Scoliosis Specialist in Barranquilla: Dr. Guido Pugliese Explains the Importance of Early Detection

Scoliosis in children and adolescents can go unnoticed because, in some cases, the spinal curvature is mild, does not cause pain, and can be difficult to identify with the naked eye. Recognizing postural changes and seeking an evaluation when scoliosis is suspected can help determine how the curve may progress.

Dr. Guido Pugliese, a specialist in spine surgery and scoliosis management in Barranquilla, explains that some spinal curves may go unnoticed during adolescence and become more apparent or progress later in adulthood.

Is Scoliosis Always Detected During Adolescence?

Not necessarily. Some curves may be so mild that they go unnoticed during this stage. In certain patients, changes may become more apparent years later as degenerative changes develop in the spine.

Over time, scoliosis may be associated with degenerative arthritis, pain, and changes in spinal balance. Knowing that a curve exists and monitoring its progression can help determine the most appropriate management options.

Dr. Guido Pugliese explains why some cases of scoliosis may go unnoticed:

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What Should You Do If You Suspect a Spinal Curvature?

The first step is to seek a specialized medical evaluation. Not every body asymmetry indicates scoliosis, and not all patients require the same treatment.

During the evaluation, the specialist may assess factors such as the patient's age, the characteristics of the curve, and its progression. Depending on the individual case, the specialist may recommend monitoring, physical therapy, or other treatment options. Surgery is reserved for selected patients, depending on the severity and characteristics of the spinal deformity.

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What Signs Should Parents Look For?

Parents can watch for postural changes that may warrant a medical evaluation, including:

• One shoulder higher than the other.
• One hip higher or more uneven than the other.
• Asymmetry in the back.
• One shoulder blade more prominent than the other.
• Visible changes in posture.
• Differences in the height or position of the shoulders and waist.

If any of these signs are present, consulting a specialist can help determine whether a spinal curvature exists and whether monitoring or treatment is needed.

Will a Child Become Stiff After Scoliosis Surgery?

This is a common concern for parents when surgery is being considered. When indicated, the goal of surgery is to correct and stabilize the spinal deformity, while aiming to preserve good function and allow the patient to continue with everyday activities.

Surgery does not necessarily mean that a child will become completely stiff or lose the ability to perform everyday movements. The outcome and range of motion depend on factors such as the type of deformity, the spinal levels treated, and the individual patient's characteristics.

Dr. Guido Pugliese answers one of the most common questions parents have about scoliosis surgery:

Scoliosis Cases: Experience in Spine Surgery

Learning about real cases can help patients and families better understand how spinal deformities are managed and why each patient requires an individualized evaluation.

Video featuring scoliosis surgery cases:

Scoliosis Specialist in Barranquilla

Dr. Guido Pugliese is a medical doctor who graduated from Universidad del Norte in Barranquilla. He specialized in Orthopedics and Traumatology at the National Autonomous University of Mexico (UNAM), received training in Spine Surgery at the Mexican Social Security Institute, and completed a Fellowship in Spine Surgery at McGill University in Canada.

With 36 years of professional experience, he is a member of the Colombian Society of Orthopedic Surgery and Traumatology. His training focuses on the diagnosis and management of spinal conditions and deformities, including scoliosis in children, adolescents, and adults.

If you have noticed a possible spinal curvature in your child, an evaluation with a scoliosis specialist can help determine the cause and identify the most appropriate approach for their individual case.

Learn more about Dr. Guido Pugliese's professional background and contact information: Orthopedic Specialist and Spine Surgeon in Barranquilla.

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