What type of intervention is indicated for scoliosis with a cob angle greater than 45 degrees?

For scoliosis with a Cobb angle greater than 45 degrees, surgical intervention is typically indicated. This is primarily because severe scoliosis can lead to significant progression of the curve, which may result in compromised respiratory function, chronic pain, and cosmetic issues. The surgical options often involve spinal fusion to correct the curvature and stabilize the spine.

In cases where the curvature is less pronounced, such as angles below 25 degrees, observation and monitoring may be sufficient. Bracing can be effective in controlling the progression of scoliosis in children or adolescents with moderate curves, particularly those who are still growing. Physical therapy can help manage discomfort and improve function but is not a definitive treatment for moderate to severe scoliosis. Hence, for angles greater than 45 degrees, surgery becomes the necessary option to prevent further complications associated with the condition.