Most cases of mild scoliosis require no treatment, according to Mayo Clinic. Instead, the child has a doctor’s appointment every four to six months for observation. However, the doctor makes the decision to begin treatment based on the individual’s sex, maturity and the curvature factors of the spine.
The monitoring program includes a physical exam and low radiation X-rays, explains WebMD. When the curvature remains below 25 percent, most patients do not receive treatment. If it increases to the 25 to 40 percent range, the doctor may prescribe a brace. When the curvature exceeds 40 percent, the doctor may recommend surgery.
Braces are most effective while the child is still growing. The brace usually fits under the clothing, notes MedlinePlus. The type of brace the doctor recommends depends on the location and size of the curvature. Most braces are adjustable to grow with the child, and they are more effective in children over age 10 who are still growing.
If the curve is severe and getting worse, surgery becomes an option, states the National Institute of Arthritis and Musculoskeletal and Skin Diseases. The surgeon might fuse bones in the spine to stop the progression of the disease or implant metal rods in the spine to correct the curvature.