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Click the link for a scoliosis consultation: https://www.scoliosisreductioncenter.... Visit the blog post: https://www.scoliosisreductioncenter.... When patients are first diagnosed with scoliosis, they often think of surgery, and one of the first things they hear about is the Harrington Rod. The Harrington Rod is a tool used in scoliosis surgery for patients needing spinal fusion. The number one reason for patients to have surgery is to stop progression and straighten the spine. The traditional approach to scoliosis is when this type of surgery with the Harrington Rod is recommended. It divides scoliosis into these categories: Mild: less than 25 degrees Moderate: 40-45 degrees Severe: 45 degrees or more Mild and moderate patients are recommended to watch and wait. And only when patients go over 45 degrees do they qualify for spinal fusion. In the conservative approach, the goal is to reduce the scoliosis, and spinal fusion would only be recommended if the patient is not responding to the conservative care and their curve is over 60 degrees when not responding. Some of our patients have 80, 90, or even over 100 degrees, and they fear what spinal fusion might do to them long-term. So, they refuse surgery, even though they qualify for it by the traditional approach standard, and choose conservative care. With the conservative approach, we like to treat curves soon. The sooner, the better. If a curve is at 25 degrees, that is only 15 degrees to moderate, which is a gap easily reached, especially in a growing child. So, knowing this, wouldn't we want to treat that scoliosis as soon as it happens by acting more proactively. Treating curves much sooner could potentially prevent surgery. Patients considering spinal fusion often ask if their scoliosis will be cured after the surgery, and the answer is: "No." There is no cure for scoliosis, even with conservative care. What can be done is to manage the condition because the root is unknown in most scoliosis cases. The curve size is managed with therapy, exercises, and corrective bracing in the conservative approach rather than with rods and screws as the traditional approach would. With spinal fusion, there is no guarantee, and the curve can still progress. The only guarantee is that the progression will slow down, and the patient is going to have rods and screws holding their spine showing a reduced curve. The choice is ultimately in the patients' hands, whether they are better off with rods and screws or a more conservative approach. No one really knows because scoliosis patients have not been studied and followed up with for long enough. We also know that hardware longevity is an issue. No one piece of hardware lasts forever, especially in the human body. There can also be an adverse reaction to the hardware, such as an allergic reaction, and the screws might need to be taken out. But removing the rods can often be more traumatic than putting them in place. Anything that can be done to avoid this type of surgery should be done, and surgery should be a last resort if things worsen and there is no progress. If you have scoliosis, the best thing you can do is be proactive and try different approaches until you find the best results, instead of just watching and waiting until your curve is big enough to qualify for surgery. Click the link for a scoliosis consultation: https://www.scoliosisreductioncenter.... Visit the blog post: https://www.scoliosisreductioncenter.... 00:00 - What is a Harrington Rod? 00:33 - The Goal of Spinal Fusion 01:13 - When Is This Typically Recommended? 02:19 - The Goal of The Conservative Approach 03:20 - The Bottom Line: Traditional Vs. Conservative Approach 04:35 - After Spinal Fusion, Is My Scoliosis Cured? 05:50 - What's the Patient Better Off With? 07:46 - Be Proactive Artlist.io 847544