At All Florida Orthopaedics, we understand the impact scoliosis can have on your life. The spine is made up of a series of rectangular-shaped vertebrae, which typically align in a straight line when viewed from behind. However, scoliosis causes a sideways curvature of the spine, making it appear as though the person is leaning to one side.

This condition commonly arises during a child’s growth spurt before puberty. While many cases of scoliosis are mild, some can become more pronounced as the child grows.

Understanding Scoliosis

Scoliosis often has no known cause, although it can sometimes result from conditions such as arthritis, osteoporosis, or hereditary factors. If you or someone you know is affected by scoliosis, it’s crucial to understand the available treatment options.

Diagnosing Scoliosis

Early detection is key to effective scoliosis treatment. Diagnosis typically involves a physical examination and X-rays to identify abnormal spinal curves. In some cases, an MRI or CT scan may be necessary. Children with mild scoliosis are often monitored with regular X-rays to track any changes in the curvature. Often, no immediate treatment is needed for mild cases.

Treating Scoliosis

The primary goals of scoliosis treatment are to stop the progression of the curve and prevent deformity. Monitoring and repeated examinations help determine if the curvature is worsening.

For severe scoliosis or curves exceeding 50 degrees, a spine surgeon will develop a personalized treatment plan. This plan may include:

· Bracing: To prevent further curvature.

· Surgery: For more severe cases.


While bracing does not cure scoliosis or reverse the curvature, it can prevent further progression. The most common brace is made of plastic and is designed to fit the body snugly, often making it nearly invisible under clothing. It wraps around the rib cage, lower back, and hips, and fits under the arms.

Braces are typically worn both day and night. The more hours per day the brace is worn, the more effective it is. Children wearing braces can usually participate in most activities with few restrictions and can take off the brace for sports or other physical activities if needed.


In cases where scoliosis is severe, surgery may be necessary. The most common surgical procedure for scoliosis is spinal fusion. This procedure involves connecting two or more vertebrae to prevent independent movement. Surgeons place bone or bone-like material between the

vertebrae and use metal rods, hooks, screws, or wires to hold the spine straight while the bones fuse together.

For young children with rapidly progressing scoliosis, surgeons may use a growing rod that can be lengthened as the child grows. This rod is attached to the top and bottom of the spinal curvature and is typically adjusted every six months.

Comprehensive Care at All Florida Orthopaedics

Our spine specialists at All Florida Orthopaedics, Dr. Pagano and Dr. Streufert, are dedicated to guiding you through every step of your care. We treat a wide range of spine conditions and will work with you to develop the best scoliosis treatment plan tailored to your needs.

For more information or to schedule an appointment, please call us at 727-527-5272.