TSRHC

Scoliosis & Spine

Scoliosis Treatment Options

Texas Scottish Rite Hospital for Children provides a multidisciplinary, family-centered approach to treating scoliosis. From observation to bracing to surgery, we ensure that every child receives the highest quality care.

Once it's determined that a child has scoliosis, several things are taken into consideration to determine the best treatment option:

  • Spinal maturity - the amount of growth left in the child's spine
  • Degree and extent of the curve - the severity of the curve and how it affects the child's
    daily life
  • Location of the curve - is it a thoracic (upper spine), thoracolumbar (middle spine) or lumbar (lower spine) curve? Some are more likely to progress than others.
  • Potential for progression - if the curve is large before the child's adolescent growth spurt, it's more likely to progress.

Your doctor will analyze these variables and create a plan including one or more of the following:

Observation

Treatment depends on the size of the curve, when it's detected and how much growth is left. Curves worsen during the major growth spurts. Curves less than 20 degrees, for example, usually do not need treatment. They may only require monitoring by your doctor from time to time until the child has stopped growing.

Scoliosis Bracing

Orthopedic braces are used to help treat adolescent idiopathic scoliosis during the rapid growth years. The goal of the brace is to keep the child's spine curvature from getting worse during this time of growth and, ultimately, to avoid the need for surgical correction. A brace is only needed while the child is growing. Read more about scoliosis bracing.

Surgery

Surgery may be necessary if a spinal curve is resistant to bracing. Spine surgery involves placement of two rods and fusion of the spine along the segments of the spine that are curved. Read more about scoliosis surgery.