{"id":4427,"date":"2024-03-18T10:26:19","date_gmt":"2024-03-18T10:26:19","guid":{"rendered":"https:\/\/paleyinstitute.org\/?page_id=4427"},"modified":"2025-10-17T19:00:32","modified_gmt":"2025-10-17T19:00:32","slug":"scoliosis","status":"publish","type":"page","link":"https:\/\/paleyinstitute.org\/scoliosis\/","title":{"rendered":"Scoliosis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4427\" class=\"elementor elementor-4427\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9e873d4 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"9e873d4\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ac78276\" data-id=\"ac78276\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-00babe6 elementor-widget elementor-widget-heading\" data-id=\"00babe6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Scoliosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5568455 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5568455\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-cc88094\" data-id=\"cc88094\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-407db54 elementor-widget elementor-widget-text-editor\" data-id=\"407db54\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Scoliosis is a condition that causes the spine to curve. While commonly thought of as the spine curving \u201cto the side,\u201d it is a complex, three-dimensional deformity. While the cause of scoliosis is unknown, it usually runs in families and typically affects girls and young women more often and severely than boys and young men. Although most diagnosis occur during a child\u2019s growth spurts, some scoliosis can be diagnosed as early as infancy and as late as adulthood. Mild cases that do not cause pain or discomfort require no treatment. However, cases that are moderate to severe may require treatment, especially in cases where the curvature cases pain or discomfort.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9098f71 elementor-widget elementor-widget-text-editor\" data-id=\"9098f71\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At Paley Institute Spine Center, Drs. <a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/dr-david-feldman\/\">Feldman<\/a>,<a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/dr-harry-shufflebarger\/\">\u00a0Shufflebarger,<\/a>\u00a0and\u00a0<a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/arun-r-hariharan-md\/\">Hariharan\u00a0<\/a>provide operative and non-operative treatments for any age group for patients with\u00a0<a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Scoliosis<\/a>. Our team&#8217;s focus is on minimally invasive procedures, combining advanced techniques with superior knowledge and a creative approach. We understand that every patient is unique and offer patient-specific treatments tailored to each individual.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9db0107\" data-id=\"9db0107\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64c4896 elementor-widget elementor-widget-heading\" data-id=\"64c4896\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Let\u2019s Talk Scoliosis with Drs. Feldman & Hariharan\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-591947a elementor-widget elementor-widget-video\" data-id=\"591947a\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=CfP5dCzcnIo&amp;t=1s&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c15dfbf elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"c15dfbf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2f4e341\" data-id=\"2f4e341\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a637dbe elementor-widget elementor-widget-text-editor\" data-id=\"a637dbe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you or your child has scoliosis, it is important to see a scoliosis expert. Drs. Feldman and Hariharan use the appropriate treatment that is best indicated for each patient.<\/p><p>Surgical or non-surgical options may be sought for the treatment of scoliosis. There are three main types of scoliosis:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7d796b elementor-widget elementor-widget-text-editor\" data-id=\"c7d796b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n \t<li>Idiopathic<\/li>\n \t<li>Congenital<\/li>\n \t<li>Neuromuscular<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9fb5de2 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"9fb5de2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78b1c98\" data-id=\"78b1c98\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f7ec15 elementor-widget elementor-widget-heading\" data-id=\"4f7ec15\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Idiopathic Scoliosis\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd4c73c elementor-widget elementor-widget-text-editor\" data-id=\"bd4c73c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Idiopathic scoliosis is the most common type of scoliosis and is, in fact, the most common type of spinal deformity. The exact cause is unknown, as indicated by the name \u201cidiopathic,\u201d which in Greek means approximately \u201ca disease of its own kind.\u201d Common explanations, such as poor posture or carrying a heavy backpack, have not been proven to cause idiopathic scoliosis. Genetics may play a role, however, as research has shown that approximately 30% of patients with idiopathic scoliosis have a family history.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a8df17 elementor-widget elementor-widget-text-editor\" data-id=\"2a8df17\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Idiopathic scoliosis most commonly presents in small children, between the ages of 10 and 18, though it most often begins during puberty. For reasons not well understood, girls are more likely to develop the condition than boys. It is rarely painful. The curvature progresses slowly (but stubbornly), and the effect is often subtle and goes unnoticed by the patient and parent. Idiopathic scoliosis is usually first diagnosed by a pediatrician or during routine school screenings. Some of the common signs include:<\/p><ul><li>\u2022 Uneven, tilted shoulders<br \/>\u2022 One shoulder blade sticking out further than the other<br \/>\u2022 An uneven waistline<br \/>\u2022 One hip rises higher than the other when standing straight<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5fccd39 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5fccd39\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-22f4c98\" data-id=\"22f4c98\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9cbcc0 elementor-widget elementor-widget-text-editor\" data-id=\"f9cbcc0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The curves seen in idiopathic scoliosis can vary in size, and the more mild curves are far more common. In many cases, treatment is not necessary; and in cases where it is indicated, treatment usually involves bracing in combination with physical therapy. At the Paley Orthopedic &amp; Spine Institute, we offer the\u00a0<span style=\"color: #6e0a78;\"><a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/spinal-deformity\/\">Rigo Cheneau brace<\/a><\/span>\u00a0Rigo Cheneau brace as well as\u00a0<a href=\"https:\/\/paleyinstitute.org\/schroth-method\/\">Schroth Physical Therapy<\/a>\u00a0to correct mild cases of idiopathic scoliosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b8491b elementor-widget elementor-widget-text-editor\" data-id=\"4b8491b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>During the examination, our physicians will perform the \u201cAdam\u2019s forward bend test,\u201d in which the patient bends forward with their feet together, knees straight and arms hanging free. We&#8217;ll observe the patient from the back, to see if any spinal deformity may be present.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5335f2a elementor-widget elementor-widget-text-editor\" data-id=\"5335f2a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>X-rays will also be ordered to provide clear images of the spine. Our Spine Team will be able to see and measure the exact extent of the curve and recommend the best treatment method.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-33948c7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"33948c7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e918830\" data-id=\"e918830\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b686c0 elementor-widget elementor-widget-heading\" data-id=\"6b686c0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Congenital Scoliosis\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64d28b8 elementor-widget elementor-widget-text-editor\" data-id=\"64d28b8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Congenital scoliosis is a form of scoliosis that is present at birth, unlike idiopathic scoliosis, in which the curvature develops during adolescence. Congenital scoliosis is quite rare, occurring in 1 in 10,000 births. It may be associated with other health issues, particularly in the kidneys or bladder.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d26543 elementor-widget elementor-widget-text-editor\" data-id=\"8d26543\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tThere are three different types of congenital scoliosis:\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3273d1d elementor-widget elementor-widget-text-editor\" data-id=\"3273d1d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n \t<li><strong>Incomplete formation of the vertebra<\/strong>:\u00a0During the formation of the spine prior to birth, part of the vertebra may not form completely, resulting in an angle in the spine (a hemivertebra). This angle tends to get worse as the child grows.<\/li>\n \t<li><strong>Failure of separation of the vertebra<\/strong>: During development, the spine initially forms as a single structure and later separates into different segments or vertebra. In some cases, this separation is not complete and some of the bone remains connected between two vertebrae. This prevents the spine from growing on one side, resulting in curvature as the child grows.<\/li>\n \t<li><strong>Combination of incomplete formation and failure of separation<\/strong>: A combination of an incomplete formation and failure of separation is the most serious case of congenital scoliosis. These patients usually require surgery at a young age to prevent serious misalignment of the spine.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9bce6a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"9bce6a6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-56a26b9\" data-id=\"56a26b9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cebff7d elementor-widget elementor-widget-heading\" data-id=\"cebff7d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Neuromuscular Scoliosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25cf56e elementor-widget elementor-widget-text-editor\" data-id=\"25cf56e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Neuromuscular scoliosis (NMS) is a type of scoliosis associated with conditions that impair a child\u2019s ability to control and support their spine. Some of the conditions associated with NMS include:\u00a0<\/p><p>\u2022 Muscular dystrophy<br \/>\u2022 Cerebral palsy<br \/>\u2022\u00a0<a href=\"https:\/\/paleyinstitute.org\/spina-bifida\/\">Spina bifida<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b3fddd elementor-widget elementor-widget-text-editor\" data-id=\"9b3fddd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Since neuromuscular scoliosis includes a range of medical conditions, it\u2019s imperative that treatment is undertaken at a center that includes a team of doctors who are familiar with these unique needs and concerns of patients with NMS. In addition, seeing a surgeon like Drs. Feldman, Shufflebarger, or Hariharan, who are not only experts on scoliosis but who also has significant experience in treating neuromuscular conditions, significantly improves treatment outcomes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e545468 elementor-widget elementor-widget-text-editor\" data-id=\"e545468\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Not all children with a neuromuscular condition will develop scoliosis, but it is fairly common. Children who use a wheelchair are at the greatest risk of developing scoliosis. For children who are ambulatory, the signs of neuromuscular scoliosis are similar to those for idiopathic scoliosis. Because NMS is associated with underlying neuromuscular disorders, the rate of complication after surgery is usually higher than with other types of scoliosis. It is crucial that the care received comes from a surgeon who has extensive experience treating these unique cases.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-309338d elementor-widget elementor-widget-text-editor\" data-id=\"309338d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bracing has been used for generations to prevent mild to moderate cases of scoliosis from progressing. A brace is only effective in young patients with significant growth remaining. X-rays of the hands or the top of the pelvis can determine the amount of growth remaining. Once bracing begins, the brace often needs to be worn until growth is completed which is usually around age 14 in females and 16 in males.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b8b3f7 elementor-widget elementor-widget-heading\" data-id=\"0b8b3f7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment Methods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f3056a elementor-widget elementor-widget-text-editor\" data-id=\"6f3056a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Treatment for scoliosis may be either surgical or non-surgical. Our Spine Team will consider a number of factors when planning for treatment. Some of those include:\u00a0<\/p><p>\u2022 The location of the curve<br \/>\u2022 The extent of the curve<br \/>\u2022 The patient\u2019s age<br \/>\u2022 The number of remaining growing years<br \/>\u2022 Whether there is an associated neuromuscular condition (the patient has NMS)<br \/>\u2022 The specific type of vertebral abnormality (the patient has congenital scoliosis)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9ffabd elementor-widget elementor-widget-heading\" data-id=\"c9ffabd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Non-surgical Treatments<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f027bd elementor-widget elementor-widget-heading\" data-id=\"0f027bd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Observation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-befd164 elementor-widget elementor-widget-text-editor\" data-id=\"befd164\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our Spine Team may simply recommends monitoring the curve to make sure it doesn\u2019t worsen if the child has a small curve (less than 25 degrees) or if the child is almost fully-grown. X-rays will be taken every 6 months during the patient\u2019s growing years, in order to monitor the progression of the curve. Children may still participate in most sports and hobbies. Contrary to popular belief, the curve does not worsen with certain activities.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-143c218 elementor-widget elementor-widget-heading\" data-id=\"143c218\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">External Bracing<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4345e8d elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"4345e8d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3fc6e0a\" data-id=\"3fc6e0a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-597499c glow-line elementor-widget elementor-widget-image\" data-id=\"597499c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"200\" height=\"300\" src=\"https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/03\/Rigo-Cheneau-.jpg\" class=\"attachment-large size-large wp-image-4565\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-086d4ad elementor-widget elementor-widget-text-editor\" data-id=\"086d4ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Example of a corrective scoliosis brace.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-63fc92f\" data-id=\"63fc92f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aeecb1b elementor-widget elementor-widget-text-editor\" data-id=\"aeecb1b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bracing has been used for generations to prevent mild to moderate cases of scoliosis from progressing. A brace is only effective in young patients with significant growth remaining. X-rays of the hands or the top of the pelvis can determine the amount of growth remaining. Once bracing begins, the brace often needs to be worn until growth is completed which is usually around age 14 in females and 16 in males.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5e8430 elementor-widget elementor-widget-text-editor\" data-id=\"b5e8430\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At the Paley Orthopedic &amp; Spine Institute, we recommend the\u00a0<span style=\"color: #6e0a78;\"><a style=\"color: #6e0a78;\" href=\"https:\/\/paleyinstitute.org\/spinal-deformity\/\">Rigo Cheneau brace<\/a>.<\/span> This is a highly advanced device that provides individual scoliosis treatment. The unique bracing system was developed by Dr. Cheneau and later improved by Dr. Rigo. Since each brace is custom-tailored to the patient, it is designed to account for all aspects of the scoliosis curve.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14cdf3c elementor-widget elementor-widget-text-editor\" data-id=\"14cdf3c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The Paley Orthopedic &amp; Spine Institute partners with\u00a0<span style=\"color: #6e0a78;\"><a style=\"color: #6e0a78;\" href=\"http:\/\/www.align-clinic.com\/\" target=\"_blank\" rel=\"noopener\">Align Clinic<\/a><\/span> to offer the Wood Cheneau Rigo (WCR)\u00ae brace. Align Clinic holds monthly brace clinics at the Paley Orthopedic &amp; Spine Institute.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-1699ebc elementor-widget elementor-widget-heading\" data-id=\"1699ebc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Schroth Physical Therapy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-419baf5 elementor-widget elementor-widget-text-editor\" data-id=\"419baf5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tDrs. Feldman, Shufflebarger, and Hariharan may also prescribe Physical Therapy using the Schroth Method. This is a highly specific method of physical therapy that is used to treat scoliosis. Schroth therapy is usually combined with the Rigo Cheneau brace.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1aad49d elementor-widget elementor-widget-text-editor\" data-id=\"1aad49d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The<a href=\"https:\/\/paleyinstitute.org\/rehabilitation-physical-therapy\/\"><span style=\"color: #6e0a78;\">\u00a0Paley Orthopedic &amp; Spine Institute Rehabilitation Department<\/span><\/a>\u00a0is experienced in treating a variety of complex orthopedic conditions. The Rehabilitation Department works closely with our Spine Team in order to provide his patients with the highest level of care. The Paley Institute Rehabilitation Department is proud to offer the only dedicated Schroth Center in the Southeast United States. Our therapists have been specially trained to perform this advanced type of physical therapy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c03478e elementor-widget elementor-widget-text-editor\" data-id=\"c03478e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tOur out-of-state patients are referred to other locations that have been trained in the Schroth Method.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-167b3e1 elementor-widget elementor-widget-text-editor\" data-id=\"167b3e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The distal osteotomy is then performed and the femur lengthened with an external fixator. The fixator realigns the femur and tibia by reorienting the regenerate bone. This orients the femur perpendicular to the pelvis (blue and red lines are now the same), restoring normal alignment.<\/p><p>The femur and pelvis are now oriented in the correct angle. This stabilizes the joint and will allow the patient to walk without a limp.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37ac4ae elementor-widget elementor-widget-text-editor\" data-id=\"37ac4ae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tIt is also vitally important for individuals who have scoliosis and\/or wear a brace to keep their core strong. While no one method of exercise or manipulation has been proven to help prevent the progression of scoliosis, our team of physicans still recommend back exercises for his patients. Physical therapy regimens such as the Schroth method have been found to be effective in maintaining core strength and increasing comfort\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e53730 elementor-widget elementor-widget-heading\" data-id=\"6e53730\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Surgical Treatments for Scoliosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf8596c elementor-widget elementor-widget-heading\" data-id=\"cf8596c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Spinal Fusion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1be79d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"1be79d9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9909566\" data-id=\"9909566\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6763f9d glow-line elementor-widget elementor-widget-image\" data-id=\"6763f9d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"282\" height=\"300\" src=\"https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/03\/coe-spine-282x300-1.jpg\" class=\"attachment-large size-large wp-image-4666\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0704aa elementor-widget elementor-widget-text-editor\" data-id=\"e0704aa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>An example of a before &amp; after spinal fusion with Dr. Feldman<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1f085b6\" data-id=\"1f085b6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-75491a1 elementor-widget elementor-widget-text-editor\" data-id=\"75491a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This is the most common type of surgery for scoliosis. Rods and screws are attached to the vertebrae to fuse the bones together, helping to straighten the spine. This procedure is only utilized for severe curves where all other treatment methods have failed. There is often no need for bracing after this surgery and patients may return to their activities in as little as one to two months.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b94453 elementor-widget elementor-widget-text-editor\" data-id=\"9b94453\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tFor all our spinal fusion patients, we utilize a specialized multilayered closure technique by a plastic surgeon in order to dramatically lower the rate of postoperative wound complications.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-08e628c elementor-widget elementor-widget-text-editor\" data-id=\"08e628c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tFor more information, please see Dr. Feldman\u2019s research paper on\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-659527e elementor-widget elementor-widget-elementskit-button\" data-id=\"659527e\" data-element_type=\"widget\" data-widget_type=\"elementskit-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t<div class=\"ekit-btn-wraper\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/06\/Wound-Closure-in-Nonidiopathic-Scoliosis-Does-Closure-Matter.pdf\" target=\"_blank\" class=\"elementskit-btn  whitespace--normal\" id=\"\">\n\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>Wound Closure in Nonidiopathic Scoliosis Does Closure Matter?\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-8888182 elementor-widget elementor-widget-heading\" data-id=\"8888182\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fusionless Surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a9b6c7 elementor-widget elementor-widget-text-editor\" data-id=\"4a9b6c7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Devices such as the Vertical Expandable Prosthetic Titanium Rib (VEPTR) and growing rods are used to straighten the spine without fusing vertebrae. This surgery is less commonly performed and is usually utilized for very young patients with progressive scoliosis who have a great deal of growth remaining. There is currently a great deal of interest and research into these techniques, as they would allow for the avoidance of fusion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a760fda elementor-widget elementor-widget-heading\" data-id=\"a760fda\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Spinal Tethering<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-82f7ca0 elementor-widget elementor-widget-text-editor\" data-id=\"82f7ca0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Spinal tethering is a new method of fusionless surgery that aims to correct scoliosis while maintaining motion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f7d86b elementor-widget elementor-widget-text-editor\" data-id=\"8f7d86b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The screw and cable technique was developed to treat patients older than 10 years of age, in which stapling is less effective. The screw and cable technique is also used for curves of large magnitude (over 40 degrees). The technique involves the insertion of special titanium screws into the side with the longer curve, along with a flexible cable that connects the screws. The cable resists growth in the deformed direction, but allows growth in all other directions, resulting in spontaneous and complete correction as the patient grows.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dcb01c1 elementor-widget elementor-widget-text-editor\" data-id=\"dcb01c1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The treatment options for scoliosis are continuously evolving and constantly improving. The non-surgical and surgical methods used today are very different from what they used to be. Choosing the right intervention at the optimal time remains a crucial step in achieving the best possible outcome.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ee8576 elementor-widget elementor-widget-text-editor\" data-id=\"1ee8576\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Drs. Feldman, Shufflebarger, and Hariharan are proud to offer a comprehensive spinal deformity treatment center at the Paley Orthopedic &amp; Spine Institute in West Palm Beach, Florida. They offer top-of-the-line nonsurgical and surgical treatments for scoliosis and other spinal deformities. Dr. Feldman, leading our Spine Team, brings his extensive experience as head of Pediatric Orthopedics at NYU Langone Medical Center here to South Florida.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26889f5 elementor-widget elementor-widget-text-editor\" data-id=\"26889f5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If your child has scoliosis, remember: the best care is Paley Care. Contact the Paley Spine Team today and set up a consultation. To schedule an appointment with with Dr. David Feldman, call\u00a0<span style=\"color: #6e0a78;\"><a style=\"color: #6e0a78;\" href=\"tel:+15616504486\">(561) 650-4486<\/a><\/span>. For an appointment with Drs. Shufflebarger or Arun Hariharan call<span style=\"color: #6e0a78;\">\u00a0<a style=\"color: #6e0a78;\" href=\"tel:+15616504486\">(561) 602-9155<\/a><\/span>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dc57f58 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no elementor-invisible\" data-id=\"dc57f58\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;slideInRight&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d70c4dd\" data-id=\"d70c4dd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79b81ae elementor-widget elementor-widget-heading\" data-id=\"79b81ae\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dr. Hariharan Answers your Questions about Scoliosis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cdd9f5f elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no elementor-invisible\" data-id=\"cdd9f5f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;slideInRight&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c04917\" data-id=\"3c04917\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4bd3457 wpr-adv-slider-columns-3 wpr-adv-slider-columns--tablet2 wpr-adv-slider-columns--laptop1 wpr-adv-slider-columns--mobile1 wpr-adv-slides-to-scroll-1 wpr-slider-dots-horizontal wpr-slider-nav-position-custom elementor-widget elementor-widget-wpr-advanced-slider\" data-id=\"4bd3457\" data-element_type=\"widget\" data-settings=\"{&quot;slider_video_btn_size&quot;:&quot;small&quot;,&quot;slides_to_scroll&quot;:1,&quot;slider_loop&quot;:&quot;yes&quot;}\" data-widget_type=\"wpr-advanced-slider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<!-- Advanced Slider -->\n\t\t<div class=\"wpr-advanced-slider-wrap\">\n\t\t\t\n\t\t\t<div class=\"wpr-advanced-slider\" dir=\"ltr\" data-slick=\"{&quot;rtl&quot;:false,&quot;infinite&quot;:true,&quot;speed&quot;:700,&quot;arrows&quot;:true,&quot;dots&quot;:true,&quot;autoplay&quot;:false,&quot;autoplaySpeed&quot;:0,&quot;pauseOnHover&quot;:&quot;&quot;,&quot;prevArrow&quot;:&quot;#wpr-slider-prev-4bd3457&quot;,&quot;nextArrow&quot;:&quot;#wpr-slider-next-4bd3457&quot;,&quot;vertical&quot;:false,&quot;adaptiveHeight&quot;:true}\" data-video-btn-size=\"{&quot;widescreen&quot;:&quot;small&quot;,&quot;desktop&quot;:&quot;small&quot;,&quot;laptop&quot;:&quot;small&quot;,&quot;tablet_extra&quot;:&quot;small&quot;,&quot;tablet&quot;:&quot;small&quot;,&quot;mobile_extra&quot;:&quot;small&quot;,&quot;mobile&quot;:&quot;small&quot;}\" data-slide-effect=\"slide\">\n\t\t\t\t<div class=\"wpr-slider-item elementor-repeater-item-2c8993a wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/ibh4IGMEuIk?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T130731.891.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>What is Scoliosis?<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/www.youtube.com\/watch?v=7BbWmht7vKc\" target=\"_blank\" rel=\"noopener\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-a45578c wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/ibh4IGMEuIk?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T130434.638.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>Understanding Scoliosis<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/www.youtube.com\/watch?v=ibh4IGMEuIk\" target=\"_blank\" rel=\"noopener\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-a63a4a4 wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/vKFXZ5Fgj7g?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T125105.633.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>How do you diagnose Scoliosis? <\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-1029406 wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/vKFXZ5Fgj7g?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T125907.915.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>What are symptoms of Scoliosis?<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-088fee0 wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/GgrarPoLDzE?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T124659.000.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>What treatment options do I have?<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-c60fd50 wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/VYOuXGXyY24?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T123531.956.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>Can Surgery for Scoliosis be Avoided?<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wpr-slider-item elementor-repeater-item-fcdfb91 wpr-slider-video-item\" data-video-autoplay=\"\" data-video-src=\"https:\/\/www.youtube.com\/embed\/JepH-bbFBsc?enablejsapi=1\"><div class=\"wpr-slider-item-bg \" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2025\/10\/image-2025-10-17T122903.659.png)\"><\/div><div class=\"wpr-slider-item-overlay\"><\/div><div class=\"wpr-cv-container\"><div class=\"wpr-cv-outer\"><div class=\"wpr-cv-inner\"><div class=\"wpr-slider-content\"><div class=\"wpr-slider-video-btn\"><i class=\"fas fa-play\"><\/i><\/div><div class=\"wpr-slider-title\"><h2>Scoliosis<\/h2><\/div><div class=\"wpr-slider-sub-title\"><h3>Q &amp; A<\/h3><\/div><div class=\"wpr-slider-description\"><p>Can Scoliosis be prevented?<\/p><\/div><div class=\"wpr-slider-btns\"><a class=\"wpr-slider-primary-btn\" href=\"https:\/\/paleyinstitute.org\/scoliosis\/\">Learn More<\/a><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t<\/div>\n\t\t\t<div class=\"wpr-slider-controls\">\n\t\t\t\t<div class=\"wpr-slider-dots\"><\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"wpr-slider-arrow-container\">\n\t\t\t\t<div class=\"wpr-slider-prev-arrow wpr-slider-arrow\" id=\"wpr-slider-prev-4bd3457\">\n\t\t\t\t\t<svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewBox=\"0 0 283.4 512\" style=\"enable-background:new 0 0 283.4 512;\" xml:space=\"preserve\"><g><polygon class=\"st0\" points=\"54.5,256.3 283.4,485.1 256.1,512.5 0,256.3 0,256.3 27.2,229 256.1,0 283.4,27.4 \"\/><\/g><\/svg>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpr-slider-next-arrow wpr-slider-arrow\" id=\"wpr-slider-next-4bd3457\">\n\t\t\t\t\t<svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewBox=\"0 0 283.4 512\" style=\"enable-background:new 0 0 283.4 512;\" xml:space=\"preserve\"><g><polygon class=\"st0\" points=\"54.5,256.3 283.4,485.1 256.1,512.5 0,256.3 0,256.3 27.2,229 256.1,0 283.4,27.4 \"\/><\/g><\/svg>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<a class=\"wpr-slider-scroll-btn\" ><\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ba1c04 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5ba1c04\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a5597c6\" data-id=\"a5597c6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c150c67 elementor-widget elementor-widget-heading\" data-id=\"c150c67\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Paley Institute Doctors  who specialize in Scoliosis in West Palm Beach<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f62f77 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"2f62f77\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-574aaf0\" data-id=\"574aaf0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-e8bd572 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"e8bd572\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/dr-david-feldman\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr-Feldman-768x1031.png);\" role=\"img\" aria-label=\"Dr. David Feldman - Paley Institute - Spinal Deformities Orthopedic Surgeon in west palm beach\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. David Feldman\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tAssociate Director\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-3a52a10\" data-id=\"3a52a10\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-d78e6a0 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"d78e6a0\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/arun-hariharan-md\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr.-Aron-768x1031.png);\" role=\"img\" aria-label=\"Dr. Arun Hariharan - Discover expert orthopedic care in West Palm Beach with Dr. Arun Hariharan, MD. Specializing in complex spine and pediatric orthopedic surgery at the Paley Institute.\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. Arun Hariharan\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tPediatric Orthopedic & Spine Surgeon\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-3d26b5a elementor-hidden-mobile\" data-id=\"3d26b5a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-c1f1994 elementor-hidden-mobile\" data-id=\"c1f1994\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e4c5b0e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"e4c5b0e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a326fa4\" data-id=\"a326fa4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5897883 elementor-widget elementor-widget-heading\" data-id=\"5897883\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cantor Spine Doctors who Specialize in Adult Scoliosis in West Palm Beach, Fort Lauderdale and Boca Raton <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e4dde82 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"e4dde82\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-9220a03\" data-id=\"9220a03\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-b6643f8 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"b6643f8\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/roshan-chhatlani-do\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr-Chhatlani-Cantor-768x1052.png);\" role=\"img\" aria-label=\"Roshan Chhatlani - Cantor spine pain management in fort Lauderdale and boca Raton\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. Roshan Chhatlani\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tInterventional Spine & Pain Management\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-103367b\" data-id=\"103367b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-f95b108 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"f95b108\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/dr-anthony-giuffrida\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr-Giuffrida-768x933.png);\" role=\"img\" aria-label=\"Anthony Giuffrida - Cantor Spine Center - Pain Management in Fort Lauderdale\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. Anthony Giuffrida\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tInterventional Spine & Pain Management\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-64c8948\" data-id=\"64c8948\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-a89296f elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"a89296f\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/scott-raffa\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr.-Scott-768x1031.png);\" role=\"img\" aria-label=\"Scott Raffa - Cantor Spine Center - West Palm Beach &amp; Fort Lauderdale\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. Scott Raffa\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tAdult Cervical, Thoracic, Lumbar Neurosurgery Spine & Orthopedics\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-3f73b3a\" data-id=\"3f73b3a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div data-ep-wrapper-link=\"{&quot;url&quot;:&quot;https:\\\/\\\/paleyinstitute.org\\\/casey-beleckas\\\/&quot;,&quot;is_external&quot;:&quot;&quot;,&quot;nofollow&quot;:&quot;&quot;,&quot;custom_attributes&quot;:&quot;&quot;}\" style=\"cursor: pointer\" class=\"bdt-element-link elementor-element elementor-element-febb758 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-cta--skin-classic elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"febb758\" data-element_type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"https:\/\/paleyinstitute.org\/jeffrey-cantor\/\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/paleyinstitute.org\/wp-content\/uploads\/2024\/04\/Dr-Cantor-768x1069.png);\" role=\"img\" aria-label=\"Jeffrey Cantor - Cantor Spine Center - Expert Spine Surgeon in Fort Lauderdale\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDr. Jeffrey Cantor\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tAdult Cervical and Lumbar Spine Surgery\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item \">\n\t\t\t\t\t<span class=\"elementor-cta__button elementor-button elementor-size-\">\n\t\t\t\t\t\tSchedule an Appointment\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Scoliosis Scoliosis is a condition that causes the spine to curve. While commonly thought of as the spine curving \u201cto the side,\u201d it is a complex, three-dimensional deformity. While the cause of scoliosis is unknown, it usually runs in families and typically affects girls and young women more often and severely than boys and young men. Although most diagnosis occur during a child\u2019s growth spurts, some scoliosis can be diagnosed as early as infancy and as late as adulthood. Mild cases that do not cause pain or discomfort require no treatment. However, cases that are moderate to severe may require treatment, especially in cases where the curvature cases pain or discomfort. At Paley Institute Spine Center, Drs. Feldman,\u00a0Shufflebarger,\u00a0and\u00a0Hariharan\u00a0provide operative and non-operative treatments for any age group for patients with\u00a0Scoliosis. Our team&#8217;s focus is on minimally invasive procedures, combining advanced techniques with superior knowledge and a creative approach. We understand that every patient is unique and offer patient-specific treatments tailored to each individual. Let\u2019s Talk Scoliosis with Drs. Feldman &amp; Hariharan If you or your child has scoliosis, it is important to see a scoliosis expert. Drs. Feldman and Hariharan use the appropriate treatment that is best indicated for each patient. Surgical or non-surgical options may be sought for the treatment of scoliosis. There are three main types of scoliosis: Idiopathic Congenital Neuromuscular Idiopathic Scoliosis Idiopathic scoliosis is the most common type of scoliosis and is, in fact, the most common type of spinal deformity. The exact cause is unknown, as indicated by the name \u201cidiopathic,\u201d which in Greek means approximately \u201ca disease of its own kind.\u201d Common explanations, such as poor posture or carrying a heavy backpack, have not been proven to cause idiopathic scoliosis. Genetics may play a role, however, as research has shown that approximately 30% of patients with idiopathic scoliosis have a family history. Idiopathic scoliosis most commonly presents in small children, between the ages of 10 and 18, though it most often begins during puberty. For reasons not well understood, girls are more likely to develop the condition than boys. It is rarely painful. The curvature progresses slowly (but stubbornly), and the effect is often subtle and goes unnoticed by the patient and parent. Idiopathic scoliosis is usually first diagnosed by a pediatrician or during routine school screenings. Some of the common signs include: \u2022 Uneven, tilted shoulders \u2022 One shoulder blade sticking out further than the other \u2022 An uneven waistline \u2022 One hip rises higher than the other when standing straight The curves seen in idiopathic scoliosis can vary in size, and the more mild curves are far more common. In many cases, treatment is not necessary; and in cases where it is indicated, treatment usually involves bracing in combination with physical therapy. At the Paley Orthopedic &amp; Spine Institute, we offer the\u00a0Rigo Cheneau brace\u00a0Rigo Cheneau brace as well as\u00a0Schroth Physical Therapy\u00a0to correct mild cases of idiopathic scoliosis. During the examination, our physicians will perform the \u201cAdam\u2019s forward bend test,\u201d in which the patient bends forward with their feet together, knees straight and arms hanging free. We&#8217;ll observe the patient from the back, to see if any spinal deformity may be present. X-rays will also be ordered to provide clear images of the spine. Our Spine Team will be able to see and measure the exact extent of the curve and recommend the best treatment method. Congenital Scoliosis Congenital scoliosis is a form of scoliosis that is present at birth, unlike idiopathic scoliosis, in which the curvature develops during adolescence. Congenital scoliosis is quite rare, occurring in 1 in 10,000 births. It may be associated with other health issues, particularly in the kidneys or bladder. There are three different types of congenital scoliosis: Incomplete formation of the vertebra:\u00a0During the formation of the spine prior to birth, part of the vertebra may not form completely, resulting in an angle in the spine (a hemivertebra). This angle tends to get worse as the child grows. Failure of separation of the vertebra: During development, the spine initially forms as a single structure and later separates into different segments or vertebra. In some cases, this separation is not complete and some of the bone remains connected between two vertebrae. This prevents the spine from growing on one side, resulting in curvature as the child grows. Combination of incomplete formation and failure of separation: A combination of an incomplete formation and failure of separation is the most serious case of congenital scoliosis. These patients usually require surgery at a young age to prevent serious misalignment of the spine. Neuromuscular Scoliosis Neuromuscular scoliosis (NMS) is a type of scoliosis associated with conditions that impair a child\u2019s ability to control and support their spine. Some of the conditions associated with NMS include: \u2022 Muscular dystrophy \u2022 Cerebral palsy \u2022\u00a0Spina bifida Since neuromuscular scoliosis includes a range of medical conditions, it\u2019s imperative that treatment is undertaken at a center that includes a team of doctors who are familiar with these unique needs and concerns of patients with NMS. In addition, seeing a surgeon like Drs. Feldman, Shufflebarger, or Hariharan, who are not only experts on scoliosis but who also has significant experience in treating neuromuscular conditions, significantly improves treatment outcomes. Not all children with a neuromuscular condition will develop scoliosis, but it is fairly common. Children who use a wheelchair are at the greatest risk of developing scoliosis. For children who are ambulatory, the signs of neuromuscular scoliosis are similar to those for idiopathic scoliosis. Because NMS is associated with underlying neuromuscular disorders, the rate of complication after surgery is usually higher than with other types of scoliosis. It is crucial that the care received comes from a surgeon who has extensive experience treating these unique cases. Bracing has been used for generations to prevent mild to moderate cases of scoliosis from progressing. A brace is only effective in young patients with significant growth remaining. 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