Correcting Scoliosis: When Is Surgery Necessary?

What Is Scoliosis?

Scoliosis is a disorder where the spine shifts sideways, creating an unnatural curve instead of its normal straight alignment. While some curves are mild and don’t cause much trouble, others may lead to posture issues, discomfort, or long-term complications. Scoliosis is most often seen in children and teenagers during periods of rapid growth, though it can also develop in adults due to age-related spine conditions. Each case is different—some people may not even realise they have it, while others notice changes in appearance or experience pain.

Scoliosis in Children and Adults

In children, scoliosis may appear without clear symptoms at first. Parents might spot signs like uneven shoulders, a tilted waist, or one side of the rib cage sticking out more. In older individuals, scoliosis may develop due to age-related changes in the spine, which can cause discomfort, reduced flexibility, or pressure on nearby nerves. Whether in children or adults, early diagnosis makes a big difference in choosing the right approach to treatment.

Scoliosis Treatment Options

Not everyone with scoliosis needs surgery. The choice of treatment is based on the curve’s size, how fast it’s changing, and how it impacts the person’s comfort and routine. Some common scoliosis treatment options include:

• ✓ Observation: In mild scoliosis, doctors may recommend periodic follow-ups and imaging tests to keep track of any changes in the spine’s shape.
• ✓ Bracing: For children or teens who are still growing, a back brace can help prevent the curve from increasing.
• ✓ Physical therapy: Specific movements and stretches can help support the spine, reduce discomfort, and enhance overall posture.
• ✓ Pain relief: In adults, medications or targeted injections may be used to manage ongoing pain related to spinal imbalance.

If any of these situations apply, surgery may be the best way to improve both health and quality of life. A skilled spine specialist will help you evaluate if this is the right step.

When to Consider Scoliosis Surgery

• ✓ The curve is large (typically over 40–50 degrees)
• ✓ The curve is worsening over time
• ✓ Pain is persistent and doesn’t respond to other treatments
• ✓ Breathing or organ function is affected
• ✓ Posture or appearance causes significant concern

If any of these situations apply, surgery may be the best way to improve both health and quality of life. A skilled spine specialist will help you evaluate if this is the right step.

Spinal Curvature Correction Through Surgery

Surgical treatment focuses on correcting the curve and securing the spine in a more natural, stable position. A common method is spinal fusion, where rods, screws, and bone material are used to hold the spine in alignment as it heals. While recovery takes time, many patients notice improvements in posture, reduced pain, and better movement over the long term.

Choosing the Right Expert

If you’re exploring treatment options for scoliosis, it’s important to meet with someone experienced in spinal care. Dr. Jayesh Sardhara, a trusted spine specialist in Mulund, provides expert care for both children and adults dealing with scoliosis. With a patient-first approach, he offers both non-surgical and surgical solutions based on each individual’s needs.

Living Better With the Right Care

When identified in time and managed correctly, scoliosis often responds well to care and allows individuals to maintain a good quality of life. Whether you’re keeping an eye on a mild curve or wondering when to consider scoliosis surgery, the right support can make all the difference. With proper care, many people go on to live pain-free, active lives.