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Risser Stages & Scoliosis Surgery

Click the link for a scoliosis consultation: https://www.scoliosisreductioncenter.... Visit the blog post: https://www.scoliosisreductioncenter.... Understanding riser stages and how they influence scoliosis progression is a common concern among patients. Many wonder if their scoliosis will worsen, and unfortunately, the natural course of scoliosis often leads to progression over time. While we can't predict the exact degree of worsening, we do know that scoliosis is dynamic, and its size at diagnosis isn't indicative of its future state. Even a mild scoliosis diagnosis doesn't guarantee it will remain mild; it can progress to moderate, severe, or even very severe forms. As scoliosis progresses, it becomes more complex, rigid, and rotated, making it less responsive to conservative treatments such as therapy and exercises. This rigidity also poses challenges for surgical interventions. Preventing scoliosis progression is more effective than attempting to reverse a severe curve. Treating smaller curves yields better results. Unfortunately, traditional approaches to scoliosis often recommend no treatment for curves under 25 degrees, even though evidence shows that many of these smaller curves can progress. If a child has a curve below 25 degrees and is still growing, there's a one-in-three chance it will progress to a severe level. Treating smaller curves, even those not predicted to progress, is a proactive approach. Skeletal maturity plays a crucial role in predicting progression. Growth is the primary risk factor for scoliosis progression in children. The larger the curve and the more growth potential remains, the higher the likelihood of progression. To determine a patient's growth potential, we assess their riser stage. Riser stages, which range from zero negative to five, reflect skeletal maturity. Higher stages indicate skeletal maturity and less growth potential, while lower stages signify ongoing growth. Most scoliosis progression occurs before reaching Riser stage IV or V, as these stages involve less growth but still some development. Radiographs easily reveal the Riser stage by examining the growth plate near the hip. Traditional treatments differ from conservative approaches. Traditional methods often lead to surgical recommendations, while modern conservative treatments aim to prevent surgery. Traditional approaches may involve no treatment for curves under 25 degrees, brace recommendations for curves under 40 degrees, and surgery for severe curves above 40 degrees. Surgery aims to stop progression but doesn't correct the underlying cause. Scoliosis surgery, involving spinal fusion, eliminates spinal movement. This non-functional approach limits the spine's natural mobility and raises concerns about long-term effects on overall health and spinal function. In contrast, conservative treatments focus on maintaining spinal function and reducing curves. Conservative treatment can benefit patients with severe curves, reducing the need for surgery. Even when surgery is initially recommended, effective conservative treatment may still help lower curves below the surgical threshold. This approach aims to maintain and enhance normal spinal function. Conservative treatment is essential for patients with low Riser stages (zero negative, zero positive, one, two, or three) as early surgery can stunt growth and necessitate additional surgeries to support proper spinal development. In such cases, a conservative approach can slow progression and potentially avoid surgery altogether. Early intervention and appropriate conservative care can be instrumental in managing scoliosis effectively. In conclusion, understanding the role of riser stages and the potential for scoliosis progression is crucial. Conservative treatment approaches, especially in the early stages of scoliosis, offer proactive solutions to prevent worsening and reduce the need for surgery, while traditional methods may lead to more invasive interventions. Click the link for a scoliosis consultation: https://www.scoliosisreductioncenter.... Visit the blog post: https://www.scoliosisreductioncenter.... 00:00 Risser Stages & Scoliosis Surgery 02:02 Is There A Way To Know How Much A Curve Will Worsen? 03:07 Risser Signs 05:04 Commonly Asked Questions When Looking At Risser Signs 07:01 Boston Brace Or Providence Brace 07:18 Spinal Surgery And Spinal Fusion 09:36 Conservative Treatment With Low Risser Signs Artlist.io 847544