Therapy After Spinal Fusion

The primary goal of the Schroth Method is to halt progression and reduce Cobb Angle. There is no foolproof way for practioners to determine whether scoliosis will get worse after diagnosis, predict whose curve will stabilize and whose curve will progress and to what degree of progression. Some curves do progress to a degree where spinal fusion is recommended. However, after spinal fusion therapy is still very critical to prevent the non-fused vertebral segments from slipping back into a scoliotic pattern if posture and movement still occur in the scoliotic pattern of movement. The patient must learn to break the cycle of the scoliotic movement pattern. These neuro-motor pathways of the scoliotic pattern are deeply embedded and are not suddenly corrected with the surgery. Therefore, it is critical that the patient learns specific exercises to achieve correct posture and to provide them with stability above and below the fused segments. These segments are often the segments that are now overloaded and take up the brunt of motion and load which of course can lead to painful symptoms.