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    Spine and scoliosis care

    Pediatric spine surgeons at Dell Children’s Medical Center evaluate, diagnose and surgically treat scoliosis and other complex spine conditions.

    Girl talking to pediatric doctor.

    Pediatric spine and scoliosis care at Dell Children's

    Orthopedics at Dell Children's Medical Center is ranked among the nation's best by U.S. News & World Report 2023-24.Dell Children’s Medical Center at Ascension Seton has the only comprehensive pediatric orthopedic program in Central Texas — and that includes care for your child’s spine. Highly trained pediatric spine specialists at Dell Children’s care for injuries and common to complex spine conditions, including scoliosis and spinal deformities. The Spine and Scoliosis Program at Dell Children’s Medical Center brings together an experienced multidisciplinary team. Together, our care team delivers comprehensive and personalized treatment for even the most complex spine conditions.

    The highest level of trauma and surgical care for spine injuries

    For children with a traumatic spine injury, we provide the most advanced care. At Dell Children’s Medical Center, we have a pediatric ER, Level I Pediatric Trauma Center and Level I Pediatric Surgery Center, accredited by the American College of Surgeons. This is the highest level of pediatric trauma and surgery care, meaning we are able to treat even the most complex conditions and injuries. And we have a pediatric intensive care unit – delivering comprehensive care for children with a severe injury.

    A multidisciplinary approach to spine care

    Your child’s multidisciplinary team includes pediatric orthopedic surgeons, pediatric neurosurgeons, pediatric anesthesiologists, pediatric pain management specialists, pediatric psychologists, child life specialists, pediatric physical therapists and a spine nurse navigator. We deliver care for the following conditions:
    • Back pain
    • Brittle bone disease (osteogenesis imperfecta)
    • Cerebral palsy
    • Cervical kyphosis (forward curve in the neck)
    • Congenital scoliosis
    • Congenital spine malformations (present at birth)
    • Hemivertebrae (when half of the spine does not form)
    • Idiopathic scoliosis
    • Neurofibromatosis (tumors on the spine)
    • Neuromuscular scoliosis
    • Skeletal dysplasias (abnormal development of bones and tissues in the spine)
    • Spinal fracture
    • Spondylolysis (stress fracture in the spine)
    • Spondylolisthesis (when a spine bone slips out of place)
    • Thoracic kyphosis (forward curve in the upper back)
    • Traumatic spine injury

    Diagnosing spinal conditions and deformities

    To diagnose your child’s spine condition, your child’s spine specialists may start with a physical exam that includes measurement and evaluation of curvature as well as recommended imaging. Dell Children’s Spine and Scoliosis Program offers some of the most advanced imaging technology, including low-dose X-ray, CT-scan, MRI, bone tests and 3D printing of complex spine deformities. These advanced technologies help your child’s doctor better understand the curve and shape of your child’s spine. Testing and evaluation along with other information such as underlying cause, medical history, age, family preference, tolerance of procedures, and how the condition will progress are all part of a recommended treatment plan your child’s doctor will discuss with you. We listen and work with you to make sure the treatment plan is right for your child and your family.

    Some conditions require routine imaging – our goal is to use the least amount of radiation needed. Many parents have concerns about exposing their child to frequent X-rays. Whenever possible, we use low-dose X-ray and imaging to help reduce exposure.

    Advanced care for scoliosis and spinal deformities

    Surgery or a combination of non-surgical and surgical treatments may be part of your child’s care plan. Whenever possible, minimally invasive procedures are recommended in order to help shorten recovery time. But sometimes, more complex surgery is needed. Your child’s multispecialty care team meets regularly to discuss your child’s care plan to recommend any adjustments as needed. Each care plan is personalized for your child and their specific needs.

    Spine specialists at Dell Children’s use the latest surgical techniques and technology, including the Mazor X Stealth™. This robotic technology allows your child’s surgeon to visualize the spine during surgery and the robotic arms help guide your child’s surgeon. We also use CT-guided surgery, which helps your child’s surgeon visualize your child’s spine and any hardware, such as screws, that need to be placed. These advanced technologies help your surgeon perform procedures with greater precision.

    Our spine specialists are experienced in a wide variety of non-surgical and surgical treatments, including:

    • Casting and bracing
    • Growing rods
    • Halo traction
    • Spinal fusion
    • Tethering

    Meet our care team

    Our highly trained pediatric spine specialists at Dell Children’s care for your child's spine condition, including scoliosis and spinal deformities.

    What sets us apart

    Dedicated nurse navigator

    Our spine nurse navigator helps you schedule appointments, understand the surgical process, and educates you on how to care for your child after surgery.

    Caring for the whole child

    Certified child life specialists work with your family to create a care plan that supports your child’s emotional health and well-being.

    Advanced spine care

    Our multidisciplinary care team delivers personalized treatment for even the most complex spine conditions.