Scoliosis in Children & Teens

Introduction

Our world-renowned orthopedic surgeons and orthopedists are experts in their fields with specialized training to provide the optimal diagnosis and treatment for a range of orthopedic conditions. We are internationally recognized for delivering the highest-quality orthopedic care to our patients.

What is scoliosis?

Scoliosis is an issue with the curve of the spine. Many people have some curve in their spine. But a few people have spines that form a large curve from side to side in the shape of the letter S or the letter C. If this curve is severe, it can cause pain and make breathing difficult.

Most cases of scoliosis are mild, and the curves do not increase much over time.

What causes it?

In most cases, the cause of scoliosis is not known. Scoliosis usually starts in the preteen years. Scoliosis that is severe enough to need treatment is most common in girls.

What are the symptoms?

Scoliosis most often causes no symptoms until the spinal curve becomes large. You might notice these early signs in your child:

  • One shoulder or hip that looks higher than the other
  • Head does not look centered over the body
  • One shoulder blade that sticks out more than the other
  • Waistline that is flat on one side, or ribs look higher on one side when your child bends forward at the waist

How is it diagnosed?

A doctor will check to see if your child’s back or ribs are even. If the doctor finds that one side is higher than the other, your child may need an X-ray so the spinal curve can be measured.

A curve in the spine may worsen as your child grows. Screening your child for scoliosis is important so that any curve in the spine can be found early and watched closely.

How is it treated?

Mild cases of scoliosis do not usually need treatment. The doctor will check the curve of your child’s spine every four to six months. If the curve gets worse, your child may need to wear a brace until they have finished growing. In severe cases or if bracing does not help, your child may need to have surgery.

Scoliosis treatment can be emotionally challenging for your child. Wearing a brace can be uncomfortable, and it will limit your child’s activity. Your child needs support and understanding to get through treatments successfully.

What increases the risk of scoliosis?

Your child may be more likely to have scoliosis if someone in your family had it and if your child is a girl. Your child’s chances of scoliosis increase if:

  • One of the bones in your child’s spine has moved forward out of place
  • Your child’s arms or legs are missing or are shorter than usual
  • Your child has a disorder that affects the nerves, muscles or bones

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