Learn how it's Safe@Inova

Get the facts on how we're ensuring safety at our locations, our PPE safety requirements, and more, so you know it's safe to receive the care you need—as well as safe for us to continue delivering your care. Whether your visit is for routine care, emergency care, or COVID-19 care, you have a nationally recognized leader in safety, ready for you.

Learn More
 
Inova Children's Hospital > Pediatric Services > Children's Scoliosis and Spine Program

Children's Scoliosis and Spine Program

Providing specialized care for children with scoliosis, back pain and other spinal conditions


Inova Children’s Hospital offers specialized care to children with scoliosis, congenital spinal deformities such as spina bifida, and other spinal conditions.

The scoliosis program provides comprehensive evaluation, diagnosis, non-surgical and surgical treatment for children and teens with scoliosis. Whether your child is an infant or a young adult, we are able to provide comprehensive care for his or her spinal condition.

This program is fully integrated with the Inova Neuroscience and Spine Institute.


Our team


At Inova Children's Hospital, our scoliosis team includes both pediatric orthopedic surgeons and neurosurgeons with specialized training in treating spinal issues and deformities. When surgery is necessary, these surgeons will often work together in the operating room, bringing a unique treatment approach to the treatment of scoliosis.

The multi-disciplinary team also includes:

  • Pediatric anesthesiologists
  • Pediatric physical medicine and rehabilitation physicians
  • Pediatric radiologists
  • Pediatric neurologists
  • Pediatric critical care medicine physicians
  • Pediatric hospitalists
  • Physical therapists
  • Occupational therapists
  • Child life specialists
  • Specialists in orthotics and bracing
  • Nurses
  • Social workers
  • Case managers

What is scoliosis?


Scoliosis is a deformity of the spine which results in a rotation or curve of the spine. The spine may look like an "s" or "c" shape, rather than a straight line. While most cases are mild, some children can experience changes that get worse as their bodies grow. Severe scoliosis can reduce the space in the chest, making it hard for the lungs to work. Scoliosis affects both girls and boys at about the same rate, but girls are at higher risk for having a curve get worse or need treatment.

The cause of most cases of scoliosis is unknown. It can occur at any age, but is most common in adolescents. Scoliosis can occur related to a neuromuscluar syndrome, such as muscular dystrophy, spina bifida, cerebral palsy, neurofibromitosis, or other spinal cord injuries.

Symptoms of scoliosis can include uneven shoulders and/or uneven waist, one hip sitting higher than the other or one shoulder blade that is more pronounced than the other. Mild curves often go unnoticed because they develop slowly and are not painful.


How is scoliosis diagnosed?


Your child's doctor will usually ask you questions about your child’s recent growth and take a medical history. The doctor may ask your child to stand up and bend from the waist with their arms hanging down to check if one side of the rib cage is more prominent.

X-rays can generally determine if a child has scoliosis, and if so, how severe a curve is. X-rays can usually be performed in a doctor’s office and do not require that patient to be sedated. Additional tests, like an MRI, may be recommended if a doctor suspects an underlying condition could be causing your child’s scoliosis.


Scoliosis treatment


Mild scoliosis cases are watched closely with X-Rays to monitor the curve and make sure it doesn’t get worse. In many of these cases, no treatment is needed. Some children will need to wear a special brace called a thoracolumbar spinal orthosis (TLSO) to stop the curve from worsening. Typically, time is allowed out of the brace for things like sports.

In more severe cases, surgery may be needed to correct a scoliosis curve. Severe cases of scoliosis can get worse as time goes on, so surgery may be an option to reduce the curve and keep it from worsening. Left untreated, curves greater than 50 degrees can continue to worsen, and potentially lead to long term health problems involving the heart/lungs. Spinal fusion surgery allows doctors to connect vertebrae together so they can’t move on their own. Small pieces of bone are then placed over the spine. Doctors will generally use hooks or screws to hold the spine straight while the bones fuse together.