tlso

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)

Braces

1.  Motion Control

2.  Spinal Realignment

3.  Trunk Support

4. Weight Transfer

Soft Collar

Cheap & Comfortable

- ineffective

- allows 70% Flexion Extension / 80% Rotation / 90% Lateral bend

Philadelphia Collar