NM scoliosis. Surgically correct and fuse progressive curves or curves that cause sitting standing spinal imbalance. Goals are good sitting or standing spinal balance nonprogressive curve not getting bigger with time bracing is not effective in this population.
Team effort. This is a complicated issue that grows in complexity over time. In growing children and young adults when the scoliosis begins to compromise pulmonary function, surgery becomes a consideration. Well before then the patient should be evaluated by an experienced scoliosis spine sugeon and experienced n-m pediatric neurologist. Bracing, physical therapy and pulmonary functions need to be followed.