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Gillette Children's scoliosis surgery physician assistant explains surgical options for those who may benefit from scoliosis surgery. Scoliosis is a rotation and sideways curvature of the spine. It usually occurs when you hit your growth spurt during puberty. Scoliosis affects about four out of every 100 people between the ages of 10 and 18. You will only need to consider surgery though, if the curvature of your spine is 45 degrees or more. To put this in context, if you take a sample of a thousand people, 40 will have scoliosis, ranging from mild to severe. Of these 40 people, 12 may need to use a brace, and 4 may benefit from surgery. Let's look at two surgical options available to those who may benefit from surgery. For those who may benefit from surgery, the two options are spinal fusion and vertebral body tethering. The most common type is a posterior instrumented spinal fusion. “Posterior”, because we enter through the back. “Instrumented”, because we use screws and rods to hold the spine in a straighter position. “Spinal”, for obvious reasons, and “fusion” because our goal is for the individual bones being held by the screws and rods to fuse together into one solid piece and to remain in the straightened position. The screws enter the spine from the back and are seated in the front of the spine. Vertebral body tethering uses a rope or tether which is connected to the outside of the curve using screws placed into the side of the bones of your spine. The tether is then tightened. This allows the inside of the curve to grow as your body is growing, and catch up in height with the outside of the curve; causing a straightening of the curve. 0:00 What is scoliosis? 0:23 When do you need surgery for scoliosis? 0:59 What options are available for scoliosis surgery? 1:10 What is spinal fusion? 2:07 What is vertebral body tethering? VISIT https://www.gillettechildrens.org/sco... to view other videos and resources related to Scoliosis Surgery. VISIT http://www.gillettechildrens.org/ to learn more about Gillette Children’s Specialty Healthcare. SUBSCRIBE for patient stories and advice from Gillette medical experts. / gillettechildrens CONNECT with us! Facebook » / gillettechildrensspecialtyhealthcare Twitter » / @gillettechildrn Instagram » / gillettechildrens Pinterest » / gillettechildrn