Many times with scoliosis - no treatment is needed.  Once a patient is diagnosed with scoliosis it is important to observe and monitor the curve during the patient’s growing years.  Factors that affect what type of treatment is recommended include the age of the patient and how much growth they have left, the degree and pattern of the curve, and the type of scoliosis. 

 

Treatment options may range from observation to surgery.  If it is decided that the patient will be observed; they will be evaluated approximately every six months while the patient is still growing.  At this time, the degree of the curve will be assessed.

 

Bracing is a treatment option to prevent the curve from progressing.  This is recommended if the patient has an idiopathic curve, is still growing and:

  • Has a curve greater than 25 degrees,
  • Has two more years of potential growth remaining and the curve is between 20 and 29 degrees, (and if female has not had her first menstrual period) or
  • Has a curve that is between 20 and 29 degrees and is progressing.   
When patients have a curve that is greater than 45 degrees, they are still growing and the curve is getting worse they may be a candidate for spine surgery.  In this case, a spinal fusion may be performed to straighten and stabilize the spine