Corporate Office- South Bend, IN

17187 State Road 23 South Bend, IN 46635 Phone: (574) 273-6000 Fax: (574) 247-8199 View Map & Get Directions

Elkhart, IN

1612 W. Lexington Ave. Elkhart, IN 46514 Phone: (574) 522-2273 Fax: (574) 522-4563 View Map & Get Directions

Plymouth, IN

1920 W. Lake Ave. Plymouth, IN 46563 Phone: (574) 941-4444 Fax: (574) 941-4440 View Map & Get Directions

Michigan City, IN

3219 South Franklin Street Michigan City, IN 46360 Phone: (219) 872-1000 Fax: (219) 879-1917 View Map & Get Directions

St. Joseph's Regional Medical Center, Medical Office Building

611 E. Douglas Road, Suite 124 Mishawaka, IN 46545 Phone: 574-247-8100 Fax: 574-855-2475 View Map & Get Directions

Health Issues

Scoliosis Is there any treatment?

There are three basic types of treatments for scoliosis: observation, orthopedic bracing, or surgery.

Observation is appropriate for small curves, curves that are at low risk of progression, and those with a natural history that is favorable at the completion of growth. These decisions are based on the expected natural history of a given curve. For example, if your child is diagnosed with a curve of 25 to 40 degrees and has completed growth (i.e., boys older than 17, girls older than 15), then observation is appropriate. Statistically, these curves are at low risk of progression and are not likely to cause problems in adulthood. Follow-up x-ray once per year for several years would then confirm that the curve is not progressing after completion of growth. As an adult, an x-ray every five years, or if there are symptoms, is sufficient.

Orthopedic braces are used to prevent further spinal deformity in children with curve magnitudes within the range of 25 to 40 degrees. If these children already have curvatures of these magnitudes and still have a substantial amount of skeletal growth left, then bracing is a viable option. It is important to note, however, that the intent of bracing is to prevent further deformity – it is not to correct the existing curvature or to make the curve disappear.

Surgery is an option used primarily for severe scoliosis (curves greater than 45 degrees) or for curves that do not respond to bracing. There are two primary goals for surgery: to stop a curve from progressing during adult life and to diminish spinal deformity.