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What Should Be Done?
In ninety percent of cases, scoliotic curves are mild and do not require active treatment. In the growing adolescent, it is very important that the curves be monitored for change by periodic examination and standing x-rays as needed. Increases in spinal deformity require evaluation by an orthopaedic surgeon to determine if active treatment, such as bracing, is required. In a small number of patients, surgical treatment may be needed.
What Factors Determine Treatment For Scoliosis?
- Age in years
- Bone age (the maturation of bone is not always the same as the chronological age)
- Degree of curvature
- Location of curve in the spine
- Status of menses/puberty
- Gender of the patient
- Worsening of the curve
- Associated symptoms such as back pain or shortness of breath