Moderate Scoliosis is defined as a curvature of at least 25 degrees.

If despite bracing, the curvature has already developed to 40 degrees, surgery may now be considered.

Surgery is likely to be recommended in teenagers with curves reaching 50 degrees or higher. However, the patient has the last say.

The degree of discomfort, capacity to accomplish daily work and enjoy everyday activities and personal preferences about physical appearance are all factors to consider before deciding on surgery.

PSSR is helpful in stabilizing the Cobb angle and, in rare situations, can decrease the Cobb angle in teenagers.

For severe Scoliosis, doctors frequently prescribe surgery.

Severe Scoliosis is commonly defined as 50 degrees or more; however, depending on the patient's stage of skeletal development, vertebral body tying may be advised at 40 degrees, 45 degrees, or even 49 degrees.

Most Scoliosis surgeons believe that adolescents with very severe curves (45 to 50 degrees or more) will require surgery to reduce the curvature and keep it from worsening. 

When treating curves between 25 and 39 degrees using the non-surgical Silicon Valley Method, an average of 35% decrease is achieved.

For more information about this, please check out Dr. Tony Nalda's podcast.

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