Scoliosis is a condition where the spine curves abnormally to the side, forming an “S” or “C” shape. It can develop at any age but is most commonly detected during adolescence when children experience growth spurts. Early diagnosis is essential to monitor progression and determine the most effective treatment.
Scoliosis can range from mild curves that require observation to severe cases that affect posture, balance, and lung function. Treatment depends on the severity of the curve and the child’s stage of growth.
Causes of Scoliosis
Idiopathic Scoliosis
- Adolescent Idiopathic Scoliosis (AIS) – The most common type, developing in children aged 10 and older, with no known cause.
- Infantile & Juvenile Idiopathic Scoliosis – Less common, appearing before the age of 10.
Congenital Scoliosis
- Caused by spinal abnormalities present at birth due to improper vertebral development.
Neuromuscular Scoliosis
- Occurs as part of genetic syndromes such as Marfan syndrome or Ehlers-Danlos syndrome, affecting connective tissue and spinal stability.
Syndromic Scoliosis
- Caused by spinal abnormalities present at birth due to improper vertebral development.
Signs & Symptoms of Scoliosis
- Uneven shoulders or waist
- One hip appearing higher than the other
- Visible curvature of the spine
- Difficulty standing straight
- Back pain or discomfort in some cases
- Changes in posture or balance
Diagnosis of Scoliosis
- Physical Examination – The Adam’s forward bend test helps detect spinal curvature.
- X-rays – Used to measure the Cobb angle, which determines curve severity.
- MRI or CT Scans – Recommended if there are underlying neurological concerns or congenital abnormalities.
- Growth Monitoring – Regular check-ups assess whether the curve is worsening as the child grows.
Treatment Options for Scoliosis
Non-Surgical Treatment
- Observation & Monitoring – Mild cases (curves under 25 degrees) are monitored regularly for progression.
- Bracing – If the curve is moderate (25-45 degrees) and the child is still growing, a brace can prevent further worsening.
- Physiotherapy & Exercise – Specific exercises can strengthen muscles and improve posture, although they do not correct the curvature.
Surgical Treatment
- Spinal Fusion Surgery – Recommended for severe cases (over 45-50 degrees) to straighten and stabilise the spine using rods and bone grafts.
- Growing Rods & Magnetic Expansion Control (MAGEC) Rods – Used for young children to allow spinal growth while managing curvature.
- Vertebral Body Tethering (VBT) – A less invasive technique that preserves flexibility while correcting the curve in select cases.
Why Choose Advanced Orthopaedics for Scoliosis Treatment?
Specialist Paediatric Orthopaedic Care
Led by Dr Sarbjit Singh, a Senior Consultant Orthopaedic Surgeon, our clinic offers diagnosis and tailored treatment plans for children with scoliosis.
Comprehensive Assessment & Growth Monitoring
We provide regular evaluations using modern imaging techniques to monitor spinal curvature and progression.
Individualised Treatment Plans
Our team ensures that each child receives the most suitable treatment, whether observation, bracing, or surgical correction.
Take the Next Step
If you suspect your child has scoliosis or have concerns about their spinal development, early intervention is key. Schedule a consultation with our team at Advanced Orthopaedics to explore the best treatment options for your child’s needs.
