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Scoliosis

What is scoliosis?

Scoliosis is a condition where the spine curves sideways in an S or C shape. It can happen at any age but is most often diagnosed in children and teens during growth spurts. In many cases, the exact cause is unknown. However, scoliosis may be linked to genetics or conditions like cerebral palsy or muscular dystrophy. 

Scoliosis can affect posture and balance and may lead to back pain or problems with movement. Treatment depends on how severe the curve is and the person’s age. Options may include observation, physical therapy, bracing or surgery. 

Types of scoliosis

Idiopathic scoliosis 

This is the most common type. "Idiopathic" means the cause is unknown. It is further grouped by age:

  • Infant: 0 - 3 years
  • Juvenile: 4 - 10 years
  • Adolescent: 11 - 18 years
  • Adult: 18+ years

Learn more about scoliosis in children.

Congenital scoliosis

This type is present at birth due to spinal deformities that form during early development.

Neuromuscular scoliosis

This occurs when conditions that affect the muscles and nerves - like muscular dystrophy or cerebral palsy - cause the spine to curve.

Scoliosis is also classified by how treatable it is:

  • Structural scoliosis: Caused by disease, injury or birth defect and cannot be corrected without surgery.
  • Nonstructural scoliosis: A temporary curve that can often be fixed with physical therapy or other treatment. 

What causes scoliosis?

In most cases, the cause is unknown. Scoliosis often appears during puberty, when rapid growth may lead to abnormal spinal curves. In other cases, scoliosis may result from: 

  • Birth defects 
  • Neurological disorders 
  • Genetic conditions 
  • Muscle disorders, like muscular dystrophy 
  • Conditions like cerebral palsy  

Signs and symptoms of scoliosis

Scoliosis symptoms can vary depending on the cause and how severe the curve is. Common signs include: 

  • Uneven shoulders 
  • One shoulder blade sticking out more than the other 
  • Uneven hips 
  • A visible curve or twist in the spine 
  • Trouble breathing (in severe cases) 
  • Chronic back pain 

If you notice these signs in yourself or your child, talk to your doctor

How scoliosis is diagnosed

Diagnosis usually starts with a physical exam. Your doctor will check your posture, spine, and range of motion. You may also need imaging tests like: 

  • X-rays: Show the curve of the spine. 
  • CT scans: Show bones and soft tissues in more detail. 
  • MRI scans: Help rule out other spinal problems. 

Scoliosis treatment options

Treatment depends on several factors, including: 

  • The degree of the spinal curve 
  • Your age 
  • Whether your spine is still growing 
  • The type of scoliosis 

Common treatments include bracing and surgery.  

Bracing for scoliosis

Bracing is often recommended for children and teens who are still growing. While braces don’t reverse the curve, they can stop it from getting worse. 

Types of scoliosis braces: 

  • Underarm brace: Wraps around the torso to support the spine and improve posture. 
  • Milwaukee brace: An older, bulkier design used only in severe cases or when the curve is high on the spine.  

Scoliosis surgery

Surgery may be recommended if the spinal curve is greater than 40 degrees or if symptoms affect daily life. The most common procedure is spinal fusion, where the vertebrae are joined using bone, rods or screws. 

Recovery usually includes a hospital stay and limited physical activity for 3 to 12 months.

Living with scoliosis

Ongoing care depends on how your spine responds to treatment. Many people with mild scoliosis can live normal, active lives.

With the right care plan, regular checkups and a healthy lifestyle, most people can manage their symptoms and keep doing the things they love.

Why choose Banner Health for scoliosis care?

At Banner Health, we understand that spine conditions like scoliosis can affect your life in many ways. Our team includes neurologists, neurosurgeons and orthopedic surgeons who work together to create a care plan just for you. From diagnosis through treatment and recovery, we’re here to support your health every step of the way.

Get help for scoliosis

Whether you’re looking for a diagnosis or ready to explore treatment, our experts are here to help.

Find a scoliosis specialist at Banner Health.