A scoliosis diagnosis can feel overwhelming, but in many cases, it’s highly treatable, especially when addressed early.

Dr. Siambanes helps families understand their child’s condition and guides them through what to expect next, step by step.

Idiopathic scoliosis, the most common form, typically appears in children between the ages of 10 and maturity. No single cause has been identified, though genetic factors are increasingly understood to play a role. Early detection and careful monitoring are essential during the growth years, as growth curves can progress quickly during adolescence. Bracing is often recommended to prevent progression, while surgery may be considered for larger curves.

Adults can develop scoliosis for the first time or experience progression of a curve that was present since adolescence. Unlike pediatric scoliosis, which rarely causes pain initially, adult scoliosis often presents with back and leg pain, as well as difficulty standing upright for extended periods. Treatment ranges from physical therapy and pain management to surgical correction for curves that significantly affect quality of life.

A curvature of the spine that results from anomalies or abnormally developed vertebrae, which are the building blocks of the spinal column.

Scoliosis rarely causes pain in children, which is part of why it can go unnoticed for a while. Parents and school screening programs are often the first to spot it.

If you notice any of the following, it’s worth having your child evaluated by a spinal specialist. In most cases, an X-ray is all that’s needed to understand what you’re dealing with.

For mild curves, regular observation is often all that’s needed. Periodic exams and X-rays track whether the curve is holding steady. Many children with mild scoliosis never need anything beyond monitoring.

For moderate curves in a still-growing child, a brace can prevent the curve from worsening. It won’t correct the existing curve, but when worn consistently, it is highly effective at preventing further progression.

For large curves progressing rapidly, or beyond what bracing can manage, surgery provides lasting correction. Dr. Siambanes uses the surgical approach best suited to each child’s age, curve, and growth stage.

Navigating a child’s scoliosis diagnosis is easier when you have a specialist who not only understands the condition but also understands what families are going through.

Dr. David Siambanes is board-certified in orthopedic surgery with fellowship training in pediatric orthopedics at Alfred I. duPont Hospital for Children and reconstructive spine surgery at the University of Southern California.

He works alongside a multidisciplinary team, including physical therapists, orthotists, and pediatric care coordinators, so families have support at every stage, from first evaluation through recovery.