Key Highlights

  • Growth hormone is important for bone growth. It can also affect how fast scoliosis progression happens.
  • Hormone levels that are not usual, mainly during puberty, may play a part in how a spinal curvature grows.
  • There is new research that helps us know more about how growth hormone and scoliosis are linked.
  • Hormone testing can give good information. This can be used to make a treatment plan that fits a person for better care of scoliosis.
  • Early treatment and acting before things get worse are the main ways to control scoliosis progression.
  • Knowing about this link can help find ways to manage spinal curvature better.

How is ScoliSMART Treatment different

Introduction

Have you ever wanted to know if hormones, and growth hormone in particular, have a part in the progression of scoliosis? A lot of families want to find out more about this. In this article, you will read about how growth hormone could be connected to changes in spinal curvature. We will talk about recent studies that look at this topic. You will see how the progression of scoliosis can be affected by hormones, and why it is important for your spinal health.

Understanding this relationship helps a lot when looking for good treatment options. These new ideas can give you more than just the expected ways to handle scoliosis. Let’s take some time to look at how growth hormone, the progression of scoliosis, and your treatment choices all fit together.

Understanding Scoliosis and Its Causes

Scoliosis happens when the spine curves to one side. The cause of this is often not known. There are many things that can add up and lead to the development of scoliosis. The most common type is called idiopathic scoliosis. This kind usually shows up when kids are about to go through a big growth spurt before puberty.

Understanding the different types of scoliosis and the risk factors is the first step to managing it well. In this text, we will talk about what scoliosis is, the types you may see often, and the genetic and environmental factors that can make it get worse.

Understanding Scoliosis and Its Causes

What Is Scoliosis?

Scoliosis is when there is a different kind of curve in the spine. Instead of being straight, it may look like an “S” or “C.” This kind of spinal curvature is measured in degrees. Doctors use something called the Cobb angle to see how bad the curve is.

The curvature of the spine can change the way you stand or sit. In severe cases, it can affect your overall health. Some common signs are shoulders that do not look even, a curve you can see in your back, or if one hip looks higher than the other. Taking care of your spinal health is important. If you notice any signs of scoliosis, act early.

Some studies show that hormone levels, like growth hormone, may be tied to how scoliosis starts. Experts are still looking into exactly how growth hormone affects the development of scoliosis. But it is clear that hormones help with bone growth. This can change the spine.

Common Types and Why They Develop

Scoliosis comes in more than one type. Each type of scoliosis has its own cause. It is important to know what type of scoliosis you or your child has. This will help to pick the best way to treat it.

The most common type of scoliosis is called idiopathic scoliosis. This means no one knows what causes it. It happens a lot in children and teenagers. When someone gets this type of scoliosis between the ages of 10 and 18, it is called adolescent idiopathic scoliosis.

Other types of scoliosis include:

  • Congenital scoliosis: This kind of scoliosis starts at birth. It happens because the bones in the spine are shaped wrong.
  • Neuromuscular scoliosis: This type happens when a person has other health problems, like cerebral palsy or muscular dystrophy.
  • Degenerative scoliosis: This kind shows up in adults. It is caused by the spine breaking down with age and use.

Genetic and Environmental Risk Factors

Genetics seem to have a big part in idiopathic scoliosis. If someone in your family has this condition, there is a good chance you may be at risk too. ScoliSMART doctors have found genetic signs that can tell if the curve might get worse.

Besides genetics, some things in the environment can be drivers of progression. These factors are not as clear as the genetic ones, but they may add to how a curve grows as time goes by. The way genes and the environment work together is still being studied by people, and it is not simple.

Early detection of these risk factors is important in managing scoliosis. If you notice possible problems early, you can start treatment sooner. This helps you feel better in the long run, keeps curve progression from getting worse, and improves your quality of life.

The Role of Hormones in Spinal Health

Hormones are strong chemical messengers. They help with many things in your body. This includes bone growth. When you have a hormone imbalance, it can directly affect your spinal health. It is important to know how hormone levels can change the spine. This is a big thing, especially for people with scoliosis.

These natural body chemicals help control how and when your bones grow and get stronger. Let’s talk about the main hormones in growth, see how changes in their levels can change bone development, and know more about the big part they play during puberty.

Overview of Hormone Types Affecting Growth

Several hormones play a big role in healthy bone growth, especially when you are young or going through your teen years. Growth hormone comes from the pituitary gland. This hormone is very important because it helps bones and body tissues grow.

A hormone imbalance can get in the way of how this process should go. Not everyone with scoliosis will have a clear hormone problem. Still, some studies say people with scoliosis can be more likely to have some hormone imbalance, especially around growth hormone. Experts are still looking into this area.

Scoli Fact-14

Click on the Scoli-Fact to see the rest of the Scoliosis Facts!

Other main hormones that help with spinal growth include:

  • Thyroid hormones: These control how your body uses energy and how bones change over time.
  • Sex hormones (estrogen and testosterone): These are very important for growth during the teenage years. They also help bones grow and become stronger.
  • Cortisol: If you have too much of this hormone for a long time, it can lower your bone density. If you do not have enough, doctors might think about using replacement therapy. But when it comes to scoliosis, they must watch its effects closely.

How Hormonal Fluctuations Influence Bone Development

Changes in hormone levels can have a big effect on how bones grow. At times when the body grows fast, like during puberty, hormones tell bones to get longer and stronger. If these signals are not balanced, it can change the strength of the bones, even the spine.

For example, when there is unusual growth hormone production, it can cause one side of the bones to grow in a different way than the other. This might start or make a spinal deformity worse. When some hormones are low, the bone density gets lower too. This makes bones weaker, and they can change shape more easily. It is very important to keep hormone levels steady so you can have good, strong bones through life.

In the end, these changes in your hormones can change your quality of life. It is good to know about any problems with your hormones. You can find out more with tests and get help if you need it. This can be a key step when you want to handle scoliosis the right way. It can stop the spinal curve from getting worse.

Puberty, Hormone Changes, and Curve Progression

Puberty is an important time for people with scoliosis. Kids grow fast during these years because there is a big change in their hormones. This is the stage when curve progression can happen most often. It is even more likely if they have adolescent idiopathic scoliosis or other types like idiopathic scoliosis.

Yes, the changes in hormones that happen during puberty have a big effect on scoliosis curve progression. These hormone changes make the spinal growth much faster. Because of this, a small scoliosis curve can get worse in a short time. That is why it is so important for kids or teens with scoliosis to see the doctor again and again. Regular checkups help doctors see if the curve in the back is getting bigger or not.

The development of scoliosis at this time is often tied to changes in hormones. Many people may notice spinal curvature for the first time, or it may become more clear. Taking steps early to manage this phase can make the outcome much better in the long run.

Growth Hormone and Its Connection to Scoliosis

There is more proof now that shows growth hormone and scoliosis progression are linked. This hormone helps with normal spinal growth. An imbalance in it can lead to scoliosis, where the spine does not grow evenly.

Knowing about this link helps us see why keeping hormone levels in check is important in a modern scoliosis treatment plan. We need to look at what growth hormone does, what recent studies say and if having your hormone levels out of balance can cause scoliosis for some people.

What Is Growth Hormone and Its Function in the Body?

Growth hormone, or GH, is a protein made by the pituitary gland. This gland is small and sits at the bottom of your brain. GH helps your body grow. It also helps cells make new copies and replace old ones. The hormone is very important for bone growth when you are a child or teenager.

This hormone helps with spinal growth. It makes the bones in the spine longer. You need the right growth hormone levels for your spine to grow the right way. Good hormone levels also help the spine stay strong and keep its shape.

GH helps more than bones. It is important for overall health. It affects how the body uses food, muscle strength, and body shape. Because hormone levels can change a lot in the body, keeping them balanced is good for well-being. If hormone levels are not right, there can be many clear changes in the body.

Recent Study Insights on Growth Hormone’s Role

Recent studies have found some new things about growth hormone and how it is linked to scoliosis. The research is looking into the way growth hormone can change spinal growth. This is true for people who have scoliosis and those who do not. These findings may help make better treatment options in the future.

A study from 2024 in the Journal of Clinical Medicine looked at how recombinant human growth hormone (rhGH) affects spinal growth in kids who have idiopathic scoliosis. The researchers found that growth hormone treatment did not start scoliosis in these children. But, if a child already had mild scoliosis, the treatment made the spinal curvature get worse faster. This means doctors need to check children who are using growth hormone often. They should watch for any changes in their spinal curvature or spinal growth.

These findings from recent studies matter a lot. They help doctors to know more and make better choices. These studies show that growth hormone is important for growth. But, doctors must be careful when they use it for treatment, especially in patients who may get scoliosis.

Study FocusKey FindingImplication for Treatment
rhGH Therapy in Children with ScoliosisAccelerated progression of mild, existing curves.Scoliosis screening is essential before and during GH therapy.
Will Your or Your Child's Scoliosis Get Worse

Can Growth Hormone Imbalances Lead to Scoliosis?

The question about if a growth hormone imbalance can cause scoliosis is still hard to answer. Right now, there is not any proof that growth hormone levels by themselves make the development of scoliosis start in a spine that was straight before.

A hormone imbalance can play a big role in how the progression of scoliosis happens after a spinal curve is present. For instance, too much growth hormone during a growth spurt might make the spinal curve get worse faster. The hormone works as a promoter and not as the starter.

This is why early detection of a spinal curve and any hormone problems is very important. When doctors find these issues early and know about hormone levels, they can make a good plan. This helps to slow down the progression of scoliosis and can stop it from getting worse.

Effects of Abnormal Growth Hormone Levels

Both low and high levels of growth hormone can affect the body, including the spine. If you do not have enough growth hormone, your bones may not grow the way they should. If you have too much, your bones may grow too fast. Both of these can be problems for scoliosis progression.

Knowing these effects is important for dealing with a spinal curve. Let’s see how having too little or too much growth hormone can change scoliosis. We will also talk about the risks and good things from hormone therapy.

Growth Hormone Deficiency and Increased Scoliosis Risk

A growth hormone deficiency is when the body does not have enough of this hormone. Because of this, bone growth can be slow. A person may also be shorter than others. This problem does not cause scoliosis, but it happens more often in people who have the deficiency.

Children who do not have enough growth hormone often get scoliosis more than other kids. We are still learning about why this happens. It may be because the lack of growth hormone changes the way the bones and parts of the spine grow.

In this case, not having enough of something can be one of the things that makes the spinal curvature get worse, if the curve is already there when treatment starts. When hormone therapy is used, the body may grow fast. This fast growth can sometimes make the spinal curvature worse. Because of this, the doctor has to watch the patient closely.

Excess Growth Hormone and Curve Progression

When there is too much growth hormone in the body, it can cause the curve in the spine to get worse. This often happens to kids or teens who are getting growth hormone treatment for issues like being shorter than usual or not having enough GH. The goal of this treatment is to help with spinal growth. But when the spine grows fast, it can also speed up the progression of scoliosis and make the curve progression worse.

Yes, there be some research that shows growth hormone therapy can make scoliosis progression go faster for kids or teens who already have a mild curve. This treatment will not cause scoliosis. But it can make the curve get worse more quickly than it would on its own.

This is why you need a treatment plan that is managed well. Before you start hormone therapy, the spine should be checked carefully. If scoliosis is found, it needs to be watched during the treatment. This helps us handle any change in the curve and keep it from getting worse.

Hormone Therapy—Potential Risks and Benefits

Hormone therapy may help children who are short because of how their bodies grow. It can help them get closer to normal height. This treatment also helps with other parts of development.

But, if your child has scoliosis, you should think about the good and bad effects. Take time to look at risks and benefits before you decide.

The main benefit is helping the body grow in a normal way. This is good for both the body and mind. But, as talked about earlier, a big risk is that scoliosis curve may get worse faster. This is not a reason to stop therapy. Instead, it shows the need to use proactive scoliosis treatment along with it.

Can ScoliSMART Help my Child

Key points to consider include:

  • Close Monitoring: It is important to have regular X-rays and check-ups. This helps the scoliosis doctor keep an eye on the spine.
  • Integrated Care: The endocrinologist needs to work with the scoliosis doctor. The team approach will be good for you.
  • Proactive Treatment: Mixing hormone therapy with the ScoliSMART method can help control the curve when you are still growing. This may boost your quality of life.

Growth Hormone Treatment in Children and Adolescents

When a child or young person needs to get growth hormone treatment because of a health problem, it is important to think about how this could affect their spine. This is needed if they have idiopathic scoliosis or may get adolescent idiopathic scoliosis later. A good treatment plan matters a lot here.

With early help and the right care, you can help a child grow well and keep their back safe. We will look at the steps to follow, how this affects those who have been told they have it, and how care for other problems can change what happens with scoliosis.

Growth Hormone Therapy—Guidelines and Safety

There are rules for giving growth hormone treatment for many health things. But the rules for using it in people who also have scoliosis are still changing. Still, doctors and other healthcare professionals agree on one thing. They feel that it is important to go slow and watch patients closely to keep them safe.

Before you start therapy, you should get a baseline spinal checkup. This often means your scoliosis doctor will ask for an X-ray. With this X-ray, your doctor can see if there is already a curve in your spine. When you start therapy, you need to come for regular follow-ups, usually every 4 to 6 months. These visits help your scoliosis doctor watch for any changes in your back and decide what to do next.

This team effort between the hormone doctor and the scoliosis specialist helps look after both growth and spinal health. When they work together, the therapy can be safe and work well. It also makes sure the spine does not get harmed.

Impact on Patients Already Diagnosed with Scoliosis

For scoliosis patients who use growth hormone for another health issue, the therapy may boost scoliosis progression. Because this hormone makes you grow fast, your spinal curve can get worse quickly. Sometimes, the curve gets much worse in just a short time.

This does not mean that growth hormone treatment is not allowed. It means the treatment plan should cover everything that matters. The main goal is to keep an eye on the scoliosis curve while the growth hormone treatment goes on. This could mean using more non-surgical treatments to help the patient.

A proactive approach can help slow down the changes that make the spinal curve worse during a time when kids grow fast. With this, patients are able to get the good parts of GH therapy and also keep the development of scoliosis low.

Can Treatment for Other Conditions Affect Scoliosis?

Yes, growth hormone treatment for other conditions can make scoliosis worse. The therapy helps the body grow faster, which also means the spine grows more quickly. If the person already has uneven growth in the spine, this fast growth can make it stand out more. This can lead to faster scoliosis progression.

This is why making a scoliosis brace or “wait and see” the only plan is often not good enough for these people. To help the spine during this time, they need a more active and moving approach. Using only a brace may not work well because it might not deal with the main drivers of progression.

It is good to find the curve early, before starting growth hormone treatment. If scoliosis is found in the beginning, there can be a plan for treatment from the start. This way, doctors can use a method that works with everything, and this can help avoid the need for spinal fusion surgery or other strong treatments later. Early detection can make a big difference in how growth hormone works with the body’s curve.

Delay or eliminate Scoliosis surgery

Idiopathic Scoliosis—What Makes It Different?

Idiopathic scoliosis is the most common type of scoliosis. This means it is found in about 80% of all cases. The term “idiopathic” tells that doctors do not know the exact cause. This most common type of scoliosis often shows up in kids and teens when they begin to grow quickly. They usually feel well, but notice changes during these growth periods.

What makes this type stand out is that no one really knows where it comes from, and the curve progression often happens when the body grows fast. Learning more about idiopathic scoliosis and the way hormones affect it can help people see why spine curves appear and get worse over time.

Unique Characteristics of Idiopathic Scoliosis

Idiopathic scoliosis is a type of spinal deformity. It makes the spine curve in more than one direction. This means the spine bends sideways and also twists. Because of this, you may see changes like a rib hump or the body not lining up in the same way on both sides. Most of the time, doctors find this problem in teens. They call it adolescent idiopathic scoliosis.

One thing to know about the spinal curve is how it acts as you grow. The curve will often stay the same in adults. But in young people, it can change fast as they grow. This time is very important. A scoliosis doctor can help you during this period.

In idiopathic scoliosis, the curve in the spine is not caused by changes in growth hormone. But, growth hormone can still have a big effect on how the spinal curve gets worse. If growth hormone levels go up while a child is having a growth spurt, it can make the spine grow unevenly. This can make an already existing spinal curve in idiopathic scoliosis get even worse.

Hormonal Influences in Idiopathic Scoliosis Cases

Hormonal factors play a big part in how idiopathic scoliosis gets worse over time, but they do not start the condition. Doctors see that idiopathic scoliosis is much more likely to happen in girls than in boys. For girls, the curve in the spine often gets worse as time goes on. This shows it may have to do with female hormones, like estrogen.

Apart from sex hormones, there can be a slight hormone imbalance in the body when it comes to neurotransmitters and growth factors. This can play a part in how the progression of scoliosis happens. These imbalances may change the way the brain and the muscles work together. If this happens, the muscles that help the back stay straight may not work the right way. That can cause the body to lean, and this may make spinal growth uneven.

This is where the ScoliSMART approach is important. It looks at the hormonal and brain factors that play a part in idiopathic scoliosis. By giving the right nutritional support, it tries to fix the cause of curve progression. This way, it gives a more complete path to help manage idiopathic scoliosis.

Hormone Testing for Scoliosis—Modern Approaches

Modern ways to care for scoliosis now use hormone testing to better understand what could be causing curve progression. This testing helps doctors see the patient’s own hormone levels. With this information, they can create a treatment plan that fits the person.

By using early detection, we can find any imbalances in the body. This helps us take steps to support it. When you know your exact hormone levels, you and your doctor can decide what is best for your care.

Will it work with my current Doctor

Blood vs. Salivary Hormone Tests

When you need to do hormone testing for scoliosis, there is more than one way to do it. The most common ways are using blood tests and salivary hormone tests. A blood test is often used for many health checks. But there are some good things about using a salivary test for this.

Salivary hormone testing is simple and you can do it at home. You do not need any painful steps for this. A big reason people use this method is because it helps you know the “free” or active hormone levels in your body. These are the hormone levels your body can use right away. Blood tests usually show total hormone levels. That number does not always show what is going on inside your body cells.

The Scoliosis Hormone Test is an easy test you do at home. You just use your saliva to check for any changes in important hormones and brain chemicals that can be tied to scoliosis progression. This is why it is a good choice:

  • Convenience: You can collect your sample at home. No need to go to the lab.
  • Accuracy: This test looks at active hormone levels. So, you get a clear and true picture.
  • Comprehensive: You get to know what is behind your scoliosis.
  • Actionable: The results show treatment options you can try.

Personalized Results for Better Scoliosis Management

Once you get the results from your hormone test, this information can help make a treatment plan just for you. The plan fits your body’s specific needs. You will not get a one-size-fits-all treatment. You get care that is right for you. This way, your scoliosis treatment options work better. You get treatment that helps you more and fits your life.

This way, your care can be made just for you. A plan like this can include diet changes and the right supplements. These are chosen to fix any problems found in your body. For example, if the doctor finds your neurotransmitter levels are low, they might give you some special supplements. These can help bring your body’s level back to normal. This helps your brain and spine talk with each other better, which is needed for good posture.

You can talk about these results with the scolismart doctor of your choice in a cost phone consultation. The doctor will help you know what the results mean. They will also show you how these results can help make your treatment plan better, so you can get the best outcome.

ScoliSMART Approach: Integrative Scoliosis Care

The ScoliSMART approach gives new ideas for scoliosis care. This is not like the old ways, such as bracing and surgery. A scolismart doctor looks after the whole person, not just the curve in the back. They work to find and help with the genetic and hormonal reasons that cause scoliosis.

With tools like the ScoliSMART Activity Suit and programs like the Scoliosis Boot Camp, this way gives people good treatment options that are not invasive. Let’s look at some of these main parts.

Activity Suit and Scoliosis Bootcamp

The ScoliSMART Activity Suit is a new way for people to help their spine feel better. This suit is not stiff and hard like a brace. It is soft and good to wear. It gives the body some push when you move. This helps your brain and muscles work together and helps the spine feel good again. The ScoliSMART Activity Suit lets you move more, while a brace would stop you from moving too much.

If you want to start your treatment plan fast, the Scoliosis Boot Camp can help. This is a 5- or 10-day program that is intense. It uses special exercises and an activity suit. These help your body build new muscle memory and get your posture back in shape. The Scoliosis Boot Camp is a good way to see big changes in a short time.

Identical Twins Scoliosis Success Story!

Key benefits of this combination include:

  • Stopping Curve Progression: The suit and the exercises help to stop curve progression. They can also help to make the curve better.
  • Pain Reduction: Many people feel much less pain when using this.
  • Improved Mobility: Unlike braces, you can move and live your life the way you want.
  • Long-Term Results: It helps the body learn new ways to move, which can lead to changes that last.

Early Intervention and Proactive Treatment Planning

Early intervention is very important for successful scoliosis management. If you start a treatment plan early, you have a better chance to stop curve progression and may not need more invasive steps later. This is even more important for children while their spine is still growing.

The first step to take if you think a child may have scoliosis is to get a professional checkup. Most people start with a pediatrician. It is also a good idea to meet with a scolismart doctor or a scoliosis specialist for a complete checkup.

A good treatment plan is made to fit the specific needs of each patient. It does not just sit back and wait for things to get worse. Instead, it starts early treatment to deal with the drivers of progression right from the start. This way, families can take control of the scoliosis and help build a stronger and healthier spine.

Supplements for Scoliosis—Book Feature

Did you know the things you eat and the supplements you take can help with your scoliosis treatment? Some nutrients are very important for bone health. They can help you with the things that cause scoliosis. Getting enough vitamin D is very important. It helps your body build strong bones and keeps them healthy.

The book “Supplements For Scoliosis: Supplements, Diet Tips, and Lifestyle Choices for a Successful Life with Scoliosis” by Dr. Clayton J. Stitzel is a great read. It talks about how choosing the right foods and supplements can help improve your spinal health.

The book “Supplements for Scoliosis” gives you a clear guide on which supplements can help your body deal with scoliosis. These supplements do not cure the condition. But, they can help you fill any nutrition gaps and balance hormones. This may help with curve progression.

Key supplements often suggested are the ones that help with neurotransmitter function and bone density. When you help bring these important chemicals in your body back into balance, your brain and muscles can talk to each other better. This helps the muscles in your back do their job and can make your posture and stability better.

Some key supplements can help with strong bones and overall health for scoliosis patients. These can make a big difference. People who have scoliosis need to pay close attention to the way they care for their bodies. Good bone health is very important in this. A few important supplements can help with this.

  • Vitamin D: It is important for your body to take in calcium. It also helps keep your bones healthy.
  • K2, Calcium, and Magnesium: These work together in your body. They help you build and keep strong bones.
  • Specific Amino Acids: These help make chemicals in your brain that send signals.
  • Omega-3 Fatty Acids: These help lower swelling in the body. They also support your brain health.

Dietary Tips, Lifestyle Choices, and Practical Strategies

The book talks about more than supplements. It gives you easy tips for what to eat and how to live each day. A balanced diet full of whole foods helps you get the nutrients you need for strong bones and muscles. This is very important for your overall health.

Doing gentle physical activities is important. These exercises help make your core stronger, help you move better, and keep your posture straight. These things can help with back pain and give support to your spine. It is good to stay active in a way that feels right for your body.

In the end, these ideas can help you have a better quality of life. When you choose your food, supplements, and what you do every day, you can do more for your scoliosis. This lets you feel strong and keep up an active, good life.

Conclusion

To sum up, it is important to know how growth hormone levels connect to scoliosis. This can help with better management and treatment. Recent studies show that when hormone levels go up or down, they can affect spinal health. They also may have an impact on curve progression.

If you want to read more about this, check out all the helpful resources at The Scoliosis Doctor. You can also read about detailed findings in this study.

If you want practice tips on diet and lifestyle, read “Supplements For Scoliosis: Supplements, Diet Tips, and Lifestyle Choices for a Successful Life with Scoliosis” by Clayton J. Stitzel“.

When you learn more and work on treatment early, you can boost your quality of life and do a good job managing scoliosis.

Discover hope, science, and real solutions—explore The Scoliosis Doctor series on Amazon and start transforming your scoliosis journey today! Download the Kindle app on your mobile device for free! Get it for iPhone. Get it for Android.

Frequently Asked Questions

Is growth hormone therapy safe for children with scoliosis?

Growth hormone therapy is safe for children with scoliosis if it is managed well. A good treatment plan should be made by both your endocrinologist and your scoliosis specialist. The two of them need to work together. A healthcare provider should watch your child closely for any signs of curve progression while he is getting this treatment. This helps be sure it is safe and works the way you want.

Do supplements for scoliosis help with hormone balance?

Yes, you can use some supplements to support hormone balance when part of a full scoliosis treatment plan. These types of supplements can help fix imbalances in body chemicals and other main hormones that have an effect on spinal health. This can help bone health and can also be good for your overall health. All of this can help with scoliosis treatment.

How does puberty influence scoliosis progression?

Puberty plays a big role in how scoliosis progression happens, especially because it brings a fast growth spurt. Hormones are very strong drivers of progression during this time. They can make the spinal curvature in adolescent idiopathic scoliosis get worse fast. This is why it is so important to keep a close eye on kids and to get treatment early during these years for idiopathic scoliosis.