pediatrics
Idiopathic Scoliosis
Treatment of Idiopathic Scoliosis
Physical therapy and bracing Sometimes surgery Prompt referral to an orthopedist is indicated when progression is of concern or the curve is significant. Likelihood of progression is greatest around puberty. Moderate curves (20 to 40°) are treated conservatively (eg, physical therapy and bracing) to prevent further deformity. Severe curves (>40°) may be ameliorated surgically (eg, spinal fusion with rod placement). Scoliosis and its treatment often interfere with an adolescent’s self-image and self-esteem. Counseling or psychotherapy may be needed. 