Bracing

Bracing is considered a first-line treatment of scoliosis. It is also the most conservative option because it does not require surgery. If your scoliosis is diagnosed early enough and is not too severe, you will most likely be a candidate for bracing.

The main goal of bracing is it to prevent your curve’s progression. The brace wraps around the outside of your body and will help hold your spine straight. You will wear the brace most hours of the day – usually 18- 23 hours. By wearing the brace so often, it will work to straighten your spine from the outside and “train” your spine to stay in this new, straightened position.

There are many bracing options available. Some braces buckle in the back, others may buckle in the front, and they are offered with varying levels of padding. You may choose a brace that is covered through your insurance, or you may choose to pay out-of-pocket for an alternative type of brace. This decision is highly personal and will depend on your individual needs. Consult with your doctor to find out which type of brace would be best for you!

Bracing can be an effective treatment option for some patients. Even if you wear your brace perfectly, there is a chance that your curve may continue to progress as you grow. If this happens to you, you are not alone. This is something other patients with scoliosis have experienced and there are still other treatment options available to you! You may be a candidate for Vertebral Body Tethering or a Spinal Fusion.

Spinal Fusion

Spinal Fusion is a surgical treatment for scoliosis that involves implanting metal rods on either side of the affected area of the spine and using a bone graft as a “connector” between the vertebrae. The rods and bone graft will hold the curved part of the spine straight.

The main goals of a spinal fusion are to:

  • Permanently repair the scoliotic curve
  • Eliminate motion between the vertebral segments
  • Improve the spine’s stability
  • Reduce pain

A spinal fusion can be done anywhere along the spine. Scoliosis most often affects the thoracic spine but can also affect the lumbar. Your surgeon will generally only treat the area of the spine affected by your scoliosis.

Spinal fusion can be done through a minimally-invasive or traditional approach. Your surgeon will be able to tell you which approach will be best for your specific needs. A spinal fusion is generally the recommended course of treatment when no other treatment options are available due to age or severity of the curve.