Patient's question:
A friend's child has recently appeared to be slightly hunched, which made them uneasy. They took the child to a nearby hospital for a thorough examination. The doctor confirmed the diagnosis as rickets caused by a congenital lack of vitamin D. The whole family is very worried. Now, in addition to stabilizing the child's regular diet, they are wondering if low-phosphorus rickets can grow out of it?Doctor's answer:
Scoliosis comes in many different types, and not all cases of scoliosis require vitamin D3 supplementation. Vitamin D3 may be effective for vitamin D deficiency-related scoliosis. It is necessary to take the child to a specialized pediatric endocrinology department for a follow-up examination to identify the factors contributing to scoliosis. For example, vitamin D deficiency-related scoliosis was common in the past, but with improving nutrition, such cases are now rare, being replaced by hypophosphatemic vitamin D-resistant rickets. Upon hospital re-examination, the condition may present as scoliosis, often requiring internal medicine treatment. Once the condition stabilizes, corrective osteotomy surgery may be feasible.