Adolescent Idiopathic Scoliosis – Selective Thoracic Fusion

Treatment of adolescent idiopathic scoliosis (AIS) depends on the magnitude of curve and risk of curve progression. Curve with 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 brace. Those with curves larger than 40 degrees are surgical candidates. Most common presentation of scoliosis is right sided Thoracic curve with Rib hump and higher right shoulder. A few patients develop additional lumbar curve that might be rigid or flexible.