Spinal curvature disorders

Scoliosis, flatback syndrome, kyphosis and spondylolisthesis

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Specialists at Duke Spine Center in Raleigh and Durham treat spinal curvature disorders that impact your daily living. When the spine curves abnormally, it can result in a range of discomfort, from mild to debilitating. We offer an array of non surgical therapies, minimally invasive procedures and surgical options, including complex reconstructive surgery. We tailor our treatment recommendations to your symptoms and health needs so you can return to enjoying your normal activities.

Experts in spinal curvature disorders

When the vertebrae in your spine become misaligned, abnormal spinal curvatures can result. The most common conditions are adult scoliosis (curved spine), flat back syndrome (loss of the spine’s curve), kyphosis (hunchback), and spondylolisthesis, which occurs when one or more vertebrae move out of alignment. A mild abnormal spinal curve may not cause symptoms. However, some people experience pain that can range from mild to debilitating. When spinal curvature disorders start to impact your daily living, we can help you obtain relief through conservative, non surgical treatment options including physical therapy and spinal injections. Surgery is often the best option for relief from severe back pain and other serious symptoms, including breathing problems.

Choose Duke Spine Center for treatment of your spinal curvature disorder because we offer:

  • High volume of spinal surgery. Our spinal surgeons undergo advanced training, and are among the most experienced and busiest surgical teams in North Carolina. We perform more than 1,200 spinal surgeries annually, including minimally invasive procedures and complex reconstructive surgeries.
  • Leading experts. As members of the Scoliosis Research Society, our board-certified spine center specialists are up to date on the latest techniques and advances in the treatment and care of spinal curvature disorders, such as scoliosis.
  • Intraoperative imaging technology. Advanced, intraoperative CT and MRI imaging provides our surgeons with detailed, real-time 3-D pictures of your spine that guide them as they operate.
  • Non surgical options. Whenever possible, our goal is to help you avoid surgery. Our approach involves a combination of non surgical treatments that target the cause of your pain and symptoms. These include medications, physical therapy and injections.
  • Specialized team. In addition to neurosurgeons, orthopaedic surgeons, non operative physicians and nurses, our team includes physiatrists, pain management experts and physical therapists -– all of whom may work with you to alleviate the pain caused by your spinal condition.
  • Geriatric support. We partner with geriatric specialists at Duke to best assist people with spinal curvature disorders caused by aging and arthritis. Working with geriatricians achieves better, safer results, and allows us to actively manage all of the complications and risk factors associated with reconstructive surgery in older people.



Your doctor may order one or more of the following imaging tests to diagnose an abnormality in your spinal curvature, or to track its progression over time.

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