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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Scoliosis

Spinal Curvature
A sideways curve in the spine — it is not caused by posture, and early detection matters

Scoliosis is a condition where the spine curves sideways.
When viewed from the front, the normally straight spine has an S-shaped or C-shaped curve.
The most common type is adolescent idiopathic scoliosis, which develops during puberty and has no clear cause. It is sometimes found during school health checkups.

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Idiopathic (unknown cause) is most common

The curve progresses during growth, but the exact cause is unknown

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Congenital and neuromuscular types also exist

May result from spinal abnormalities at birth or conditions like cerebral palsy or muscular dystrophy

3
Degenerative type due to aging

In older adults, wear-and-tear changes in the spine can lead to a new curve

🧒 Puberty 👧 More common in girls 👴 Aging
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Shoulders are uneven (one higher than the other)
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Posture looks tilted or uneven
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Back or lower back pain (though often there is no pain at all)
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One side of the back sticks out when bending forward
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Regular Monitoring
For mild cases, the curve is checked periodically
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Posture & Exercise Guidance
Aimed at easing strain on the back and lower back (whether exercise corrects the curve itself is still under study)
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Bracing
A brace is used during growth to slow curve progression in moderate cases
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Surgery
For severe or worsening curves, surgery can straighten and stabilize the spine. We do not perform surgery here, so we refer you to a partner hospital
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Early detection and regular checkups are key

Mild curves are followed with regular monitoring, and if the curve progresses, brace treatment can be expected to help slow it down. Once growth stops, the curve tends to stabilize. Regular follow-up visits are important to track changes over time.

💡 Tips for Early Detection

  • Pay attention to school health checkup results
  • Have your child bend forward and check if one side of the back is higher
  • There is no known way to prevent scoliosis, so check your child's back regularly for early detection
  • If you notice uneven posture or shoulder height, schedule a checkup early