How is scoliosis treated?

  Whether a child with scoliosis should be treated with intervention, it is first clear whether the child has a congenital or acquired (acquired) deformity, as well as the size of the scoliosis arc and the severity of the deformity.  1, close observation. In the first year after birth and near the growth spurt of adolescence (10-12 years old), if the child is found to have an abnormal curvature of the spine, he or she should be examined every 3-6 months at the hospital. To see if the deformity worsens in order to decide whether to intervene early treatment.  2. Brace treatment. A special plastic undershirt worn on the child’s body. It has the effect of correcting scoliosis deformity and controlling and slowing down the aggravation of scoliosis. However, if the child has severe scoliosis progresses rapidly or COBB’s angle exceeds 40 degrees. Then often need to be hospitalized open surgery to correct. At this point, the conservative treatment of the brace is not very meaningful.  3.Surgical treatment. The purpose of surgical treatment is to correct the spinal deformity and control the development of the deformity to prevent secondary damage to the heart, lungs, spinal cord and other organs. It also reduces the chances of later death of the child with heart and lung failure and serious complications such as spinal cord compression limb paralysis urinary and fecal incontinence. Most congenital scoliosis requires surgery, and only a small percentage can be treated conservatively with a brace. The method and timing of surgery are very important. This is because children are constantly growing and changing. Before surgery, the deformity needs to be classified and diagnosed, and the progression and prognosis of the deformity needs to be estimated. Overtreatment may affect or destroy the growth potential of the child’s spine and cause an increase in medically induced spinal deformity. If treatment is too late, the deformity may worsen, making surgical orthopedics difficult, increasing the chance of surgical complications, and the outcome is often unsatisfactory. Therefore, the correct timing of surgery is chosen in order to maintain the potential axial growth of the spine while preventing the development of the deformity from worsening. It should be emphasized that any other deformities found in the course of treatment should be treated promptly. If your child has been detected as scoliosis, you must choose the treatment and timing under the assessment of authoritative experts in regular hospitals, and you can come directly to the Institute of Pediatrics for treatment.