Importantly, scoliosis is not a disease, but rather a descriptive term. Most cases do not get worse and children should simply undergo periodic checkups to monitor their condition. Because a large majority of cases will never develop to the point where surgery is required, nonoperative treatment options, such as bracing or periodic observation, will generally be recommended as the primary method of controlling curve progression.
However, if the scoliotic curve is severe when first observed, or if prescribed orthopaedic bracing fails to control the further development of the curve, then surgery may be necessary. In these cases, surgery has been determined to be safe and highly effective treatment for scoliosis.