What is the treatment approach for scoliosis by degree, according to the material?

What is the treatment approach for scoliosis by degree, according to the material?

• A. 20-40 degrees: Brace; greater than 40 degrees: Surgery
• B. 20-40 degrees: Surgery; greater than 40 degrees: Observation
• C. 20-40 degrees: Observation; greater than 40 degrees: Brace
• D. 20-40 degrees: Physical therapy; greater than 40 degrees: Medication

Answer: (A)

Managing scoliosis hinges on how big the curve is and how much growth remains. The goal is to prevent progression during growth and to correct deformity when the curve is large. In this material, moderate curves in the growth phase are treated with a brace to apply external forces that slow progression as the spine continues to grow. When the curve passes about 40 degrees, the risk of progression increases and surgical fusion is considered to correct the deformity and stabilize the spine. Observation is typically reserved for very small curves in growing children, because those have a lower risk of rapid progression and may not require immediate intervention. Physical therapy or medications alone aren’t adequate definitive treatments for moderate to large curves, since they don’t reliably halt progression or correct the deformity.

Managing scoliosis hinges on how big the curve is and how much growth remains. The goal is to prevent progression during growth and to correct deformity when the curve is large. In this material, moderate curves in the growth phase are treated with a brace to apply external forces that slow progression as the spine continues to grow. When the curve passes about 40 degrees, the risk of progression increases and surgical fusion is considered to correct the deformity and stabilize the spine.

Observation is typically reserved for very small curves in growing children, because those have a lower risk of rapid progression and may not require immediate intervention. Physical therapy or medications alone aren’t adequate definitive treatments for moderate to large curves, since they don’t reliably halt progression or correct the deformity.