Scoliosis uses the 45 to 50° threshold as a result of the well-documented, plus or minus 5° measurement error that can occur while measuring Cobb angles. Surgeons who are specialized in spine surgery perform surgery for scoliosis. To completely straighten a scoliotic spine is usually impossible, but for the most part, significant corrections are achieved. The two main types of surgery are: One or both of these surgical procedures may be needed. The surgery may be done in one or two stages and, on average, takes four to eight hours. A 50-year follow-up study published in the "Journal of the American
Neuromechanics of idiopathic scoliosis vertebral column can be deformed at the thoracic level, at the lumbar level or at both. In the lumbar region, scoliosis induces perturbations to standing balance. The thoracic region is the location that most impacts movement strategies. Scoliosis impedes on the movement of the ribs, places the respiratory muscles at a mechanical disadvantage and displaces the various organs of the thoracic cavity. In a scoliotic patient, the vertebral column experiences extension forces on the convex side and compression forces on the concave side. At the apical vertebra, average bone density for the concave cortical bone is higher than for the