When the Spine Curves: Treatments for Scoliosis

The Treatment of Scoliosis

Observation

Observation is the least invasive form of treatment for scoliosis, but is only used in the case of mild curves. A curve that measures only 20 degrees or less does not merit bracing or surgery and is usually observed until the spine's growth period is over. Identifying the curve, properly diagnosing scoliosis and documenting progression are important in observing scoliosis. Assessing the risk of further progression is also important, as it influences treatment. Curves measuring less than 40 degrees at the end of adolescence are not likely to progress in adulthood, while those of 40 degrees or more have a much greater chance of progression. Observation allows for timely and appropriate treatment.

Observing a scoliosis patient begins at diagnosis and continues until he or she reaches maturity. When the body stops growing, the curve is unlikely to progress. Those who are skeletally mature have less risk for progression; examinations are recommended at approximately 6-month intervals.

In the past, exercises were recommended during observation periods. They were prescribed in an attempt to halt the progression of scoliotic curves. However, exercises alone have since proven to have little or no affect on reducing the effects of scoliosis.