How Is Scoliosis Treated?

Treatment for scoliosis is based on:

• The person's age
• How much more he or she is likely to grow
• The degree and pattern of the curve
• The type of scoliosis.

The doctor may recommend observation, bracing, or surgery.

Observation:

The doctor will check every 4 to 6 months to see if the curve is getting better or worse. Observation is used for those who have a curve of less than 25 degrees and are still growing.

Bracing:

Doctors may advise wearing a brace to stop a curve from getting worse. Bracing may be used when:

• The person is still growing and has a curve of more than 25 to 30 degrees.
• The person is still growing and has a curve between 20 and 29 degrees that is getting worse.
• The person has at least 2 years of growth remaining and has a curve that is between 20 and 29 degrees. If a girl, she should not have started having her monthly periods yet.

Surgery:

Doctors use surgery to correct a curve or stop it from getting worse when the person is still growing, the curve is more than 45 degrees, and the curve is getting worse. Surgery often involves fusing together two or more bones in the spine. The doctor may also put in a metal rod or other device. These devices are called implants. They stay in the body and help keep the spine straight after surgery.

Can Exercise Help?

Exercise programs have not been shown to keep scoliosis from getting worse. But it is important for all people, including those with scoliosis, to exercise and remain physically fit. Weight-bearing exercise, such as walking, running, soccer, and gymnastics, helps keep bones strong. For both boys and girls, exercising and playing sports improves their sense of well-being.

About Other Treatments for Scoliosis

So far, the following treatments have not been shown to keep curves from getting worse in scoliosis:

• Chiropractic treatment
• Electrical stimulation
• Nutritional supplements
• Exercise.