My teenager needs scoliosis surgery. What should we expect?
Last reviewed: September 29, 2026
Most teenagers do well.
The usual surgery straightens the curve and joins the bones of the curved part of the spine so they heal into one solid bone (spinal fusion). It is usually done through a cut down the middle of the back, or less often through the side of the body. The scar is where the cut was made. Metal rods and screws hold the spine straight and are usually left in. Some surgeons use smaller cuts.
For a child who still has a lot of growing left, another option is a surgery that uses a flexible cord instead of a fusion (tethering). The spine keeps its movement, but a second operation is needed much more often than after fusion.
Serious problems are uncommon. About 1 in 40 teenagers has one around the time of surgery, most often a problem with the wound. Damage to the nerves or spinal cord happens in fewer than 1 in 100.
Most teenagers go home after a few days, and some go home the day after surgery. On average, teenagers are back at school full days about seven weeks after surgery. Most return to sports within about a year. Surgeons usually allow contact sports later than running.
Surgery makes the rib hump smaller and the shoulders more level. Years later, back pain is less than in scoliosis that was not treated. The fused part of the back no longer bends.
In general:
- Ask your child’s surgeon which surgery fits your child’s curve and age.
- Plan for a few days in the hospital and several weeks away from school.
- Ask the surgeon when your teenager can start each sport.
Drafted with AI assistance from published sources, reviewed and edited by Babak Sheikh, MD.
Sources:
- Bartley CE, et al. Perioperative and Delayed Major Complications Following Surgical Treatment of Adolescent Idiopathic Scoliosis. J Bone Joint Surg Am. 2017. https://doi.org/10.2106/JBJS.16.01331
- Reames DL, et al. Complications in the Surgical Treatment of 19,360 Cases of Pediatric Scoliosis. Spine. 2011. https://doi.org/10.1097/BRS.0b013e3181f3a326
- Sarwahi V, et al. Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients. Spine. 2021. https://doi.org/10.1097/BRS.0000000000004011
- Newton PO, et al. Anterior Vertebral Body Tethering Compared with Posterior Spinal Fusion for Major Thoracic Curves. J Bone Joint Surg Am. 2022. https://doi.org/10.2106/JBJS.22.00127
- Lott C, et al. How Does Anterior Vertebral Body Tethering Compare to Posterior Spinal Fusion for Thoracic Idiopathic Scoliosis? Clin Orthop Relat Res. 2025. https://doi.org/10.1097/CORR.0000000000003575
- Imbeault R, et al. Outcomes and Complications of Vertebral Body Tethering in Skeletally Immature Patients with Idiopathic Scoliosis. J Bone Joint Surg Am. 2026. https://doi.org/10.2106/JBJS.25.01102
- Barré A, et al. Safe, Satisfied, and Home Early: Next-Day Discharge Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. J Pediatr Orthop. 2026. https://doi.org/10.1097/BPO.0000000000003493
- Boeckmann A, et al. Return to School After Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis: A Prospective Cohort Study. J Pediatr Soc North Am. 2026. https://doi.org/10.1016/j.jposna.2026.100421
- Khaleeq T, et al. Return to Sports Activities Following Posterior Scoliosis Correction and Instrumented Fusion for Adolescent Idiopathic Scoliosis. J Craniovertebr Junction Spine. 2025. https://doi.org/10.4103/jcvjs.jcvjs_123_24
- Nassar JE, et al. Return to Sport After Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis: A Systematic Review. Am J Sports Med. 2026. https://doi.org/10.1177/03635465251390546
- Ho D, et al. Getting Them Back in the Game: When Can Athletes With Adolescent Idiopathic Scoliosis Safely Return to Sports? J Pediatr Orthop. 2021. https://doi.org/10.1097/BPO.0000000000001902
- Machino M, et al. Three-Dimensional Analysis of Preoperative and Postoperative Rib Cage Parameters in Adolescent Idiopathic Scoliosis. Spine. 2021. https://doi.org/10.1097/BRS.0000000000003743
- Alsiddiky A, et al. Shoulder-Level Asymmetry Pre- and Post-Posterior Spinal Fusion in Adolescent Patients with Idiopathic Scoliosis. J Clin Med. 2026. https://doi.org/10.3390/jcm15093328
- Helenius L, et al. Back Pain and Quality of Life After Surgical Treatment for Adolescent Idiopathic Scoliosis at 5-Year Follow-up. J Bone Joint Surg Am. 2019. https://doi.org/10.2106/JBJS.18.01370
- Ahonen M, et al. Back Pain and Quality of Life 10 Years After Segmental Pedicle Screw Instrumentation for Adolescent Idiopathic Scoliosis. Spine. 2023. https://doi.org/10.1097/BRS.0000000000004641
This is general information about what published research shows. It is not medical advice and it is not about your situation. Reading it does not create a doctor-patient relationship with me. I am a retired orthopedic surgeon and I do not see patients. Talk with your own doctor before changing anything about your care. If something feels suddenly or seriously wrong, get medical care promptly rather than waiting.
This page is provided as is. I make no guarantee that it is accurate, complete or current, and medical evidence changes. Use of it is at your own risk.
Published by Clinical Evidence Media LLC. Full disclaimer and how these answers are researched: Disclaimer and how these answers are made