Revolutionizing Spine Care…Changing Lives

For children, treatment options for scoliosis are based on age, gender, and the location and severity of the curve. The curvature is monitored closely and, if necessary, managed with bracing. Bracing does not cure scoliosis, but it may impede the further progression of the curve. If the curve advances despite conservative measures or the measurement of the curve are greater than 40° to 50°, the doctor and patient may consider surgical correction.

With adult scoliosis, treatment planning is generally based on the severity of pain and functional limits. Because of the malalignment of the spine, pain may arise from the facet joints, sacroiliac joints, or from nerve root compression. We use physical therapy, medication, facet injections, sacroiliac joint injections, or epidural steroid injections to manage the pain from these conditions.

If pain persists or physical function is significantly limited, surgery may be considered. Posterior lumbar fusion (PLF), combined with pedicle screws and rods, is used to re-align the spine. Sometimes, anterior lumbar interbody fusion (ALIF) is also done to create a 360° fusion (fusing the front and back portions of the spine).

What is Scoliosis? Comprehensive Explanation and Treatment Options with Dr. Isador Lieberman


The available options for treating and coping successfully with scoliosis have never been greater. The goal of treatment is to provide the most appropriate and least invasive care. The appropriate treatment depends on a number of factors:

  • Severity and rigidity of the curve
  • Cause of the scoliosis
  • The expected course of the condition patient’s:
    • Age
    • Overall health
    • Medical history
    • Tolerance for specific medications, procedures, and therapies


In cases where the curvature is severe or does not respond to bracing, surgery may be recommended. Our experienced surgeons perform surgery using the most appropriate, innovative, and least invasive surgical techniques. Surgery for scoliosis involves correcting and balancing the curve and fusing the bones in the curve together.

The bones are held in place with one or two metal rods held down with hooks and screws until the bones knit themselves solid. Less invasive surgery offers more cosmetically acceptable scars, a shorter hospital stay, and a quicker recovery. Rehabilitation for surgical patients is designed to help them get back to their lives as quickly as possible.

Treatment options include:

  • Watchful waiting with the serial observation of the curve
  • Exercise & physical therapy
  • Bracing
  • Anti-inflammatory medications
  • Surgery

Regular exercise, weight management, and smoking cessation are almost always recommended.

Leaders in Advanced Spine Procedures

To find out whether you would benefit from artificial disc surgery, make an appointment to visit Texas Back Institute in the Dallas, TX, area for an evaluation. We always reserve surgery as a last resort, so we’ll seek to relieve pain first through conservative treatments such as physical therapy and pain management. If severe pain persists and it is determined that you would benefit from surgery, we can help you determine whether artificial disc replacement is right for you.

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