Scoliosis surgery decision is justifiably difficult. Medical second opinion helps to weigh alternative scoliosis treatment methods in unbiased manner. Medical second opinion provides additional angle of view on a complex scoliosis situation. Age-related degenerative changes in spine often worsen scoliosis. Leading spine surgeon shares his view about scoliosis surgical treatment. When surgery is a reasonable option for scoliosis treatment? Dr. Anton Titov, MD. Scoliosis surgery decision and medical second opinion. Video interview with leading expert in spine surgery. Adult scoliosis correction requires intensive physiotherapy to improve core torso and pelvic muscles. Scoliosis involves rotation of individual vertebrae. Scoliosis surgery decision is difficult to make. That is why medical second opinion is warranted in scoliosis. Surgical treatment for scoliosis can be effective when done for appropriate indications. Medical second opinion confirms that decision to proceed with scoliosis surgery is correct and complete. Medical second opinion also helps to choose the right type of surgical operation for scoliosis. Seek medical second opinion on adult scoliosis and be confident that your treatment is correct. Surgery in adolescents with growing spine is effective, but some growth can be stunned. Scoliosis surgery decision and medical second opinion help patients and families to make correct health choices. Spinal deformity and scoliosis are common medical conditions that sometimes require spinal fusion. The definitive patient's resource for scoliosis is expert medical second opinion. Dr. Anton Titov, MD. You should absolutely get at least one medical second opinion. Get facts on symptoms and treatment of scoliosis from this video interview. Scoliosis surgery does have side effects and potential risks of infection and noon-fusion. Problems after adolescent scoliosis surgery is slowed or stunted growth and infections. Spinal fusion for the treatment of idiopathic scoliosis remains the last measure after conservative therapy has failed and patient's condition continues to deteriorate. Scoliosis surgery. Medical second opinion. Dr. Anton Titov, MD. Another common condition is scoliosis. What is scoliosis? Dr. Anton Titov, MD. What is the best way to treat scoliosis in children, in adolescents, and in adults? Dr. Anton Titov, MD. Dr. Eric Woodard, MD. Spine neurosurgeon, Boston, former Chief of Spine Surgery, BWH, Harvard Medical School. Scoliosis is an entire field of study. It is extremely complicated. Fundamental definition of scoliosis is this. As you know, the spine has several curves running in what we call a sagittal plane. Sagittal plane is dividing, bisecting the body in this fashion. There are normal curves of the cervical spine, thoracic, lumbar and sacral portions at the spine. But in the frontal plane the spine is essentially straight. When the spine starts to weave, such as snaking type orientation in the coronal or the frontal plane, this is the definition of scoliosis. Scoliosis also not infrequently involves some rotation of individual vertebrae. Scoliosis can be quite debilitating if it is high degree scoliosis. Because scoliosis is severely deforming. In literature The Hunchback of Notre Dame is the classic example of the severe scoliosis. The hunched arch and displaced shoulder in scoliosis of Hunchback of Notre Dame affected his movement, it affected breathing. Scoliosis can be quite devastating in children that develop scoliosis during the period spinal growth. The most common form of scoliosis however is in adults. it is at the other other end of the age range. As adults get older their bones soften. as the degenerative arthritis progresses, the lumbar spine starts to slip. Lumbar spine becomes scoliotic, and it cause spinal stenosis or nerve pinching. The appropriate treatments depend upon the type of scoliosis is involved. In young children or adolescents with scoliosis whose spine is growing this is an entirely different area of study. Pediatric scoliosis treatment is typically under the purview of pediatric spine specialists. The degree and the rate of change in scoliosis dictates the method of treatment. Sometimes treatment of scoliosis is as aggressive as surgery or whether it is as vigilant as repeated measurements and minor bracing and / or exercise in scoliosis. The bracing has some validity and some usefulness in a limited number of patients. But patients who change significantly and who change rapidly are more typically those that are considered for surgical treatment. Surgery in kids with growing spine is quite effective. But unfortunately surgery in scoliosis tends to arrest some of the longitudinal growth. spine surgery is not the ideal treatment in children with scoliosis ultimately. Sometimes scoliosis surgery in children can be avoided that is preferable. Scoliosis surgery decision and medical second opinion. Video interview with leading spine surgery expert. What are treatment methods for scoliosis? Dr. Anton Titov, MD. When to do surgery?