Ask Dr. Pizz

Q: What is the difference between a C-curve and an S-curve?
A: C-curves are usually found in patients whose scoliosis involves the brain, spinal cord, or nerve roots. S-curves are most common in patients with AIS (Adolescent Idiopathic Scoliosis) and hereditary forms of scoliosis.

Q: At what point in the curves is there an absolute need for surgery?
A: For patients with neuromuscular curves who are still growing, there is a need for surgery at forty degrees. For AIS patients, it is fifty degrees or over. After the patient stops growing, surgery is a must.

Q: At what age do the most people have scoliosis corrective surgery?
A: Most patients with AIS have the surgery at fourteen years old. Patients with neuromuscular curves can have the surgery at any age. The youngest possible age at which a person with scoliosis can have corrective surgery is eighteen months old.

Q: What is the average recovery time for the surgery?
A: Most patients can return to normal activity at the end of two months. After one year, the patient should have strong bone growth and be able to do almost everything except contact and collision sports.

Q: Is scoliosis hereditary?
A: AIS is considered to be hereditary, while congenital and neuromuscular scoliosis are not.

Q: What is the earliest age at which scoliosis can begin?
A: Congenital scoliosis may be apparent at the time of birth. The earliest age at which AIS can begin is six years old.

Q: Can you still grow after the surgery?
A: The non-fused area of the spine can grow after the surgery, it just depends on what age the corrective surgery is performed.

Q: What are the consequences of scoliosis later in life if the surgery is not performed?
A: Possible problems later in life if surgery is not performed include significant back pain, heart and lung disease, and a shortened life span.

Q: Do you see any significant changes in the future involving the correction of scoliosis?
A: Spinal alignment will continue to become safer and better with the help of modern medicine and technology. Also, scientists are experimenting with a "memory rod", a metal rod inserted during surgery that grows with you.

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