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Shriners Hospitals for Children — Philadelphia

3551 N. Broad St. Philadelphia, PA 19140

Philadelphia, PA

215-430-4000

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215-430-4000

Scoliosis and spine care

From common idiopathic adolescent scoliosis to the most complex young spine deformities, we believe each child deserves an individualized treatment plan utilizing the most advanced and innovative techniques. Our focus is early detection and fusionless treatments for the growing spine, as well as minimally invasive (nonfusion) to advanced surgical techniques in children who require spinal fusions. The spine team takes a fully integrated approach to the treatment of pediatric spine conditions.

Conditions treated:

Nonsurgical options

Bracing

Nonoperative treatment for idiopathic scoliosis:

Scoliosis specific exercise (A Schroth-based program)

For adolescent idiopathic scoliosis:

Serial casting

For infantile scoliosis when the curve is progressive:

Surgical options

Fusionless surgery

Innovative newest treatment options for children with scoliosis:

Growing systems

Expandable devices used in growing children with scoliosis:

Spinal fusion surgery

Spinal fusion surgery is recommended to correct a curve or stop it from progressing when the patient is still growing and has a curve that is greater than 50 degrees. Rods and screws are attached to the curved part of the backbone and the spine is straightened. Small pieces of bone graft are then put over the spine; this will grow together with the spinal bone, fusing it into the proper position. In addition to improved internal fixation, posterior spinal fusion allows earlier mobilization of the patient. A spinal fusion also helps prevent severe deformity and can avoid years of bracing.