If you suspect your child may have scoliosis, a visit to a pediatric orthopedist is warranted. The severity of the curve is diagnosed on x ray, and it’s important to make that diagnosis early, when children are young and still growing. Sometimes treatment is as simple as taking a wait-and-see approach. “If the patient is a 14-year-old girl with a small curve, we’ll just keep an eye on it as they keep growing,” Dr. Lark says. Core and flexibility exercises are beneficial to strengthen the muscles, but they won’t make the curve go away.
If the curve is more significant, bracing may be recommended to minimize curve progression. It is important to note that bracing will not make the curve go away.
About one-quarter of children with scoliosis may benefit from bracing. The site of the curve dictates the bracing regimen. Children with curves higher in their spine may need to wear a brace when upright for 16-18 hours daily. Lower curves may be corrected with a nighttime brace. Braces are typically worn for one year past skeletal maturity. “For girls, that’s three years past the time of their first menstruation,” Dr. Lark explains. For boys, it is one year after the close of their pelvic growth plate.
Surgery may be required if x-rays suggest a severe curve that may progress into adulthood. While the surgery is significant – requiring a three to five-day hospital stay and up to six weeks recovery - “today’s modern instrumentation allows us to correct a lot of the deformity a child may have,” Dr. Lark explains.
If scoliosis surgery is recommended for your child, choose a surgeon with a wealth of training and experience, and a medical center with a pediatric intensive care unit, Dr. Lark says.