Indication for surgery
Surgical treatment for scoliosis is indicated, in general, for the curve exceeding 45 or 50 degrees by the Cobb’s method on the ground that:
1) Curves larger than 50 degrees progress even after skeletal maturity.
2) Curves of greater magnitude cause loss of pulmonary function, and much larger curves cause respiratory failure.
3) The larger the curve progresses, the more difficult to treat with surgery: more surgical anchors may be necessary, longer operation time, more blood loss, higher surgical complication rate may be expected.
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