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Traumatology, Rehabilitation and Burns Hospital
The most negative consequence of scoliosis is that it can affect pulmonary function. To avoid this and aesthetic changes, different treatments are used.
In growing children and adolescents, a conservative treatment is used; its aim is to prevent the progression of the curve. The curvature is monitored via observation and a corrective brace is applied if the curve has reached 25 degrees. This brace reduces the risk that the curve will progress, corrects the deformity, and reduces the need for surgery.
To treat small curves that are at low risk of progression, physiotherapy is recommended.
Curves of less than 20 degrees should not be treated, and those above this angular value should meet a number of requirements:
- they are greater than 25 degrees.
- they have progressed by at least 5 degrees since the last follow-up appointment.
- the child is growing.
It is important that the whole team, the patient, and the family understand and accept the treatment, that regular follow-up visits are adhered to, and that everyone works together to comply with the treatment plan.
The aim of surgery is to correct and maintain the curvature. Other objectives would be to improve the individual's appearance by balancing the torso and reducing short and long-term complications to a minimum. Surgery will be considered in the following cases:
- Adolescents who have a primary structural curve that is greater than 45 degrees.
- In adults that have pain, along with a curve that is progressing and is not responding to conservative treatment. Complications in adults can include pseudarthrosis, proximal and distal junctional kyphosis, and rearthrodesis.
If the patient requires surgical treatment, the team of expert traumatology surgeons at the Spinal Unit will be in charge of continuing with this process.