Spinal Deformity Specialist

Paley Orthopedic & Spine Institute

Orthopedics located in West Palm Beach, Florida

Although scoliosis is typically diagnosed in childhood, it also affects about 9% of adults. Scoliosis is one of many spinal deformities treated by the exceptional team at Paley Orthopedic & Spine Institute’s Feldman Spine Center, where patients of all ages receive world-class treatment for all types of spinal deformities, including the most complex cases. To schedule an appointment, call the office at St. Mary’s Medical Center in West Palm Beach, Florida, or use the online booking feature.

Spinal Deformity Q & A

What are the different types of spinal deformities?

The Paley Orthopedic & Spine Institute operates the Feldman Spine Center, where the experienced team provides surgical and nonsurgical treatment for spinal deformity in patients of every age. When surgery is needed, the doctors specialize in minimally invasive procedures, combining advanced techniques with a creative approach that’s tailored to each patient’s unique needs.

They treat spinal deformities such as:


When you look at the spine from behind, it should form a straight line. Patients with scoliosis have an abnormal curvature, making the spine form a C- or S-shaped curve. Scoliosis is usually diagnosed in childhood, where the cause can’t be determined in 80-85% of cases. Adults can also develop a degenerative form of scoliosis over years of wear-and-tear that causes spinal deterioration.


Kyphosis, an outward curve in the spine that causes abnormal rounding in the upper back, can develop in children, adolescents, and adults. In children and adolescents, kyphosis is caused by poor posture, a structural abnormality, or it can be present at birth when the spinal column doesn’t develop normally.

When adults develop kyphosis, it’s due to spinal compression fractures. When vertebrae are weakened by osteoporosis, the front side of the bone collapses while the back keeps its normal height. The collapse of several adjacent vertebrae leads to spinal curvature.


Spondylolisthesis occurs when a vertebra slips out of place because it’s weakened by a crack or a stress fracture.

Spina bifida

Spina bifida is a birth defect that occurs when the spine and spinal cord fail to develop properly. There are several forms of spina bifida, and they all require surgical repair either before or after delivery.

What symptoms develop due to spinal deformities?

The symptoms for many spinal deformities are often visible, such as the curvatures of scoliosis and kyphosis, and the protruding spinal tissues caused by spina bifida. While scoliosis seldom causes pain, kyphosis and spondylolisthesis typically lead to severe pain and limited mobility. In cases where spondylolisthesis pinches a nerve, you may also have tingling, numbness, and pain radiating down your legs.

How are spinal deformities treated?

The team at Paley Institute customizes your treatment based on your underlying spinal deformity and the severity of your symptoms. They offer comprehensive treatment that incorporates physical therapy, bracing, and innovative treatments such as:

  • Schroth Method
  • Rigo Cheneau® Brace
  • Fusionless tethering of the spine
  • MAGEC® spinal bracing and distraction system
  • Advanced spinal fusion

If you or your child needs treatment for spinal deformity, call Paley Orthopedic & Spine Institute or schedule an appointment online.

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