Adolescent Idiopathic Scoliosis – Selective Thoracic Fusion

Treatment of adolescent idiopathic scoliosis (AIS) depends on the magnitude of the curve and the risk of curve progression. Curve with a magnitude less than 20 degrees do not require any treatment and are followed up regularly every 6 months till skeletal maturity. Curves with a magnitude between 20-40 degrees are treated with a brace. Those with curves larger than 40 degrees are surgical candidates. A most common presentation of scoliosis is a right-sided Thoracic curve with a Rib hump and higher right shoulder. A few patients develop additional lumbar curves that might be rigid or flexible. These are known as Double curves.