe restrictive lung disease Cardiopulmonary dysfunction https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/e6c154e8-5958-4bf9-9799-7d48326a4c74/NMS-1.jpg Neuromuscular Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1651332889890-LOB44TQ9AV87IEMAYALM/GettyImages-580114946.jpg Neuromuscular Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/6a83bfb1-abca-43b3-a382-f56dc60a7be5/Brace+AIS.jpg Neuromuscular Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1651331684843-RDXXP7666P7C22A7P0I2/GettyImages-858352780.jpg Neuromuscular Scoliosis https://kidzspinedoc.com/congenital-scoliosis daily 0.75 2022-05-18 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/6430ff85-1196-4f70-be95-9d8e8370dd56/Xymena.jpg Congenital Scoliosis - Congenital Scoliosis Congenital scoliosis is a spinal curvature that occurs because of abnormal development of the spine during gestation. Congenital spinal abnormalities have a wide range of clinical impacts and can result in no curvatures to severe curvatures that threaten normal lung development during early childhood. The spine develops during the same time as other vital organs, such as the heart and kidneys, and therefore we often order additional tests such as echocardiograms, renal ultrasounds and spinal MRIs when a diagnose of congenital scoliosis is made. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/b286b8c4-b4d8-4e19-8078-2eacc4a2f5a4/MCGR-1.jpg Congenital Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/c4e55380-586b-4384-8215-01d6956b1eeb/GettyImages-1167064331.jpg Congenital Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/8ce50f37-4b0b-473b-adf5-e911b72881ff/Congenital+.jpg Congenital Scoliosis https://kidzspinedoc.com/earlyonset daily 0.75 2022-05-18 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/05514316-418b-46d6-bcd6-006088d4cf9d/tempImageJBaubs.jpg Early Onset Scoliosis - Early Onset Scoliosis Early onset scoliosis is the development of a spinal curvature that presents before the age of 10. There are many potential causes of early onset scoliosis, including congenital, neuromuscular and idiopathic (we don’t know why). Regardless of the cause the main goal is the same, monitor/prevent curve increase while maintaining spinal growth. Spinal growth in the thoracic spine is critical for development of young lungs and maintenance of lung term pulmonary health. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/57a17bf6-a525-4ad8-b777-b3d0cf8ac67a/EOS.jpg Early Onset Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/9a5627c5-275d-45a5-b3b7-37e8645fa7ef/image2.jpg Early Onset Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/d2a1fc17-e27b-4635-b205-46b882cc233f/GettyImages-1304727332.jpg Early Onset Scoliosis https://kidzspinedoc.com/contact daily 0.75 2022-05-18 https://kidzspinedoc.com/kyphosis daily 0.75 2022-05-21 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/504dd083-e836-424a-9dc7-d837e19b0b16/Screen+Shot+2022-05-17+at+1.23.35+PM.jpg Kyphosis - Kyphosis Kyphosis is a curvature of the spine from the side, unlike scoliosis which has a curve from the front. The most common location of increased kyphosis is in the thoracic spine. The normal thoracic spine has 20-40 degrees of kyphosis, however increased kyphosis above this range can give the appearance of a “hump” in the back. Majority of the time increased thoracic kyphosis is postural, not progressive and does not result in long term health consequences. Scheuermann’s kyphosis involves a more rigid kyphosis which can be progressive and associated with back pain. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/21d49ce2-76db-480b-973a-a4623f7dd138/unsplash-image-XiCEx98PnUA.jpg Kyphosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/a72ea721-92ac-4280-8308-9cc8f59b4e7f/GettyImages-661645388.jpg Kyphosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1653164492340-BLZNBFV3K7SS2ZKJ7LSU/unsplash-image-n8H0vAfGceM.jpg Kyphosis https://kidzspinedoc.com/spine-fractures daily 0.75 2022-05-17 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/d8a8d01e-b9e6-439a-8b79-e824447b4909/GettyImages-506758124.jpg Spine Fractures - Pediatric Spine Fractures Thankfully, pediatric spine fractures are rare. However, they do occur and when they do having a pediatric spine specialist is of significant value. Most spine fractures, other than spondylolysis, are the result of high energy trauma such as motor vehicle collisions or high impact sports accidents. Majority of these injuries can be treated with bracing and conservative treatment. However, some injuries render the spine unstable and require surgical treatment to stabilize the spine and prevent injury to the spinal cord and nerves. https://kidzspinedoc.com/spondylolysisspondylolisthesis daily 0.75 2022-05-18 https://kidzspinedoc.com/upperlower-extremity-fractures daily 0.75 2022-05-18 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1651326906789-EKF075VQ1G4NB7002ZAJ/GettyImages-1313961797.jpg Upper/Lower Extremity Fractures https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/3ee29c12-f115-4914-ae70-18a98a02a143/Elbow+FX.jpg Upper/Lower Extremity Fractures https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/00cc34a7-4cda-46c9-aa04-b73d6b6e9771/Clavicle+FX.jpg Upper/Lower Extremity Fractures https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/9f1db17d-3556-4f46-9ee7-a0d3f4074fe4/Foot+FX.jpg Upper/Lower Extremity Fractures https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/f2aa72f3-5bde-46e4-9c15-87bac13a2923/Wrist+FX.jpg Upper/Lower Extremity Fractures https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/30b2846d-0386-4bd5-9d46-ef493221de04/000XR20211465231_T+PELVIS+AP_0000.jpg Upper/Lower Extremity Fractures https://kidzspinedoc.com/congenital-cervicothoracic-scoliosis daily 0.75 2023-10-26 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/04f7e0bd-0002-4fff-809a-24ef41f62798/XD+Pre+Op+3.jpg Congenital Cervicothoracic Scoliosis Xymena came to us at the age of 4 for evaluation of her complex congenital cervicothoracic scoliosis. Xymena has Goldenhar syndrome, also known as oculo-auriculo-vertebral syndrome, which affects 1 in ~5,000 live births. Goldenhar syndrome results in incomplete development of the ears, nose, soft palate, lip and mandible, as well as being prone to development of scoliosis. They had been to multiple other providers in different states who stated there were no treatment options for Xymena given the severity of scoliosis. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/f229f1c9-e844-4257-a91f-faef5fb20f61/XD+CT.jpg Congenital Cervicothoracic Scoliosis A challenging aspect of Xymena’s curve was her complex congenital anomalies. Her neck was fused in the front and lacked bone in the back. This made it difficult to perform more traditional spine surgery with screws and rods. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/c00a1eda-5a0c-408f-99ca-e97e3b0d2e3e/XD+Traction+2.jpg Congenital Cervicothoracic Scoliosis After much discussion we decided to proceed with halo gravity traction. You can learn more about this methods on our webpage. This allowed us to safely stretch her spine over several weeks. Our major goal of surgery….. get Xymena’s head in a better position and her left ear off her left shoulder!!! https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/ce454328-272d-41c1-9973-5c9b455e86d8/tempImageZeUtix.jpg Congenital Cervicothoracic Scoliosis After a successful course of halo gravity traction Xymena underwear surgery with a non-instrumented fusion and application of halo vest. She did great and her head position was much improved!!! She wore her halo vest for 3 months and then went back to her previous level of activities. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/4fcc0d26-c7d6-4529-81ca-98b8d2c6a701/XD+3+yrs.jpg Congenital Cervicothoracic Scoliosis The plan was always to go back at a later date and perform a more traditional surgery with screws and rods. However, 3 years out from surgery Xymena is doing great, her head has maintained good alignment, and we continue to monitor her as she grows. We expect that Xymena will need a final spine surgery down the road, but for now she is living life to the fullest!! https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/fb18ad2e-7027-4f2a-b0a6-fe418ea064f6/tempImage8SYsJV.jpg Congenital Cervicothoracic Scoliosis “You don’t know how much I have to thank you for making this possible. She is able to do this because you took a chance and helped her. You are an amazing Dr and I can say we are very honored to have you treat Xymena. She is thriving because of and all your help” Xymena’s Mom https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/908f6abd-5df0-4423-9397-ad14b59f1fb2/tempImageHV4WEb.jpg Congenital Cervicothoracic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/2678e3a0-e667-4f01-88f7-38eee94101e5/tempImage38gEg7.png Congenital Cervicothoracic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/45ef9152-4bb6-4407-bbf5-22d845e5484e/tempImagen10A8E.png Congenital Cervicothoracic Scoliosis https://kidzspinedoc.com/adolescent-idiopathic-scoliosis-story daily 0.75 2023-10-26 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/888a4755-db1a-484e-a6c9-c0bb620df461/JD+Pre+Bracing.jpg Adolescent Idiopathic Scoliosis Jolie came to see us at the age of 12 with a known diagnosis of adolescent idiopathic scoliosis. Given her curve size (27 degrees), and significant remaining growth, we recommend bracing to give her the best chance of preventing further worsening of her scoliosis. Despite the need for bracing, Jolie continued to excel in the classroom and in her athletic endeavors. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/2be093c9-6df2-4d40-9e15-dcb1694e8b0a/JD+Pre+Surgery.jpg Adolescent Idiopathic Scoliosis Jolie was incredibly compliant with bracing. However, in some kids, despite adequate bracing, curves will continue to progress. Her scoliosis continued to increase and reached 52 degrees. Once curves reach 50 degrees we begin to discuss the pros and cons to surgical intervention. Goals of surgery are to improve the curve, prevent future progression and optimize long term back health. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/9a2bed7d-5e73-48f0-92b8-e2e6ef9c45af/JD+Post+Surgery.jpg Adolescent Idiopathic Scoliosis In 2021 Jolie underwent surgery for correction of her scoliosis. She did amazing and was in the hospital for 2 days and back to track at 3 months. Jolie is a track star who is destined to do great things not only in college athletics but as an amazing young person. We are excited to see what the future holds for her!! https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/8fcf37ec-9953-4d37-b6a4-3d70813f7513/KD+Post+OP.jpg Adolescent Idiopathic Scoliosis Kenya came to see us in 2019 and x-rays confirmed a small curvature of the spine. We continued to monitor him and his curve progressed to the point of requiring bracing. Despite bracing, his curve continued to progress and ultimately reached a point were surgery was recommended. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/eb302e42-d572-46ee-b89d-046e42e071db/KD+Pre+OP.jpg Adolescent Idiopathic Scoliosis In 2022 Kenya underwent surgical correction of his scoliosis and was in the hospital for 2 days and back to full activities at 3months. Kenya is now one year out from his surgery and doing well. He is now 6’3 and towers over us at each of his follow up appointments. He is looking forward to getting into pilates and go-kart racing (although his parents say otherwise). https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/cadf0319-2ddc-42de-8fdd-76d35fff93ab/Jolie+Headshot.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/8243cc6c-32b3-4c46-b42a-8d90a683cbfc/Kenya+Headshot.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/c7dcc90f-b243-4413-a10b-61b228b76f01/tempImageyULJ0k.png Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/5fd61adb-501e-4981-b730-d4f1ffe59622/tempImageetp7zh.png Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/cf175fe5-8f47-4e1d-8a2e-bd2d74c485ec/IMG-20221212-WA0001.jpg Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/38da66fe-9cb2-4c29-94ba-616e0cb19d44/tempImageHHVxxL.png Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/01b71baf-8a41-4ef1-8b00-6be50e50f9bc/tempImagedNy26c.png Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/9035af5d-2fad-4a69-9a43-7763a827eeaf/tempImagew5NN95.png Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/3cc13c13-dda2-41fb-a878-a0c2fe8b39ab/Screenshot_20230713_234144_Messages.JPG Adolescent Idiopathic Scoliosis https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/4aa51507-826f-4f9e-91e2-97ab54daf545/IMG-20221212-WA0000.JPG Adolescent Idiopathic Scoliosis https://kidzspinedoc.com/patientstory-neuromuscular-scoliosis daily 0.75 2023-10-24 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/d01b28b3-9a76-4e4a-aada-519d150c9028/AG+Pre+Op.jpg Neuromuscular Scoliosis Adelynn has severe spastic quadriplegic cerebral and is full time in a wheelchair. She required a kidney transplant at the age of 5 secondary to end stage renal disease. Despite her medical limitations she lived life to the fullest and was included in all family activities. However, she developed rapidly progressive neuromuscular scoliosis which was significantly impacting her quality of life and ability to sit in a wheelchair. She was in constant pain. The family had sought numerous opinions in regards to her spine, however given her complex medical history she was deemed not be a candidate for surgical intervention. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/8033d29c-68de-4dfb-af41-af22cbac05bc/tempImage3a7abz.jpg Neuromuscular Scoliosis Adelynn presented to us in 2022 for another opinion. Given the impact that her severe scoliosis was having on her quality of life we entertained the idea of proceeding with surgery. We had a lengthy discussion on the pros and cons to this big operation and the family was adamant it was the right decision for Adelynn. Our nurse navigators walked the family through the entire surgical process. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/af2fc369-1437-4729-b0d2-adc590205a75/AG+Post+Op.jpg Neuromuscular Scoliosis Adelynn underwent a successful posterior spinal fusion and instrumentation to the pelvis and was in the hospital for 7 days. For the first time in years she was able to sit upright in her wheelchair, pain free!! She is now over a year out from her surgery and is doing great and has regained her joy in life. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/fff64eab-0e48-4568-8925-93aaab37cc4e/AG+Headshot.jpg Neuromuscular Scoliosis https://kidzspinedoc.com/cervical-anomalies daily 0.75 2022-05-18 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/eb0a0207-256f-47bb-83ca-7e1b5682de9a/OS.jpg Cervical Spine - Cervical Spine Thankfully, children rarely have significant issues with their neck and cervical spine. However, children are prone to some congenital/developmental anomalies which can have impacts on the bones/ligaments of the cervical spine. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/c0dbc722-b28e-4c5b-9d7c-3e196cbbf2a0/Cervical.jpg Cervical Spine https://kidzspinedoc.com/back-pain daily 0.75 2022-05-18 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1652891990727-TNAIF82NBUJTCQ07XHB3/GettyImages-1213375492.jpg Back Pain - Back Pain Although back pain is rather uncommon in young children, it significantly increases as they approach adulthood. By age 18 years, the lifetime prevalence rates of low back pain approach those documented in adults, with an estimated yearly prevalence of 20% and a lifetime evalence of 75%. Thankfully, most causes of pediatric back pain are self limiting and resolve without need for intervention. https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/1652893699149-BMCZ0NBPN9AZHE3KISWV/GettyImages-1191203712.jpg Back Pain https://kidzspinedoc.com/ais-bracing daily 0.75 2022-05-01 https://kidzspinedoc.com/ais-surgery daily 0.75 2022-05-01 https://kidzspinedoc.com/nms-surgery daily 0.75 2022-05-01 https://kidzspinedoc.com/growing-instrumentation daily 0.75 2022-05-01 https://kidzspinedoc.com/coming-soon daily 0.75 2022-05-01 https://kidzspinedoc.com/halo-gravity-traction daily 0.75 2024-02-09 https://kidzspinedoc.com/spinehope daily 0.75 2024-03-19 https://images.squarespace-cdn.com/content/v1/62597f8f79b3754398974f93/f8de56b1-28f6-42ab-9255-facf1a701822/SpineHope+Website.jpg SpineHope https://kidzspinedoc.com/about daily 0.75 2025-05-13 https://images.squarespace-cdn.com/content/v1/5ce2e1b47977970001d9545e/1559249367710-990SKXY4GDXK1E5F9KKD/about-us.jpg About