Scoliosis Results

Scoliosis Treatment Results

How to Understand The Scoliosis Treatment Results Summaries
Written and reviewed for scientific and factual accuracy by Dr. Jelcick, PhD and Dr. Janzen, DC

Where do you fit?

No two people are the same, thus no two spines are the same; this is especially true when concerning scoliosis. There are many factors that go into determining how successful one will be when treating scoliosis and the scoliosis curve reduction one can expect. These include; initial Cobb angle, age, gender, Risser (or growth stage), compliance, the shape of the curve (C-curve or S-curve), and more. If we thoroughly understand each patient and their curve, we can then develop realistic expectations for their scoliosis treatment and maximize their treatment results.

Since there are so many elements that determine the degree of success in treating each case or type of scoliosis, we’ve categorized our past cases and their treatment results below for you to have a better idea of where you fit.

Understanding the Scoliosis Treatment Results Cards

Each image below is one of our patient’s scoliosis treatment results that we’ve been given permission to share. The groups are categorized by the initial curve size at the start of treatment at Scoliosis Care Centers. While not every patient’s case is on this page, the statistics represent our entire database of curves within that degree range WITHOUT filtering for compliance. For more information on how we measure success click here.

The two X-rays on each tile illustrate the before and after results. These before and after X-rays are both OUT OF BRACE. The chart at the bottom of each tile shows when the patient began care with a quarterly update of their progress. The different lines represent sections of the spine (see the legend for details).

In some cases, a patient had an image or multiple taken prior to beginning non-surgical scoliosis treatment at our clinic. In these cases, the green line overlayed on the chart will show when they began treatment with us.

Helpful definitions to interpret each treatment result:

  • Reduction – Percent reduction from the largest Cobb angle of the baseline compared to the current Cobb angle
  • Baseline – Initial curve degree (curve size)
  • Current – Current curve degree (curve size)
  • Risser at Start – Measurement between 0 to 5 identifying the state in skeletal maturity (has the patient stopped growing)
  • Rigo Type – A specific scoliosis classification correlating with brace treatment
  • Observation Period – Time since their first image was taken

Scoliosis Curve Graph Abbreviations:

  • PrxT – Proximal Thoracic Cobb Angle (Upper Thoracic)
  • TspThoracic Spine Cobb Angle
  • TL – ThoracoLumbar Cobb Angle
  • Lsp – Lumbar Spine Cobb Angle
  • LSac – LumboSacral Cobb Angle

Mild Scoliosis: Initial Cobb Angle: 10-24°

Success Rate:

100%

The percentage of cases in this category that were prevented from progressing to surgical range (40 degrees)

Average Reduction:

47%

The average of ALL patients who started the program, not filtered for compliance. This includes patients who worked hard and those who did not

Our Best Reduction:

86%

Our largest percent reduction on record for cases that began with a Cobb Angle between 10 to 24 degrees.

100% Success Rate For Treating Scoliosis With Initial Cobb Angle 10° - 24°

94% non-surgical reduction of scoliosis: 24 degrees reduced to 1.5 degrees over 24 months

Beginning Curve Size: 24 degrees
Final Curve Size: 1.5 degrees
Scoliosis Reduced By: 94%
Age at Beginning of Treatment: 11 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 24 months

68% non-surgical reduction of scoliosis: 21 degrees reduced to 7 degrees over 18 months

Beginning Curve Size: 21 degrees
Final Curve Size: 7 degrees
Scoliosis Reduced By: 68%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 1
Observation Period: 18 months

27% non-surgical reduction of scoliosis: 18 degrees reduced to 13 degrees over 6 months

Beginning Curve Size: 18 degrees
Final Curve Size: 13 degrees
Scoliosis Reduced By: 27%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 3
Observation Period: 6 months

78% non-surgical reduction of scoliosis: 18 degrees reduced to 4 degrees over 27 months

Beginning Curve Size: 18 degrees
Final Curve Size: 4 degrees
Scoliosis Reduced By: 78%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 27 months

88% non-surgical reduction of scoliosis: 25 degrees reduced to 3 degrees over 23 months

Beginning Curve Size: 25 degrees
Final Curve Size: 3 degrees
Scoliosis Reduced By: 88%
Age at Beginning of Treatment: 11 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 23 months

Moderate Scoliosis: Initial Cobb Angle: 25-39°

Success Rate:

98%

The percentage of cases in this category that were prevented from progressing to surgical range (40 degrees)

Average Reduction:

36%

The average of ALL patients who started the program, not filtered for compliance. This includes patients who worked hard and those who did not

Our Best Reduction:

78%

Our largest percent reduction on record for cases that began with a Cobb Angle between 25 to 39 degrees.

98% Success Rate For Scoliosis With Initial Cobb Angle 25° - 39°

77% non-surgical reduction of scoliosis: 37 degrees reduced to 8 degrees over 23 months

Beginning Curve Size: 37 degrees
Final Curve Size: 8 degrees
Scoliosis Reduced By: 77%
Age at Beginning of Treatment: 10 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 23 months

59% non-surgical reduction of scoliosis: 29 degrees reduced to 12 degrees over 30 months

Beginning Curve Size: 29 degrees
Final Curve Size: 12 degrees
Scoliosis Reduced By: 59%
Age at Beginning of Treatment: 7 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 30 months

62% non-surgical reduction of scoliosis: 33 degrees reduced to 13 degrees over 8 months

Beginning Curve Size: 33 degrees
Final Curve Size: 13 degrees
Scoliosis Reduced By: 62%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 8 months

67% non-surgical reduction of scoliosis: 31 degrees reduced to 10 degrees over 24 months

Beginning Curve Size: 31 degrees
Final Curve Size: 10 degrees
Scoliosis Reduced By: 67%
Age at Beginning of Treatment: 16 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 24 months

40% non-surgical reduction of scoliosis: 39 degrees reduced to 24 degrees over 19 months

Beginning Curve Size: 39 degrees
Final Curve Size: 24 degrees
Scoliosis Reduced By: 40%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 1
Observation Period: 19 months

63% non-surgical reduction of scoliosis: 26 degrees reduced to 10 degrees over 10 months

Beginning Curve Size: 26 degrees
Final Curve Size: 10 degrees
Scoliosis Reduced By: 63%
Age at Beginning of Treatment: 10 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 10 months

67% non-surgical reduction of scoliosis: 37 degrees reduced to 12 degrees over 16 months

Beginning Curve Size: 37 degrees
Final Curve Size: 12 degrees
Scoliosis Reduced By: 67%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 16 months

42% non-surgical reduction of scoliosis: 38 degrees reduced to 22 degrees over 49 months

Beginning Curve Size: 38 degrees
Final Curve Size: 22 degrees
Scoliosis Reduced By: 42%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 49 months

68% non-surgical reduction of scoliosis: 30 degrees reduced to 10 degrees over 32 months

Beginning Curve Size: 30 degrees
Final Curve Size: 10 degrees
Scoliosis Reduced By: 68%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 1
Observation Period: 32 months

75% non-surgical reduction of scoliosis: 36 degrees reduced to 9 degrees over 36 months

Beginning Curve Size: 36 degrees
Final Curve Size: 9 degrees
Scoliosis Reduced By: 75%
Age at Beginning of Treatment: 10 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 36 months

76% non-surgical reduction of scoliosis: 28 degrees reduced to 7 degrees over 21 months

Beginning Curve Size: 28 degrees
Final Curve Size: 7 degrees
Scoliosis Reduced By: 76%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 21 months

77% non-surgical reduction of scoliosis: 31 degrees reduced to 7 degrees over 16 months

Beginning Curve Size: 31 degrees
Final Curve Size: 7 degrees
Scoliosis Reduced By: 77%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 16 months

59% non-surgical reduction of scoliosis: 30 degrees reduced to 12 degrees over 28 months

Beginning Curve Size: 30 degrees
Final Curve Size: 12 degrees
Scoliosis Reduced By: 59%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 2
Observation Period: 28 months

58% non-surgical reduction of scoliosis: 35 degrees reduced to 15 degrees over 22 months

Beginning Curve Size: 35 degrees
Final Curve Size: 15 degrees
Scoliosis Reduced By: 58%
Age at Beginning of Treatment: 15 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 22 months

Severe Scoliosis - Category 1: Initial Cobb Angle: 40-50°

Success Rate:

78%

The percentage of cases in this category that were reduced from surgical range (40 degrees) to below.

Average Reduction:

32%

The average of ALL patients who started the program, not filtered for compliance. This includes patients who worked hard and those who did not

Our Best Reduction:

76%

Our largest percent reduction on record for cases that began with a Cobb Angle between 40 to 50 degrees.

78% Success Rate For Scoliosis With Initial Cobb Angle 40° - 50°

66% non-surgical reduction of scoliosis: 50 degrees reduced to 17 degrees over 60 months

Beginning Curve Size: 50 degrees
Final Curve Size: 17 degrees
Scoliosis Reduced By: 66%
Age at Beginning of Treatment: 9 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 60 months

59% non-surgical reduction of scoliosis: 50 degrees reduced to 21 degrees over 21 months

Beginning Curve Size: 50 degrees
Final Curve Size: 21 degrees
Scoliosis Reduced By: 59%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 21 months

42% non-surgical reduction of scoliosis: 50 degrees reduced to 29 degrees over 18 months

Beginning Curve Size: 50 degrees
Final Curve Size: 29 degrees
Scoliosis Reduced By: 42%
Age at Beginning of Treatment: 15 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 18 months

52% non-surgical reduction of scoliosis: 46 degrees reduced to 22 degrees over 18 months

Beginning Curve Size: 46 degrees
Final Curve Size: 22 degrees
Scoliosis Reduced By: 52%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 18 months

37% non-surgical reduction of scoliosis: 46 degrees reduced to 29 degrees over 3 months

Beginning Curve Size: 46 degrees
Final Curve Size: 29 degrees
Scoliosis Reduced By: 37%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 1
Observation Period: 3 months

Severe Scoliosis - Category 2: Initial Cobb Angle: 51-64°

Success Rate:

66%

The percentage of cases in this category that were reduced from surgical range (50 degrees) to below.

Average Reduction:

19%

The average of ALL patients who started the program, not filtered for compliance. This includes patients who worked hard and those who did not

Our Best Reduction:

51%

Our largest percent reduction on record for cases that began with a Cobb Angle between 51 to 64 degrees.

66% Success Rate For Scoliosis With Initial Cobb Angle 51° - 64°

37% non-surgical reduction of scoliosis: 62 degrees reduced to 39 degrees over 10 months

Beginning Curve Size: 62 degrees
Final Curve Size: 39 degrees
Scoliosis Reduced By: 37%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 2
Observation Period: 10 months

38% non-surgical reduction of scoliosis: 60 degrees reduced to 37 degrees over 16 months

Beginning Curve Size: 60 degrees
Final Curve Size: 37 degrees
Scoliosis Reduced By: 38%
Age at Beginning of Treatment: 12 years old
Skeletal Age at Beginning of Treatment: Risser 2
Observation Period: 16 months

Beginning Curve Size: 60 degrees
Final Curve Size: 40 degrees
Scoliosis Reduced By: 33%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 17 months

25% non-surgical reduction of scoliosis: 60 degrees reduced to 45 degrees over 22 months

Beginning Curve Size: 60 degrees
Final Curve Size: 45 degrees
Scoliosis Reduced By: 25%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 22 months

Severe Scoliosis - Category 3: Initial Cobb Angle: 65+°

33% non-surgical reduction of scoliosis: 90 degrees reduced to 60 degrees over 41 months

Beginning Curve Size: 90 degrees
Final Curve Size: 60 degrees
Scoliosis Reduced By: 33%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 41 months

23% non-surgical reduction of scoliosis: 83 degrees reduced to 64 degrees over 35 months

Beginning Curve Size: 83 degrees
Final Curve Size: 64 degrees
Scoliosis Reduced By: 23%
Age at Beginning of Treatment: 13 years old
Skeletal Age at Beginning of Treatment: Risser 2
Observation Period: 35 months

28% non-surgical reduction of scoliosis: 65 degrees reduced to 47 degrees over 9 months

Beginning Curve Size: 65 degrees
Final Curve Size: 47 degrees
Scoliosis Reduced By: 28%
Age at Beginning of Treatment: 7 years old
Skeletal Age at Beginning of Treatment: Risser 0
Observation Period: 9 months

27% non-surgical reduction of scoliosis: 65 degrees reduced to 48 degrees over 51 months

Beginning Curve Size: 65 degrees
Final Curve Size: 48 degrees
Scoliosis Reduced By: 27%
Age at Beginning of Treatment: 14 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 51 months

28% non-surgical reduction of scoliosis: 65 degrees reduced to 47 degrees over 9 months

Beginning Curve Size: 65 degrees
Final Curve Size: 47 degrees
Scoliosis Reduced By: 28%
Age at Beginning of Treatment: 17 years old
Skeletal Age at Beginning of Treatment: Risser 4
Observation Period: 9 months

We can see from the treatment summaries above that the scoliosis treatment results obtained by our patients and their treatment success directly relates to the size of the curve, as well as how mature the child is skeletally. The sooner we catch the curve and begin treatment, and the younger the child, the better the outcome.

This concept is explained in detail on our treatment page, but the key concepts are that (1) we can use a child’s growth as a corrective force to straighten the spine; (2) the curve has not been present as long and thus the spine is not as “stuck”; (3) treatment should be continued until the child has finished growing.

Take home message: Early detection allows for early intervention and non-surgical treatment; allowing for better treatment results and the best chance for a straight spine; avoiding surgery; and a happy, healthy adulthood!