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Spinal fusion for scoliosis
Surgery is indicated for:
- A child who has a severe spinal curve (greater than 40 to 45 degrees) that is likely to progress.
- An adult who has a severe spinal curve (greater than 50 degrees) that is likely to progress.
- A person who has a severe spinal curve that continues to progress even after bracing.
Other factors considered before surgery include:
- Age, skeletal age, and status of puberty.
- Location of the curve.
Surgery may be considered in some situations, such as:
- An adult who has trouble breathing or who has disabling back pain caused by scoliosis.
- A very young child who has a severe spinal curve(s).
For very young children, the timing of surgery for severe scoliosis is controversial. Some experts believe that surgery should be delayed until the child is at least 10 years old and preferably 12 because surgery stops the growth of the part of the spine that is fused. But in some situations, early surgery can't be avoided.
| By: | Healthwise Staff | Last Revised: August 27, 2009 |
| Medical Review: | Michael J. Sexton, MD - Pediatrics Thomas S. Renshaw, MD - Orthopedic Surgery | |
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