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An operation is sometimes necessary to address spinal deformity in the young child, and the decision to do these procedures is based on many factors. If the child's curve has shown progression despite bracing or casting, something will need to be done. The dilemma faced by the surgeon is how to stop the progression of a curve without adversely affecting future growth. Sometimes this is unavoidable, as most operations work by stopping abnormal spinal growth in a procedure called spinal fusion.