Treatment Options for Spinal Curvature
The treatment of scoliosis is determined by the extent of the deformity
and the stage of bone growth (how near the growth centers are to closure).
Many scoliotic curves require no treatment (less than 30 degrees)
but should be followed in 6-month intervals. More serious cases may
require observation, exercise, a back brace, or surgery. The treatment
is most successful when it is started early.
The treatment of kyphosis depends on the cause of the disorder. For
kyphosis caused by poor posture, treatment may consist of exercises,
a firm mattress for sleeping, and a back brace to straighten the curve
until growth is complete. Bedrest is recommended for severe pain.
Gradual weaning from the brace begins after maximum correction of
the curve by the back brace has occurred.
Surgery may be indicated
if neurological symptoms occur.
Surgery is indicated when:
- The deformity is severe (70 degrees of angle for kyphosis) or balance is significantly abnormal
- Neurologic symptoms exist
Spinal instrumentation (medically designed hardware such as rods, bars, wires, and screws) and fusion are surgical procedures that may be used to correct spinal deformity and to provide permanent stability to the spinal column. These procedures join and the level where a spinal element has been damaged or removed. These devices hold the spine straight during fusion.