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Surgery for Scoliosis
Scoliosis surgery is typically considered for individuals who have severe or progressive curves that cannot be adequately managed with non-surgical interventions. The specific criteria for surgery may vary depending on the severity of the curvature, the age of the individual, and the presence of symptoms.
Who is a Candidate for Scoliosis Surgery and When is it Absolutely Necessary?
Scoliosis surgery is typically considered for individuals who have severe or progressive curves that cannot be adequately managed with non-surgical interventions. The specific criteria for surgery may vary depending on the severity of the curvature, the age of the individual, and the presence of symptoms.

Candidates for scoliosis surgery often include:
Severe Curvature
Individuals with a spinal curvature exceeding 40-50 degrees in children or 50-60 degrees in adults may be candidates for surgery. Severe curves can cause health complications, including respiratory problems and pain.
Progressing Curvature
If the curve is rapidly progressing, especially during periods of growth, surgery may be necessary to prevent further worsening of the condition and potential complications.
Symptomatic Curvature
Scoliosis can cause pain, restrict mobility, and impact daily activities. Surgery may be considered for individuals who experience significant symptoms that affect their quality of life and cannot be adequately managed with non-surgical interventions.
Recovery and Long-term Prognosis:
The recovery process after scoliosis surgery can vary depending on factors such as the age of the individual, the extent of the surgery, and overall health. Initially, there will be a period of hospitalization for monitoring and pain management. Physical therapy and rehabilitation are essential components of the recovery process to regain strength, improve mobility, and optimize the surgical outcome.
Long-term prognosis after scoliosis surgery can vary, depending on the type of surgery, the experience of the surgeon and the appropriate follow-up rehabilitation. The surgery aims to improve curvature, reduce pain, improve function, and prevent further progression. However, it is important to note that every individual’s response to surgery is unique, and the long-term outcomes can vary.

Alternatives to Surgery
Surgery may be necessary for severe or progressive cases of scoliosis when bracing and or scoliosis-specific rehabilitation has failed. Looking at alternative non-surgical approaches that may be considered, particularly for less severe or non-progressive curves. Two such alternatives are ScoliBrace® and ScoliBalance®.

ScoliBrace®
ScoliBrace® is a type of spinal orthosis or brace that aims to correct and stabilize the curvature of the spine. It is a custom-made brace that is designed to fit the individual’s specific curvature and is worn for several hours each day. ScoliBrace can be used in conjunction with scoliosis-specific exercises and rehabilitation, such as ScoliBalance®, to help improve posture and reduce the progression of the curvature.

ScoliBalance®
ScoliBalance® is a rehabilitation program that focuses on postural training and exercises to improve spinal alignment and muscular balance. It aims to address the underlying causes of scoliosis, such as muscle imbalances and asymmetries. ScoliBalance® may involve exercises, stretching, and other therapeutic techniques tailored to the individual’s specific needs.
These alternative approaches are more suitable for individuals with mild to moderate curves or those who prefer non-surgical options. However, it is important to consult with a scoliosis specialist to determine the most appropriate treatment plan based on individual circumstances and the specific characteristics of the scoliosis curvature.
