Scoliosis

Scoliosis can develop for several reasons, and in many cases, the exact cause is unknown. Common causes and types include:

• Idiopathic scoliosis, the most common form, with no known cause, often appearing in adolescence
• Congenital scoliosis, present at birth due to abnormal spine development
• Neuromuscular conditions, such as cerebral palsy or muscular dystrophy
• Degenerative scoliosis, caused by age-related wear on the spine
• Injury or trauma to the spine
  

Diagnosing scoliosis starts with a thorough evaluation by a POSH spine specialist. Our specialists typically evaluate patients by:

• Physical exams: Our specialists will review your medical history and assess your posture, shoulder and hip alignment, and spinal curvature to help identify the underlying cause.
• Imaging tests:  X-rays give our specialists a detailed look at the degree and pattern of the curve, helping confirm a diagnosis and guide treatment.

POSH specialists work alongside a multidisciplinary team to deliver nonsurgical treatments for scoliosis.  These conservative approaches are often the first step toward relief before surgical recommendations.

• Observation: Mild curves, especially in growing children, are often closely monitored over time to track any progression.
• Bracing: A back brace can help prevent a curve from worsening, particularly in children and adolescents who are still growing.
• Physical therapy: A physical therapist can guide you through exercises that improve posture, strength, and flexibility.

When nonsurgical methods don’t provide sufficient relief or the curve continues to progress, a POSH specialist will discuss surgical options, which may include:

• Spinal fusion: To help stabilize the spine by fusing the curved vertebrae together, helping straighten and correct the curvature while preventing further progression of the curve.