For a preadolescent with a scoliosis Cobb angle of 30 degrees, which management is recommended?

• A. Bracing
• B. Observation only
• C. Immediate surgical fusion
• D. Physical therapy only

Answer: (A)

Bracing is the best choice here because scoliosis management hinges on both the curve size and whether there is growth remaining. A Cobb angle around 30 degrees in a preadolescent means there is significant growth left, and the goal is to slow or halt progression during that growth period. A thoracolumbosacral brace (often worn most of the day) provides external support to reduce the likelihood that the curve will worsen, potentially avoiding surgery later. Immediate surgical fusion is not indicated for a curve in the 30s if the patient is still growing, and observation alone would miss the chance to prevent progression. Physical therapy alone does not reliably stop progression either.