Adolescent idiopathic scoliosis

Most probably not. Most adolescent scoliosis is treated without surgery, with exercise and bracing. Surgery is considered when the curve is severe or when it is progressing, not because it exists.

Posterior instrumentation with pedicle screws that corrects the three planes of the deformity vertebra by vertebra: not only the curve seen from the front, but also the tilt and the rotation of the vertebrae, which is what produces the deformity of the trunk.

It is the question every parent asks, and the honest answer is that this is why the whole operation is carried out with continuous neurophysiological monitoring of the spinal cord: its function is watched in real time throughout the surgery, not checked at the end.

There is, the ApiFix MID-C system, but its indications are very limited: a single, flexible curve of moderate size that corrects well when bending sideways. Most adolescent scoliosis does not fit that profile, and in those cases it is not an alternative to conventional instrumentation.