Scoliosis is a condition in which the spine curves abnormally to the side. There are many causes of scoliosis, including muscle diseases such as muscular dystrophy, spasticity such as cerebral palsy, and congenital abnormalities of the vertebrae. The most common type of scoliosis is �idiopathic,� in which no known cause is found. Idiopathic scoliosis begins most often in mid or late childhood, and seems to affect girls more often then boys. Another type of common spinal deformity is kyphosis. Again, this may be the result of muscle disease, spasticity, congenital abnormality or infection.

If detected early, many types of scoliosis and kyphosis can be treated non-surgically. Small curves are usually observed. Brace treatment has been effective for some children with mild curves (both scoliosis and kyphosis). Surgical treatment may be needed if the curve gets worse in spite of bracing or if it is already very large.

Why is surgery performed?
� To control the curve when brace treatment has failed
� To control a progressive thoracic lordosis or kyphosis
� To prevent loss of heart and lung function
� To prevent certain congenital curves from getting worse

Surgical management is performed as either a one or two step process:
� Stage 1: Anterior release and fusion, if needed
� Stage 2: Posterior fusion
If two stages are required, these are performed separately with a 2-week recovery between stages

Post-operative at SHC-LA:
� Orthopaedic physician monitoring
� Overnight pediatric physician, if necessary
� 1:1 specialized registered nurse with critical care training for the first 24 hours
� Respiratory care practitioner (usually for anterior fusion) coverage for at least 24 hours after surgery
� Close observation using respiratory/cardiac monitoring and pulse oximeter
� Pain management using PCA pumps
� Family-centered care coordination using an interdisciplinary approach

Our goal is to help children reach their maximum potential. If you would like to receive an application for admission to Shriners Hospitals for Children � Los Angeles, please call us toll-free at (888) 486-5437.