Sometimes when a scoliosis curve presents as one large curve and a smaller second curve, we need to temporarily ignore the smaller curve so we can maximize correction of the bigger curve. Sometimes the secondary curve is a smaller structural curve but often the smaller curve is compensatory and will not progress independently of the primary curve. A detlaied nalysis of the x-ray and the Asymmetrical Trunk rotation is needed to determine the risks of progression.
For example, prior to bracing, Angie had a 36 degree primary lumbar with an 18 degree secondary thoracic curve. Now in her initial in-brace x-ray her secondary curve is still at 18 degrees but her primary curve is now improved to 17 degrees. Had we attempted to correct both curves we would not have been able to reduce the size of the primary curve so drastically. With further refinement we hope to get the primary lumbar curve down to 10 degrees and once stabilized at this degree we can re-assess whether we need to make adjustments for the secondary thoracic curve.
