Treatment and Prevention
Treatment will be based on the severity of the spine's curvature. In
mild cases, treatment isn't necessary. The more severe the curve, the greater
the chances that the condition will progress. About 50% of children with scoliosis
will need some form of treatment or at least require close follow-up with a
doctor. Prompt treatment will usually prevent the condition from worsening.
For progressive scoliosis, a customized brace or plaster cast will be needed
to hold the spine straight. The brace is made to extend from the hips to
the neck, and must be worn for about 23 hours a day. For many young patients,
wearing a brace to school can be very stressful and frustrating. counseling
and support can help children and adolescents adjust and deal with negative
feelings and concerns. Without the help of the brace, the scoliosis can get
worse and surgery may be required. In very severe cases, surgical correction
of the spine may be necessary and most commonly involves a spinal fusion with
attachment of metal rods to the spine. In the majority of cases, a back brace
and/or surgery helps correct the problem. Another treatment sometimes used is
electrospinal stimulation. In this procedure, the spinal muscles are stimulated
with tiny electrical currents and strengthened, and this helps straighten out
the spine.
A family history of scoliosis is an important risk factor. If you have
a family history of scoliosis, take your child to see your family doctor or
a pediatrician for early screening. Learn about exercises that can improve posture
and strengthen the muscles that support the spine (e.g., abdominal muscles).
When detected early and treated appropriately, scoliosis may not progress or
cause major disability.