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Pediatric Scoliosis

There are three types of scoliosis in children: Infantile scoliosis, which usually affects children age 3 and younger, juvenile scoliosis is seen in children 4 to 10, and adolescent scoliosis affects children 11 to 18. For reasons unknown, girls are more prone to scoliosis in adolescence than boys.

Drs. Richard Hostin, Kathyrn Wiesman and Shyam Kishan have been treating pediatric and adolescent scoliosis for more than 40 years.  There are a small number of doctors who specialize in scoliosis surgeries in the United States.

“What’s unusual at the Southwest Scoliosis Institute is that we treat both children and adults,” explains Dr. Hostin. “What we provide here is a continuum of care, and our commitment really is to be able to care for you throughout your life.”

Pediatric Scoliosis Screening

The majority of children identified as having scoliosis may not need complex treatments, but they do need to be evaluated. Most often, we can assure parents that we either need to observe their child for four to six months, or that their child’s risk is so low that they don’t need to come back. In the event the child does need treatment, we will discuss the available options with his or her parents. School scoliosis screening programs are often helpful in identifying scoliosis early so that braces can be used if necessary. However, once adulthood is reached, there is little evidence that wearing a brace stops the progression of a curvature.

Pediatric Scoliosis Treatment

Observation. Many children do not require surgery or a scoliosis brace to correct their scoliosis. Pediatric patients in particular need to be observed closely before and during their adolescent growth spurts to identify any change in their curves that are progressing rapidly and those that remain stable over time.

Southwest Scoliosis Institute utilizes the advanced EOS 2D/3D imaging system, which provides high-quality X-ray images while delivering 50% to 85% less radiation than traditional digital X-ray systems. Reducing the dose of radiation is especially beneficial for children who require frequent imaging (like those with scoliosis and other spine conditions), because growing children are more sensitive to the cumulative effects of radiation.

Scoliosis brace. For large curves in skeletally immature children or curves that have progressed in a child who is still growing, we commonly recommend a scoliosis brace. In many cases, a brace can reduce the chance of a childhood curvature progressing to the point of requiring surgery.

Physical therapy. While it is not shown to alter the rate of curvature progression in either adult or pediatric patients, strengthening and conditioning of muscles with exercise programs often helps improve back pain.

Scoliosis Surgery

More often than not, scoliosis can be addressed with a brace, but in cases where scoliosis patients experience an increase in curvature and are in pain, scoliosis surgery may be needed. Scoliosis surgeries are complex, multi-step procedures. For pediatric scoliosis patients, these procedures usually take between two and three hours. Should your child need scoliosis surgery to correct his or her condition, Southwest Scoliosis Institute can accommodate your child’s needs. Our expert surgeons and caregivers at Southwest Scoliosis Institute will provide you with the care and attention your child deserves.


“My freshman year of high school, I was diagnosed with scoliosis. Right after I graduated high school, I saw pictures of my back and how bad it was. My rib cage was turned and my body was offset, it was horrible. I scheduled an appointment with Dr. Hostin, and after X-rays I found out I had an 81-degree curve, so of course we scheduled surgery. After surgery, I grew 3 inches taller, and I went from an 81-degree curve to a 25-degree curve, which was absolutely amazing.”

If your child is suffering from scoliosis, call Southwest Scoliosis Institute for an examination today at 214-556-0565.