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When Scoliosis Surgery Is Considered.

Scoliosis surgery is a major decision. At Dorsi Spinal Institute, we view surgery as a last resort, reserved for specific situations where the benefits clearly outweigh the risks. Understanding these situations helps patients and families feel more informed and less afraid.

Typical Indications for Surgery

Surgery may be recommended when:

  • Curves exceed 45–50 degrees and are still progressing.
  • Bracing and exercise have failed to control growth.
  • There is significant risk to lung or heart function in severe curves.
  • Chronic, disabling pain or neurological compromise is present.

Goals of Surgery

Spinal fusion surgery aims to:

  • Stop curve progression permanently.
  • Improve overall spinal alignment and balance.
  • Protect lung and nerve function.

Although some flexibility is sacrificed, many patients enjoy stable, active lives afterwards.

Surgical Planning and Teamwork

Dorsi Spinal Institute works closely with NHS spinal surgeons to:

  • Identify appropriate surgical candidates.
  • Provide detailed imaging and non-surgical treatment histories.
  • Offer pre-habilitation to improve strength and fitness before surgery.

Recovery and Rehabilitation

Post-surgery, we guide patients through:

  • Initial recovery and pain control.
  • Gradual mobility and strength exercises.
  • Safe reintroduction to school, work, and sport.

Ongoing follow-up ensures complications are detected and addressed early.

Emotional Considerations

Surgery can be emotionally challenging for families. Dorsi provides support, including opportunities to speak with patients who have undergone similar procedures.

Next Steps

If surgery has been recommended, or if you’re wondering if it might be necessary, Dorsi Spinal Institute can offer an independent, comprehensive second opinion and support you through every stage of the journey.

Related reading: see our blogs on high-risk curves, post-surgical rehabilitation, and long-term health implications.

 

Written by

Dr Matthew ABJ Potts BSc MSc DC ISPRM
Clinical Director 
Doctor of Chiropractic 
Specialist Scoliosis Consultant 
Fellow of the British Scoliosis Society 
Member of the Scoliosis Association (UK)
Chair of the Clinical Advisory Board at Meloq AB
Member of the International Society of Physical and Rehabilitation Medicine
Editorial board member of international journals CICRJ & Rehabilitation Science

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Dorsi Spinal Ltd is registered with Companies House at 11 Malin Hill, Nottingham, England, NG1 1JQ in England & Wales. Company Number: 10252956.
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