Treatment for scoliosis
To treat scoliosis, it is important to assess the severity of the clinical manifestation. Conservative treatments are useful especially when they occur in progressive or degenerative selected patients and when diagnosing angles less than 35º of Cobb and also in stages of early bone maturation / growth (puberty or even before the end). Scoliosis may require surgical treatment, but it is not the treatment of choice in most cases. In fact, to think about a surgical treatment it is recommended for deviations greater than 45º in Cobb angle, although we must always individualize all cases. In adult scoliosis that are asymptomatic, no treatment except symptomatic is recommended, while in adult scoliosis that is accompanied by chronic and intense pain, as well as central or foraminal canal stenosis or functional disability. The latest scientific evidence concludes that in the event of an adult scoliosis that presents symptoms, continue with conservative treatment without thinking about surgical treatment, although the intensity of the symptoms may decrease in some way. Nowadays, advances and progress in scoliosis corrective surgery have allowed us to offer an improvement in the quality of life with surgical treatment, presenting a recurrence rate of approximately 18%. These cases must be selected precisely, make a correct diagnosis, a good surgery and a collaboration on the part of the patient to work together with physiotherapists, a comprehensive medical team and even an assessment with a nutritionist.