As a parent, you want the best for your child. So when it comes to scoliosis, you may be wondering if surgery is the right choice. Scoliosis is a condition where the spine curves sideways, and it can develop in children at any age. In this blog post, we will cover everything you need to know about scoliosis in children, including its definition, causes, symptoms, and diagnosis. We will also discuss non-surgical treatment options like physical therapy and bracing. If bracing is recommended for your child, we’ll explore the different types of braces available and their effectiveness. Lastly, we will discuss scoliosis surgery and what it involves, as well as when it might be recommended for your child. We understand that considering surgery for your child can be overwhelming, which is why our tone throughout this post will remain informative and empathetic.


Understanding Scoliosis in Children

Scoliosis is a condition characterized by an abnormal curvature of the spine. It can be caused by various factors, such as genetics or certain medical conditions. Early diagnosis is crucial for effective treatment, and regular check-ups and x-rays help monitor the progression of the spinal curve. Treatment options depend on the severity and location of the curve, and a new brace may be recommended to help correct the curvature. By understanding the nature of scoliosis in children, parents and healthcare providers can make informed decisions regarding the best course of action to ensure the well-being of their child.

Definition and Causes

Scoliosis is a condition characterized by a sideways curvature and twisting of the spine. It can be caused by factors such as genetics, muscle imbalances, or neuromuscular conditions. Identifying the underlying cause is important for developing a personalized treatment plan. The most common type of scoliosis is idiopathic scoliosis, which is still linked to genetic patterns. To prevent further progression of the condition, genetic testing and intervention can be helpful. Understanding the definition and causes of scoliosis can guide healthcare providers in determining the best course of action for each individual.

Symptoms and Diagnosis

As a parent, it’s important to be aware of the common symptoms and diagnostic methods for scoliosis. Look out for signs such as uneven waist or shoulders, and a tilted pelvis in your child. A thorough diagnosis typically involves a physical examination, review of medical history, and imaging tests like x-rays. Routine screenings at school or during annual check-ups can also help detect scoliosis early on. Remember, early diagnosis plays a crucial role in better treatment outcomes and may help minimize the need for surgery.

Options for Treating Scoliosis

When it comes to treating scoliosis, there are several options available depending on factors such as the severity of the spinal curve and the age of the patient. For mild to moderate cases, non-surgical treatments like physical therapy and bracing are often recommended. These interventions aim to improve posture, strengthen muscles, and prevent further progression of the curvature. However, in some cases, surgery may be necessary to correct the spinal deformity and alleviate symptoms. Regular monitoring and follow-up appointments are essential to evaluate the effectiveness of the chosen treatment approach.

Scoliosis Boot Camp or Physical Therapy

When it comes to treating scoliosis, you may have heard about two options: Scoliosis Boot Camp and physical therapy. While physical therapy is a more generalized approach, Scoliosis Boot Camp is a specialized program that addresses the whole condition, including the spinal curve and additional medical conditions. It often incorporates genetic testing, specific supplements, and the ScoliSMART Activity Suit. To achieve the best results, it’s crucial to work with a ScoliSMART doctor who specializes in scoliosis. Regular participation in therapy sessions and consistent adherence to home exercise programs are key for optimal outcomes.


Now it’s even easier to connect with ScoliSMART. Schedule your no-cost, no-obligation phone or Zoom consultation online with a ScoliSMART physician. Visit the ScoliSMART BootCamp page and click the “Schedule Online” button at the top of the page. Then select the best date and time to connect with a physician. Schedule your consultation right here!

Bracing as a Treatment Option

Bracing is a common non-surgical treatment option for scoliosis, offering a way to prevent further progression of the spinal curve. A scoliosis brace is worn to provide support and stability to the spine. The specific type of brace and the number of hours it should be worn depend on factors such as the location and progression of the curve. Consulting with an orthotist or orthopedist is crucial for obtaining the appropriate brace for your child. Compliance with the wear instructions is essential for optimal treatment outcomes.

Types of Scoliosis Braces

When it comes to treating scoliosis, different types of braces can be prescribed based on individual needs. Full-time braces are designed to provide continuous support to the spine throughout the day, while nighttime braces like Charleston or Providence braces are worn during sleep to target spinal correction during periods of growth. Brace selection depends on factors such as the location and severity of the scoliosis curve, which is why consulting with an orthotist or orthopedic specialist is crucial in determining the most suitable brace, such as the boston brace, for your child’s specific needs.

Full-time Braces

Full-time braces with straps, typically worn for 16-23 hours a day, provide continuous support to the spine and help correct the curvature. These braces are custom-made to fit the individual’s body and curve type. The duration of brace wear varies based on factors such as growth stage and curve progression. It is important to have regular follow-up appointments with the orthotist or orthopedist to monitor progress and make necessary adjustments. Full-time braces play a crucial role in managing scoliosis and can have a positive impact on the overall health and well-being of individuals.

Nighttime Braces

Nighttime braces, also known as Charleston or Providence braces, are specifically designed to be worn during sleep. They are often prescribed for children experiencing rapid growth or with mild curves. By taking advantage of growth spurts, nighttime bracing aims to correct the spinal curvature. The recommended number of hours for nighttime brace wear varies based on the individual’s age and the severity of the curve. Compliance with wearing the brace during the recommended hours is crucial for optimal results. Nighttime braces provide a positive effect on the progression of your spinal curve during periods of rapid growth.

Effectiveness of Scoliosis Bracing

Scoliosis bracing, while commonly used to treat spinal curves, has variable effectiveness in preventing further progression. Several factors influence the success of bracing, such as the severity and location of the curve, as well as compliance with wearing instructions. Regular monitoring through x-rays and clinical evaluations helps assess the effectiveness of the brace. It’s crucial to consult with a healthcare professional specializing in scoliosis to determine the optimal treatment approach for your child. Remember, every case is unique, and a personalized plan is essential for the best outcomes.


Duration and Consistency of Wearing Braces

Consistently wearing braces is essential for effective scoliosis treatment. The duration of wearing braces varies depending on the severity and progression of the spinal curve, as well as the amount of time recommended by orthotists. Wearing braces can help prevent further curvature and potentially reduce the need for surgery. Orthotists, who specialize in orthotics and prosthetics, provide guidance on the recommended number of hours to wear the brace. By following their instructions and maintaining consistency, your child’s treatment can have a positive effect on their spinal health.

Daily Life with a Scoliosis Brace

Adjusting to wearing a scoliosis brace may be challenging initially, but discomfort usually diminishes over time. Although properly fitting braces can still limit movement and cause some pain, these issues can often be mitigated with adjustments. As your child grows, the brace may require modifications to accommodate their changing body. Everyday tasks like sleeping and dressing may also need to be adjusted. Regular check-ups with an orthopedist are crucial for monitoring progress and ensuring the brace’s effectiveness. Remember, supporting your child during this time is essential for their well-being and emotional comfort.

Adjustments and Challenges

Regular follow-up appointments are essential to make necessary adjustments to the brace and ensure its effectiveness during adolescence. Skin irritation may occur temporarily, but proper care can manage it. Encouraging your child to maintain good posture will maximize the brace’s impact. It is common for some children to face challenges related to body image when wearing a scoliosis brace. However, open communication and emotional support can help them overcome these difficulties. Supporting your child through this journey and providing reassurance will assist them in navigating the challenges of wearing a scoliosis brace.

Supporting Your Child during Bracing

During bracing, it’s crucial to provide emotional support and reassurance to help your child cope with the challenges. Encourage them to express any concerns or discomfort related to the brace, and be there to listen and address their worries. Educating yourself about the risks and the benefits of bracing will enable you to better support your child. Engaging in activities that boost their self-esteem and confidence can make a positive impact. Additionally, connecting with support groups or online communities can provide valuable advice and additional support.


Considering Scoliosis Surgery

When other treatments like bracing and non-surgical methods are ineffective in addressing curvature of the spine, surgery is often considered. Factors such as the severity of the spinal curve, skeletal maturity, and overall health are taken into account to determine if surgery is necessary. It is crucial to consult with a spine surgeon before making the decision. The primary goal of surgery is to correct the spinal curve and prevent further progression. However, it is important to carefully weigh the potential risks and benefits of surgery before reaching a decision.

Surgery is recommended for severe spinal curves that progress despite bracing or exercise programs. Adolescents who have reached skeletal maturity may also be candidates for surgery. The decision depends on the impact of the curve on lung function and quality of life. Consult with a spine specialist to determine if surgery is the best option for your child.


What Does Spinal Fusion Surgery Involve?

Spinal fusion surgery involves the fusion of vertebrae using bone grafts, screws, and rods. The goal is to stabilize the spine and correct its curvature. Recovery may involve a hospital stay and rehabilitation, while physical therapy is crucial for long-term success.

Is Fusion Surgery the Best Option for Your Child?

Considering fusion surgery as the best option for your child’s treatment requires careful consideration. Factors such as the location and type of curve, age, and overall health should be thoroughly evaluated. Seeking a second opinion can provide valuable insights in making an informed decision.


In conclusion, deciding whether surgery is the right choice for your child requires careful consideration and consultation with medical professionals. Non-surgical options such as physical therapy and bracing can be effective in managing the condition in many cases. However, if your child’s curvature progresses or causes severe pain and limitations, surgery may be recommended. Spinal fusion surgery is the most common surgical procedure for scoliosis and involves fusing the vertebrae to correct the curvature. It is important to weigh the potential benefits and risks of surgery and consider your child’s individual circumstances. Ultimately, the goal is to ensure the best possible outcome and quality of life for your child. Consult with a specialist to make an informed decision regarding your child’s treatment.