Curves that are greater than 20 degrees require treatment. Doctors group curves of the spine by their location, shape, pattern, and cause. They use this information to decide how best to treat the scoliosis. A lumbar curve has its apex in the lower back. A thoracolumbar curve has its apex where the thoracic and lumbar vertebrae join.
Curves frequently follow patterns that have been studied in previous patients.
Many children who are sent to the doctor by a school scoliosis screening program have very mild spinal curves that do not need treatment. When a child does need treatment, the doctor may send him or her to an orthopedic spine specialist. The doctor will suggest the best treatment for each patient based on the patient's age, how much more he or she is likely to grow, the degree and pattern of the curve, and the type of scoliosis. The doctor may recommend observation, bracing, or surgery. As a child nears the end of growth, the indications for bracing will depend on how the curve affects the child's appearance, whether the curve is getting worse, and the size of the curve.