Seeing Scoliosis Differently: Preventing, Innovating and Transforming Lives

By Jean A. Ouellet, M.D., FRCSC, orthopedic surgeon, Shriners Hospitals for Children Canada

In honor of Scoliosis Awareness Month, I want to share an important truth: Scoliosis may not be preventable, but early detection can often prevent surgery. This isn’t just a hopeful message – it’s a reality that can profoundly change a child’s future.

In Canada, roughly 10 million children and teens under the age of 17 are at risk of developing scoliosis. But here’s what I want parents to remember: In most cases, a single specialized consultation is all that’s needed. It offers peace of mind and preventative advice, and often rules out the need for further treatment. The remaining cases require ongoing follow-up – and most of them can still be treated without surgery. Only a small percentage will eventually need surgery.

That’s why I always emphasize the value of early detection – it truly changes outcomes.

For parents, that means subtle signs – uneven shoulders, unusual posture or asymmetry in the back – deserve close attention. For family doctors, it means that early referrals, even when symptoms seem minor, allow us to offer conservative treatment options, like bracing, before curves progress. And when bracing is timely and tailored, it can sometimes fully correct a curve, eliminating the need for surgery altogether.

Innovation and Compassion, Hand in Hand

At Shriners Hospitals for Children Canada, our scoliosis care is built on two essential pillars: innovation and compassion. We treat some of the most complex scoliosis cases in the country – always as a team. From physiotherapists, social workers and nurses to rehabilitation specialists, everyone plays a vital role in guiding the child – and their family – through the journey.

A recent case reminds me of what’s possible when this model is at its best. Alex, a 2-year-old with severe congenital scoliosis, spent 11 weeks in our care after arriving from out of province. His surgery was complex and high-risk, but what stayed with his mother was the way the entire team showed up for them – clinically, emotionally and personally.

“Leaving the hospital on my birthday and Mother’s Day felt incredibly emotional.” said Alex’s mother. “This place felt like a big family. The surgery changed Alex’s life, and we experienced so many meaningful moments here – kindness, fun activities and constant support. We’ll always look back on our time at Shriners with gratitude.”