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Scoliosis Overview

Understanding a Very Difficult Disease

dr tony explaining scoliosis
- Cerebral palsy and muscular dystrophy (neuromuscular scoliosis)
- Accidents (traumatic scoliosis)
- A defect in the spine such as hemivertebra (congenital scoliosis)
- A result of spinal degeneration (degenerative scoliosis)

Three Stages of Scoliosis

Mild Scoliosis

Mild Scoliosis
Mild scoliosis carries a significant risk of progression (up to 22%). Once the scoliosis passes 20°, risk of progression more than triples to 68%.
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Moderate Scoliosis

Moderate Scoliosis
Research suggests that if the Cobb angle is initially diagnosed at 25 degrees or higher, it will most likely progress.
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Severe Scoliosis

Severe Scoliosis
Without treatment, further progression is almost certain. Severe scoliosis carries a 90% risk of progression.
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Scoliosis By Age

Scoliosis may be diagnosed at any age. While it is predominantly diagnosed in teens and pre-adolescents, it also commonly occurs in people of any age. While the disease itself appears in all age groups, how it is approached and treated varies greatly from age to age. We break down how it affects different ages differently on our Scoliosis by Age page.

Traditional Scoliosis Treatment Options

Traditional Treatment Options


Observation is generally referred to as “watch and wait.” Even though this is an option, no active treatment is provided. Most studies show that scoliosis can progress during someone’s life, either rapidity during puberty, or slower during adulthood. Watching and waiting for curve to get bigger makes every treatment option more challenging in the future.

Traditional Bracing

The most-commonly prescribed brace for scoliosis today is the Boston brace. A Boston brace is typically made from one of several prefabricated mold options. This prefabrication is the major concern of this type of brace, as effectiveness of the brace will depend on the modifications made, if any, by the fitter. A poorly designed brace can have a negative impact on scoliosis.

Scoliosis Surgery

Surgery has one primary goal, to halt the progression of scoliosis by using some type of spinal fusion. Successful surgery is considered when the scoliosis progression has been halted, however it has been increasingly recognized by scoliosis experts that this always doesn’t mean a healthy person. Things like physical appearance, pain levels, quality of life may be negatively affected by surgery. If surgery doesn’t achieve the desired outcome, option for further treatment can be limited.
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