Scoliosis Treatment

What is Scoliosis?

Scoliosis is a condition where a child’s spine curves sideways in an abnormal “S” or “C” shape. While a slight curve is common, scoliosis refers to progressive spinal curvature that may worsen as the child grows. It can be congenital (present at birth), idiopathic (unknown cause), or due to neuromuscular conditions like cerebral palsy.

Scoliosis can affect posture, breathing, and self-confidence, and in some cases, may require bracing or surgery.

Key Facts About Scoliosis

• Often appears during the growth spurt between ages 10–15
• Girls are more likely to have progressive scoliosis
• Most cases are mild and monitored regularly
• Severe curves can cause pain, breathing issues, or visible deformity
• Early detection leads to better outcomes

Causes of Scoliosis

• Idiopathic (most common): No known cause, usually in adolescents
• Congenital: Malformed vertebrae present from birth
• Neuromuscular: Related to conditions like cerebral palsy, muscular dystrophy
• Postural or compensatory: Due to leg length discrepancy or pelvic tilt

Symptoms and Consequences

Visible Signs Parents May Notice:

• Uneven shoulders or hips
• Prominent rib cage on one side when bending forward
• Leaning to one side
• Clothes not fitting properly
• Back pain or fatigue in older children

If Untreated:

• Curve may worsen significantly during growth
• Reduced lung and heart function in severe cases
• Psychological impact due to visible deformity
• Permanent spinal stiffness and imbalance

Scoliosis Treatment at Child OrthoCare

At Child OrthoCare, Dr. Nargesh Agrawal offers comprehensive scoliosis care, from early diagnosis to advanced surgical correction, using child-specific protocols.

1. Clinical Evaluation and Imaging:

• Spine examination and scoliometer measurement
• X-rays to assess Cobb angle (degree of curvature)
• MRI if needed for congenital or neuromuscular scoliosis

2. Treatment Options Based on Curve Severity:

Mild Curves (<20°):

• Regular monitoring every 6–12 months
• Physiotherapy and posture training

Moderate Curves (20°–40°):

• Bracing to stop progression
• Custom-made spinal braces worn for several hours daily
• Helps avoid surgery in growing children

Severe Curves (>40° or progressive):

Surgical Correction (Spinal Fusion):

• Implants and rods used to straighten and stabilize the spine
• Performed under neuro-monitoring for safety
• Post-surgical recovery includes physiotherapy and gradual return to activity

3. Post-treatment Rehabilitation:

• Physical therapy to improve strength and flexibility
• Long-term monitoring until skeletal maturity

Did You Know?

• Most children with scoliosis do not feel pain, so it’s often missed
• School screening or routine pediatric exams help early diagnosis
• Bracing is most effective before puberty when the spine is still growing
• Surgery is highly successful with modern techniques and minimal complications

Myths and Facts About Scoliosis

Myth: Scoliosis is caused by poor posture or heavy backpacks.
Fact: Posture and bags don’t cause scoliosis—it’s usually idiopathic or congenital.

Myth: All scoliosis needs surgery.
Fact: Most cases are mild and only require monitoring or bracing.

Myth: Exercise can reverse scoliosis.
Fact: While helpful for posture and strength, exercise alone doesn’t correct spinal curves.

Myth: Scoliosis surgery is unsafe.
Fact: With modern tools and monitoring, scoliosis surgery is safe and effective in expert hands.