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Scoliosis spine treatment is confusing and getting more so by the day.  Scoliscore genetic testing for scoliosis, scoliosis blood test, 3-D CAT scan images, the recent boom in prognostic testing for idiopathic scoliosis has only served to further muddy the waters for parents whose experience with the condition thus far includes a 3-5 minute conversation with an orthopedic doctor who says “your child’s spine is crooked, where it should be straight”.

So where does one begin?  Well, at the beginning of course.  Idiopathic scoliosis is multi-factorial condition in which a person’s genetic predisposition and environmental influences (trauma, nutritional, infection, daily living habits, ect) combine to create the condition.  Approximately 80+% of scoliosis of spine cases occur between the ages of 9-14 and 7 times more frequently in females than males (which remains unknown, but it is believed to be due to the earlier timing of adolescent female growth spurts). 

Idiopathic scoliosis of spine seems to be stemming a neurological under-development in the brain stem that becomes apparent when the child’s skeletal growth out paces their ability to coordinate the pelvis, lower trunk, upper truck, and/or head position.  This neurological under-development is most likely the result of a genetically inherited combination.  It is important to note that these child’s brains aren’t broken, nor are they missing  pieces, they are appear to simply be under-developed; which means they can be neurologically “caught up” with a specialized neuro-muscular rehabilitation program that specifically targets the involuntary postural control centers in the brain.  This fundamentally and basic understanding of idiopathic scoliosis as primarily a neurological condition that has its primary effects on the scoliosis spine make the very essence of scoliosis brace treatment and scoliosis surgery obsolete. 

Current scoliosis treatment for scoliosis of spine mandates no scoliosis treatment of any kind (Observation only every 6 months), based on the clinical data showing “only” 20% of idiopathic scoliosis of spine case progress to a significant degree.  Unfortunately, that is little comfort to those 20% whom do develop progressive curvatures and only slightly more comfort to the 80% of cases whom live in a state of fear and anxiety for the next 4-5 years hoping they aren’t part of the other 20% of idiopathic scoliosis case that are progressive.  The problem in this situation has always been how can we separate out the 20% likely progressors from the 80% non-progressors?  That’s where the scoliscore genetic testing for scoliosis comes in.  It can very accurately predict the genetic likelihood of a scoliosis spine progressing to the scoliosis surgery threshold.  The information from the scoliscore genetic test for scoliosis can be combined with the environmental influences provides the patient and parents with a comprehensive and accurate outlook on the scoliosis of spine condition.  Once armed with this information, a scoliosis treatment plan can focus an appropriate amount of attention and invasiveness towards reducing and minimizing the impact of the environmental factors which combine with the genetic predisposition and cause the scoliosis of spine to begin progressing regardless of scoliosis brace treatment and possibly leading to scoliosis surgery.  However, it one can successfully dis-engage enough of the environmental influences from the genetic predisposition it is conceivably possible to alter the natural course of the condition and even one day lead to a cure for idiopathic scoliosis.