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How do you Know if you Need Scoliosis Surgery

Scoliosis Surgery

After receiving a diagnosis of scoliosis, patients are faced with an important decision: how to treat their condition. There are different approaches to scoliosis treatment, each offering unique outcomes that can shape long-term spinal health and function. While traditional scoliosis surgery can straighten a curved spine, it may have negative effects on the spine. On the other hand, modern conservative treatment provides a nonsurgical alternative.

When it comes to scoliosis treatment, there are two main options: surgical and nonsurgical. In the past, traditional surgery was the most common choice. However, many cases of scoliosis do not require surgery, and nonsurgical options are less invasive.

Different treatment approaches respond to scoliosis diagnoses in their own way, and this is why it matters which approach is chosen. Scoliosis is a progressive condition, meaning it is likely to worsen over time. Therefore, starting treatment as soon as possible is crucial.

The severity of scoliosis can vary from mild to very severe, and the progression of the condition follows this line. As scoliosis progresses, it becomes more complex to treat. Larger curves make the spine less responsive to treatment and can make it difficult for patients to perform therapeutic exercises. As scoliosis worsens, its effects become more noticeable. In children, it mainly involves postural changes, while adults often experience pain.

The response to a scoliosis diagnosis and treatment is important. While treatment results cannot be guaranteed, early detection and intervention are associated with better outcomes. However, these benefits are only available to those who proactively respond to their diagnosis with treatment.

Traditional scoliosis treatment is reactive rather than proactive. This approach does not have a strategy for addressing mild scoliosis, often recommending a “watch and wait” approach. However, simply observing the condition can allow it to worsen without intervention.

Traditional treatment commonly involves periodic examinations and X-ray imaging. However, this can be risky as growth triggers scoliosis progression. Adolescent idiopathic scoliosis, which is diagnosed in the ages of 10 to 18, is particularly prone to rapid progression due to unpredictable growth spurts during puberty. Waiting between assessments can lead to significant progression, making the condition more complex to treat and potentially requiring spinal fusion surgery.

Spinal fusion surgery, commonly recommended in severe scoliosis cases, involves fusing the most-tilted vertebrae to eliminate movement and attaching rods to the spine for stabilization. While surgery can straighten the spine, it comes with risks and potential complications. Living with a fused spine can also result in a loss of flexibility, increased pain, and a weaker spine.


Conservative nonsurgical treatment, offered at the Monmouth Scoliosis Center, provides a modern integrative approach to scoliosis treatment. It focuses on long-term spinal health and function. Conservative treatment is proactive and aims to prevent progression by starting treatment as early as possible. It combines cutting edge rehabilitation techniques founded in Schroth and Chiropractic Biophysics principles and depending on the curvature may also include the ScoliBrace spinal brace.   These techniques work to improve abnormal curvature when possible, prevent surgery and improve spinal support, posture, and brain-body communication.

Physical therapy and scoliosis-specific exercises strengthen the back muscles, improve posture, and enhance brain-body communication. Corrective bracing helps push the spine into a corrective position, especially in growing spines. Rehabilitation sustains treatment results through continued chiropractic care and home exercises.

In conclusion, while spinal fusion surgery may be necessary for severe or atypical cases of scoliosis, nonsurgical conservative treatment offers impressive results. Surgery comes with risks and can disrupt the long-term strength and function of the spine. Nonsurgical treatment aims to preserve the spine’s natural strength and function by correcting the underlying structural nature of scoliosis. Proactive and customized treatment can prevent progression and reduce the need for invasive surgical options. The Monmouth Scoliosis Center provides early and effective treatment for scoliosis to achieve optimal outcomes.


Dr. Thomas D’Andrea

Certified ScoliBrace Provider
Certified ScoliBalance Provider

(732) 345-1377


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About Monmouth Scoliosis Center

Monmouth Scoliosis Center is a multi-specialty, all-under-one-roof orthopedic facility serving all of New Jersey. Services include orthopedics, neurosurgery, pain management, sports medicine, chiropractic, physical therapy, occupational therapy, and acupuncture. Monmouth Scoliosis Center combines expert collaborative care with 5-star service to provide you with the best results for your condition.

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