Severe Idiopathic Scoliosis, Treated with Preoperative Halo-Gravity Traction and then Posterior Spinal Fusion

The patient presented with the below scoliosis, no prior treatment. The proximal thoracic curve measured 57 degrees, and the main thoracic 91 degrees in skeletally mature patient. The patient has developed daily back pain, which is interfering with school and sporting activities. Not only does scoliosis cause chest asymmetry and back pain, but it can […]

Development of a Treatment Matrix for Adolescent Idiopathic Scoliosis (IS)

The following post is an abridged version of a PowerPoint talk I recently presented to the Washington University School of Medicine Orthopaedics Residents on 3-21-2023. It is important to understand the purpose of this talk is to present these big treatment topics in a high-level manner, a 30,000 foot view, to provide a framework to […]

Idiopathic Scoliosis – Lumbar (5CN Curve Pattern)

14 year old female with progressive, painful thoracolumbar curve Highly athletic, three sport athlete.  She has tried physical therapy for 3 months but has not helped decrease the intensity or frequency of her back pain. Participating in her sports is becoming difficult and is having back pain which is interfering with normal activities she does […]

Idiopathic Scoliosis

Below is a 16 year old female with idiopathic scoliosis, who is otherwise healthy. She noticed gradual development of waist asymmetry and a right rib prominence in the back.  She was have daily back pain with athletics and having pain while in school. The below radiographs/x-rays demonstrate she has a 71 degree right thoracic curve […]

Adolescent Idiopathic Scoliosis (AIS) FAQ’s

Surgical treatment of scoliosis in adolescents, in 2016, is most commonly a posterior spinal fusion with instrumentation (PSF/PSSI).  Though this blog is, in general, dedicated to the “growing spine” this entry will focus on adolescent idiopathic scoliosis (AIS) and the many questions that are asked by parents/caregivers about PSF/PSSI.   Top Frequently Asked Questions about […]