Is treatment in scoliosis necessary for everyone?

Scoliosis is mild in 90% of patients and this may not require treatment. It is crucial to check if scoliosis progresses during adolescence at regular intervals via X-Ray scans performed in standing position. Treatment is required to be planned in case of progression.

Which elements are required to be taken into account in scoliosis treatment?

  • Age of the patient
  • Patient’s bone age (bone age does not always correlate with chronological age).
  • Degree of scoliosis
  • Location of scoliosis in the spine
  • The phase of adolescence in which scoliosis occurred (start of menstrual cycle, breast development, hair growth)
  • Patient’s gender
  • Progression in scoliosis
  • Findings such as back-low back pain and shortness of breath

What are treatment options?

Three treatment methods can be utilized for scoliosis treatment, namely: observation, corset treatment and surgery.

Observation:

  • Mild scoliosis for patients in developmental period (adolescence: adolescent scoliosis)
  • Moderate scoliosis (under 45 degrees) of adult patients (after developmental period has ended) may be followed up via observation.
  • Follow up intervals for observation is six months until the age of 20; once a year after 20 years of age.

Corset Therapy:

  • Utilized for scoliosis between 25 to 45 degrees.
  • The aim is to stop progression of scoliosis while spinal development is ongoing for children in developmental age.

Surgery:

  • It is usually utilized for scoliosis cases over 50 degrees.
  • It may be utilized in cases where scoliosis causes discomfort for the patients with milder conditions or if there are clinical complaints for scoliosis.
  • The aim is to correct scoliosis. The repaired spinal discs are unified once the maximum correction is achieved in a safe manner.
  • Metal screws, hooks and rods are placed on spinal discs in the surgery. Scoliosis is corrected via the metal implants and kept in a corrected position until discs are unified (fusion).