Spine deformity · 2026

Scoliosis treatment in China,
bracing through fusion.

Idiopathic, congenital and degenerative scoliosis care: observation, bracing, anterior vertebral body tethering (AVBT) for selected pediatric, posterior spinal fusion, and complex revision at Class A spine deformity centres.

$1,200–2,500

Spine workup

Standing X-rays + MRI + Cobb angle measurement

Partner clinic quotes 2024

$22,000–45,000

Posterior spinal fusion

vs $80,000–180,000 in the US

Partner clinic quotes 2024

Class A

Top centres

PUTH, Xiangya, Jishuitan, West China spine deformity

NHC ratings

AVBT

Available selected

Anterior vertebral body tethering at flagship pediatric spine centres

Centre programs

Robotic + nav

Pedicle screws

Image-guided and robotic pedicle screw placement

Manufacturer data

Bilingual

Imaging + plan

Cobb measurement + Lenke / SRS classification + treatment plan

Service standard

Tiers & pricing

Six tiers, transparent pricing.

Step 1

Spine deformity workup

Standing AP/lateral spine X-rays, bending films, MRI for cord/syrinx, Cobb angle, Lenke classification.

$1,200–2,500

Non-operative

Observation + bracing

Adolescent idiopathic scoliosis 25–45° pre-skeletal-maturity. Boston / Providence / custom 3D-printed.

$650–2,500 / brace

Pediatric specialist

AVBT (anterior tethering)

Anterior vertebral body tethering for selected immature patients with progressive curves > 40°.

$25,000–45,000

Standard surgical

Posterior spinal fusion

Pedicle screw construct, Cobb correction, derotation. Image-guided / robotic placement available.

$22,000–45,000

Complex

Anterior or combined approach

Anterior release / fusion + posterior fusion for rigid or congenital curves; staged approach.

$35,000–65,000

Complex

Revision deformity surgery

Adjacent segment, pseudoarthrosis, junctional kyphosis. Specialist deformity centres only.

MDT-quoted

Top hospitals

Six centres
open to international patients.

Beijing

Peking University Third Hospital Spine 北京大学第三医院

Academic spine deformity · large pediatric and adult cohort · trial site

Changsha

Xiangya Hospital Spine 湘雅医院

Class A · large complex deformity volume · regional reference

Beijing

Beijing Jishuitan Hospital Spine 北京积水潭医院

China's leading orthopedic specialty · large adolescent scoliosis program

Chengdu

West China Hospital Orthopedics 华西医院

Class A · regional reference · complex spine + revision · pediatric program

Shanghai

Shanghai Sixth People's Hospital Spine 上海第六人民医院

Class A · MIS spine · regenerative trial site for spine indications

Beijing

Beijing Children's Hospital Orthopedics 北京儿童医院

Class A pediatric · early-onset scoliosis · growing-rod and Magec program

FAQ

Frequently asked questions.

Why China for scoliosis?
Three reasons: (1) Volume — Chinese flagship spine deformity centres operate at scale, with the largest published series of complex adolescent idiopathic scoliosis surgery in Asia; (2) Cost — posterior spinal fusion runs 70–80% below US private spine surgery, with same Medtronic / DePuy Synthes / Stryker pedicle screw constructs; (3) AVBT availability — anterior vertebral body tethering (AVBT) is increasingly available at flagship pediatric spine centres for selected immature patients with progressive curves.
What does a scoliosis workup include?
Standard 1–2 day pathway: detailed history (age of onset, family history, neurologic symptoms, menarche / Risser stage); detailed exam (Adam's forward bend, neurologic, leg length, skin); standing AP and lateral spine X-rays; bending films; PA hand for skeletal age; MRI thoracolumbar spine if congenital, neurologic findings, atypical curve pattern, or before surgery to rule out cord pathology / syrinx; pulmonary function testing if curve > 60° thoracic. Bilingual report with Cobb angle, Lenke / SRS classification, and risk stratification.
When is bracing indicated?
Bracing per SRS / SOSORT 2018 guidance: skeletally immature patients (Risser 0–2) with curves 25–40° (some centres up to 45°). Brace types: Boston brace (most common), Providence brace (night-time), custom rigid 3D-printed (increasingly available). Wear-time evidence: BrAIST trial showed clear dose-response — 18+ hours/day reduces progression to surgery in adolescent idiopathic scoliosis. Compliance is critical. Custom 3D-printed bracing at flagship Chinese centres is available with bilingual fitting and home-team handover.
What about AVBT (anterior vertebral body tethering)?
AVBT is a fusion-less option for selected immature patients (Risser 0–2, Sanders 2–4) with progressive idiopathic scoliosis 35–60°. Concept: anterior tether modulates growth via Hueter-Volkmann principle, allowing curve correction without fusion. Outcomes: published cohorts suggest 50–60% of patients avoid eventual fusion; 20–30% require tether revision or fusion. Patient selection is critical. Available at flagship pediatric spine centres in China; we confirm AVBT availability and surgeon experience before booking.
What about adult scoliosis and degenerative deformity?
Adult degenerative scoliosis: pathway depends on pain, neurologic symptoms, sagittal balance and curve magnitude. Conservative: physical therapy, injection therapy. Surgical: short fusion for radiculopathy / claudication; long fusion with sagittal restoration for global deformity. We coordinate full sagittal balance assessment (SVA, PT, PI-LL) using EOS imaging where available. Complex adult deformity surgery is high-acuity — confirm partner-centre experience before booking.
What about post-op recovery and bracing?
Posterior spinal fusion: 5–7 day inpatient stay; ambulating day 1–2 post-op; brace for 3–6 months at most centres (varies); return to school / desk work 4–8 weeks; return to sport 6–12 months depending on activity and curve correction stability. Long-haul flights cleared at 14–21 days post-op with surgeon written clearance. Bilingual physical therapy plan and home-team handover. Annual radiographic follow-up for 5 years post-op.

Send your spine X-rays
for a deformity plan.

Upload standing AP/lateral X-rays and any MRI. We return a written plan from a partner spine deformity surgeon — including Cobb angle interpretation, brace vs surgical options and expected recovery.

This page is for general information only and does not constitute medical advice. Spine deformity surgery decisions depend on age, skeletal maturity, curve magnitude and individual factors. Acute neurologic symptoms warrant urgent local evaluation.