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Correctional Treatment

The correctional treatment approach should be based on the long term outcomes for each treatment option. Ensure you explore each route available and ask as many questions you feel you need to know the answer to - knowledge is power so never be afraid to ask and if you are still not sure then get a second opinion.

Unfortunately, in many cases surgeons are forced to make decisions regarding treatment with incomplete data, particularly with regard to the long term results, therefore, make sure you go prepared with as much information you can gather to assist your surgeon with these decisions, don't forget the more you offer the more he/she can help you.

Despite these limitations, the knowledge of the natrual history of scoliosis progression, both before and after the completion of spinal growrth, has been used to make recommendations regarding guidelines for treatment at each of the stages of scoliosis development. Scoliosis treatment is thus quite varied among patients and, in many cases, among physicians. Factors that appear important include curve severity, curve progression, curve location, curve pattern, skeletal maturity, and trunk deformity.

The three general options for treatment are observation, use of an orthosis, or some form of surgical stabilisation. Although other forms of treatment have been proposed (electrical muscle stimulation, exercise, postural training, spinal manipulation, nutritional supplememtation), it seems that only bracing and surgical fusion have scientific evidence of affecting the outcome compared to observation alone. Even the efficacy of brace treatment, which has been extensively evaluated, remains in question for many who treat this condition.