Scoliosis is a spinal condition characterized by an abnormal sideways curvature of the spine that may progress over time. While many patients can be managed with non-surgical treatment, scoliosis surgery may be considered in selected cases where the spinal curve is severe, progressive, or significantly affects daily function and quality of life.
At the Spine Center, Vejthani International Hospital, decisions regarding surgical treatment are based on comprehensive clinical assessment, imaging studies, and long-term outcome considerations. Because spinal surgery involves both potential benefits and risks, careful evaluation and shared decision-making are essential.
Scoliosis is defined as a spinal curvature greater than 10 degrees, typically diagnosed during adolescence but also found in adults. The condition may be idiopathic, congenital, neuromuscular, or degenerative in origin.
While mild scoliosis may cause few symptoms, more advanced curvature can lead to back pain, muscle fatigue, postural imbalance, and in some cases, neurological symptoms due to nerve compression.
From clinical experience at the Spine Center, surgery is generally not the first line of treatment.
Scoliosis surgery may be considered when:
Importantly, surgery is recommended based on medical necessity rather than cosmetic concerns alone.
When appropriately indicated, scoliosis surgery may provide several clinical and functional benefits.
The primary goal is to reduce abnormal curvature and stabilize the spine, helping to prevent further progression.
Some patients experience improvement in pain related to spinal imbalance, muscle strain, or nerve compression, although results vary.
By restoring spinal alignment, surgery may improve balance, posture, and the ability to perform daily activities.
In clinical practice, selected patients report improved confidence and overall well-being following successful correction.
As with any major spinal procedure, scoliosis surgery carries potential risks and limitations that must be carefully considered.
Because the spinal cord and nerves are involved, there is a small risk of neurological complications. These risks are minimized through advanced surgical techniques and intraoperative monitoring.
Recovery can take several months to one year. Temporary discomfort and limited mobility are common during the healing process.
Surgery aims to correct deformity and prevent progression. Complete pain relief cannot be guaranteed in all patients.
Adults may develop scoliosis due to degeneration of spinal structures or progression of adolescent scoliosis. Surgery may be considered when pain, nerve compression, or functional impairment does not respond to conservative treatment.
In adolescents, surgery is typically reserved for progressive curves that may worsen with growth. Timing is carefully planned to balance curve correction and ongoing development.
Each patient group requires individualized evaluation and long-term follow-up.
A thorough diagnostic process is essential before recommending scoliosis surgery and typically includes:
This comprehensive approach helps ensure that surgery is recommended only when the potential benefits outweigh the risks.
Managing scoliosis, particularly when surgery is considered, requires expertise in spinal deformity treatment. At the Spine Center, Vejthani International Hospital, patients are cared for by a multidisciplinary team with experience in complex spinal conditions.
Clinical decisions are guided by evidence-based practice, patient-specific factors, and a commitment to long-term outcomes rather than short-term correction alone.
Is scoliosis surgery always necessary?
No. Most scoliosis cases can be managed without surgery, and treatment decisions depend on curve severity, symptoms, and progression.
At what degree of curvature is surgery recommended?
Surgery may be considered when curves approach 40–50 degrees, particularly if progression or symptoms are present.
How long does recovery take?
Initial recovery takes several weeks, while full recovery may take several months to one year.
Can adults undergo scoliosis surgery?
Yes. Adults may be candidates when pain, nerve symptoms, or functional limitations persist despite non-surgical treatment.
Spine Center, Vejthani International Hospital
Call 02-7340000 or Ext. 5500
English Hotline: (+66)8-522 38888
service@vejthani.com
