Scoliosis is a common spinal condition that affects children and adolescents, causing an abnormal curvature of the spine. While some cases are mild, others can progress and require medical intervention. As a pediatric orthopedic surgeon in West Palm Beach, FL, Dr. Arun Hariharan specializes in diagnosing and treating this condition to ensure children maintain healthy, active lives.
What Is Scoliosis?
Scoliosis is a sideways curvature of the spine that typically develops during growth spurts before puberty. The exact cause of most cases, known as idiopathic scoliosis, is unknown. However, other types, such as congenital scoliosis (present at birth) or neuromuscular scoliosis (linked to conditions like cerebral palsy or muscular dystrophy), have more identifiable causes.
Early Signs of Scoliosis in Children
Early detection is crucial for successful treatment. Parents and caregivers should watch for these common signs:
✅ Uneven shoulders or shoulder blades
✅ One hip appearing higher than the other
✅ Uneven waistline
✅ Rib cage prominence on one side
✅ Noticeable leaning to one side
✅ Clothing fitting unevenly
If you notice any of these signs in your child, it’s important to schedule a consultation with a pediatric orthopedic specialist.
How Is Scoliosis Diagnosed?
Scoliosis is typically diagnosed through a combination of physical exams and imaging tests:
🔹 Adam’s Forward Bend Test – A simple screening test where the child bends forward to check for spinal asymmetry.
🔹 X-rays – Used to measure the curvature of the spine in degrees (Cobb angle).
🔹 MRI or CT Scans – Occasionally used to assess underlying conditions or more complex cases.
Treatment Options for Scoliosis
The best treatment plan depends on factors like the severity of the curve, age, and growth potential of the child.
1. Observation & Monitoring (For Mild Cases)
For curves less than 20 degrees, regular check-ups are recommended to monitor progression, especially during growth spurts.
2. Bracing (For Moderate Cases)
If the spinal curve measures between 20-40 degrees, a custom back brace may be recommended. Bracing doesn’t reverse scoliosis but can prevent further progression while a child is still growing.
3. Surgery (For Severe Cases)
For curves greater than 45-50 degrees, surgical intervention may be necessary. Spinal fusion surgery is the most common procedure, using rods and screws to correct and stabilize the spine. Newer techniques like vertebral body tethering (VBT) are also emerging as options for select patients.
Why Choose Dr. Arun Hariharan for Scoliosis Treatment?
As a leading pediatric orthopedic surgeon in West Palm Beach, FL, Dr. Arun Hariharan provides expert, compassionate care for children with scoliosis. From early detection to advanced surgical options, he is dedicated to ensuring the best possible outcomes for his young patients.
If you have concerns about your child’s spinal health or would like to schedule a consultation, contact Dr. Arun Hariharan’s office today. Early intervention can make all the difference for your child.