What is the primary treatment for severe scoliosis?

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The primary treatment for severe scoliosis is surgical fusion with rod insertion. This approach is especially indicated for cases where the curvature of the spine is significant enough to cause functional impairment or pose aesthetic concerns. Surgical intervention aims not only to correct the curve but also to stabilize the spine and prevent further progression of the deformity.

Surgical fusion involves connecting two or more vertebrae, often using rods and screws, to maintain proper alignment. This method effectively reduces the angle of the curvature and can help alleviate pain and improve the overall quality of life for the patient. The procedure is typically considered when non-surgical options—such as bracing or physical therapy—are insufficient to manage the condition’s progression or symptoms.

While physical therapy helps improve strength and flexibility and bracing can be effective in mild to moderate cases, these treatments are generally not enough for severe scoliosis, where surgical intervention becomes necessary. Medication management may address pain associated with scoliosis but does not correct the underlying structural deformity. Hence, surgical fusion is the definitive treatment for more severe cases, providing a more permanent solution than other non-invasive options.

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