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Aim

Attempt to reduce outliers in all 3 planes of the knee

- improve alignment

- theoretically improve survival and outcomes

Types

Image based

Pre-op CT

- uncommon

- resource heavy

Observation

Curves < 20^o observation only at 3-6 month intervals depending on growth rate 

Non Operative Management / Bracing 

Never brace curves if patient Risser 4 or 5 

Indications

1.  Risser 0-2 (growth potential)

2.  Curve >30^o adolescent

3.  Curve >25^o with progression (5^o in six months)