Congenital Scoliosis

Non-operative Treatments

Observation
Observation is usually the first method of treatment for a young child with a spinal deformity. The physician will first need to determine if the curvature is progressing or worsening. Some children will have a curvature of their spine that is stable and unchanging, whereas other children will have a curve that relentlessly progresses. Just because the spinal deformity surgeon is "observing" your child does not mean that he/she is not treating them. During this period of time, not only will your child's doctor look for changes in the curve, but they will probably order some special tests to evaluate further the child's condition and have you see some other doctors.

Your scoliosis surgeon will probably want to see your child every four to six months and have new X-rays made. They will then measure the curves and compare them with the previously made films. The doctor will probably continue to observe your child's curves as long as there is no drastic increase in the size of the curve. If your surgeon documents progression of the curve, though, a different form of treatment will need to be instituted. The surgeon will probably want to obtain bending radiographs of the spine to assess flexibility and help determine the next course of treatment.

Bracing
If the curve is progressive, and your child is still growing, the doctor will inform the parent of the lack of evidence that a brace or cast can prevent progression of a congenital scoliosis.

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