Understanding the paediatric scoliosis treatment options for children can feel overwhelming for families who have just received a diagnosis. Scoliosis is a condition in which the spine curves abnormally to one side. When it develops in children or adolescents, early assessment and appropriate management are essential to support healthy growth and development. The good news is that many children with scoliosis respond well to non-surgical care, and even those who require surgery can achieve excellent outcomes with the right specialist support.
Mr Sujay Dheerendra is a consultant orthopaedic and spinal surgeon with a specialist interest in paediatric and adult spinal conditions. He sees patients across Manchester and Liverpool, offering expert assessment and personalised treatment planning for children and young people with scoliosis.
What Is Paediatric Scoliosis?
Scoliosis is defined as a lateral curvature of the spine measuring more than 10 degrees on an X-ray. In children, it is most commonly diagnosed during periods of rapid growth, particularly in early adolescence. According to the NHS, scoliosis affects around 3 in every 100 people, with adolescent idiopathic scoliosis being the most common form, meaning no single identifiable cause has been found. Recent studies indicate that about 20% of children diagnosed with scoliosis will require treatment to prevent progression of the curve.
Scoliosis can also develop in younger children and may be associated with underlying neurological or congenital conditions. Early identification is crucial, as the degree of curvature and the child’s remaining growth potential will directly influence which treatment approach is most appropriate.
What Are the Common Signs of Scoliosis in Children?
Parents and carers are often the first to notice changes in a child’s posture. Common signs that may prompt a referral include:
One shoulder appearing higher than the other
A shoulder blade that sticks out more prominently
An uneven waistline or hips sitting at different heights
The body leaning slightly to one side
A visible curve in the back when the child bends forward
If you notice any of these signs in your child, it is worth speaking to your GP, who can arrange an initial assessment and referral to a specialist if needed.
What Paediatric Scoliosis Treatment Options Are Available for Children?
The most appropriate paediatric scoliosis treatment options for children depend on several factors, including the child’s age, the severity of the curve, and how much growth remains. Treatment broadly falls into three categories: observation, bracing, and surgery.
Observation and Monitoring
For children with mild curves, typically less than 25 degrees, careful monitoring is often the recommended first step. Regular clinical reviews and X-rays allow the specialist to track whether the curve is progressing. This approach avoids unnecessary intervention while ensuring any changes are caught early.
Observation is not a passive approach. It requires consistent follow-up, and families are encouraged to attend all scheduled appointments to ensure the curve is not worsening during growth spurts. As of 2026, experts recommend that children under observation should have follow-up appointments every 4 to 6 months to ensure proper monitoring.
Bracing
Bracing is one of the most widely used paediatric scoliosis treatment options for children with moderate curves, typically between 25 and 45 degrees, who are still growing. The aim of a brace is not to correct the existing curve but to prevent it from progressing further.
The Scoliosis Research Society notes that bracing can be effective in slowing curve progression when worn consistently as directed. Studies have shown that approximately 70% of children who wear their brace as prescribed can avoid surgery. The type of brace recommended will depend on the location of the curve and the child’s individual needs. Your child’s specialist will discuss the most suitable option and how long the brace should be worn each day.
Surgical Treatment
Surgery may be considered when a curve exceeds 45 to 50 degrees, is progressing despite bracing, or is causing functional difficulties. The most common surgical procedure for adolescent scoliosis is spinal fusion, in which the curved vertebrae are joined together and held in a corrected position using rods, screws, or hooks.
For younger children who are still growing, growth-friendly surgical techniques, such as growing rods, may be used to manage the curve while allowing the spine to continue developing. Mr Sujay Dheerendra can discuss the full range of surgical options during a consultation, tailored to your child’s specific situation.
How Is Paediatric Scoliosis Diagnosed?
Diagnosis typically begins with a physical examination, including the Adam’s forward bend test, followed by imaging such as X-rays to measure the degree of curvature. In some cases, an MRI scan may be recommended to assess the spinal cord and surrounding structures, particularly in younger children or where an underlying cause is suspected.
Accurate diagnosis is the foundation of effective treatment planning. Understanding the type, location, and severity of the curve helps the specialist recommend the most appropriate paediatric scoliosis treatment pathway for each child.
What Should Families Expect During Treatment?
Whatever treatment path is recommended, families can expect regular reviews throughout the process. Treatment for paediatric scoliosis is rarely a one-time event, it involves ongoing monitoring, adjustments, and support as the child grows.
Physiotherapy may be recommended alongside other treatments to support posture, core strength, and overall spinal health. Open communication between the family, the child, and the specialist is important to ensure treatment decisions are well understood and supported.
Seeking Specialist Advice in Manchester and Liverpool
If your child has been diagnosed with scoliosis or you have concerns about their spinal development, seeking specialist advice early can make a meaningful difference to their long-term outcomes. Mr Sujay Dheerendra offers expert assessment and evidence-based management of paediatric scoliosis, with clinics available in Manchester and Liverpool.
To discuss your child’s condition and explore the most suitable paediatric scoliosis treatment options for children, book a consultation with Mr Sujay Dheerendra today.
Please note: If your child experiences sudden or severe back pain, weakness in the legs, or any changes in bladder or bowel function, seek urgent medical attention immediately.
Frequently Asked Questions
What age is scoliosis most commonly diagnosed?
Scoliosis is typically diagnosed during periods of rapid growth, most commonly between ages 10 and 15, although it can occur at any age.
Can scoliosis be prevented?
Currently, there is no known way to prevent scoliosis. Early detection and treatment are crucial for managing the condition effectively.
Is surgery always necessary for scoliosis?
No, surgery is not always necessary. Many children with mild to moderate scoliosis can effectively manage their condition with observation or bracing.
How long will my child need to wear a brace?
The duration of brace wear varies, but it is generally recommended for 16 to 23 hours a day, depending on the severity of the curve and the doctor’s advice.
What are the long-term outcomes for children with scoliosis?
With proper management, including monitoring and treatment, many children with scoliosis can lead normal, active lives. Early intervention is key to positive outcomes.
Mr. Sujay Dheerendra
Consultant Spinal Surgeon · FRCS (Orth)
With over 15 years of specialized experience in advanced spinal surgery, Mr Aldon is committed to providing world-class care and sharing expert insights on spinal health.
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About the Author
Mr. Sujay Dheerendra
Consultant Spinal Surgeon
Expert in comprehensive spinal surgery with 15+ years of experience.