Transforming Pediatric & Adolescent Scoliosis Care
Advanced, Minimally Invasive Spine Surgery for Adolescent Idiopathic Scoliosis (AIS)
Preserving Mobility. Minimizing Recovery. Restoring Confidence.
Why Choose Dr. Vishal
Sarwahi for AIS Care?
Adolescent Idiopathic Scoliosis (AIS) can feel overwhelming for teens and parents alike. When non-surgical methods like bracing are no longer effective, surgical correction provides a path to a straight, stable spine.
As an internationally recognized leader in pediatric spine deformity, Dr. Vishal Sarwahi pioneered and specializes in modern, minimally invasive scoliosis surgery (MISS), offering teens a safer, less invasive alternative to traditional open fusion.
Shorter Hospital Stays & Faster Recovery
Advanced muscle-sparing techniques allow young patients to return to school, sports, and normal activities weeks sooner and leave the hospital in 2-4 days.
Minimal Scarring
Strategic, smaller incisions mean significantly less cosmetic impact for growing teens. Plastic surgeons are directly involved in the closure.
Reduced Postoperative Pain
Less tissue disruption reduces the need for heavy, long-term pain medication after surgery. Less need for narcotics.
Precision Realignment
Cutting-edge 3D intraoperative navigation and neuromonitoring ensure maximum safety and optimal Cobb angle correction.
Understanding Adolescent
Idiopathic Scoliosis (AIS)
Adolescent Idiopathic Scoliosis affects approximately 2% to 3% of teenagers, typically appearing during the pubertal growth spurt between ages 10 and 18.
When Is Surgery Recommended?
While mild and moderate curves can often be monitored or braced, surgical correction is recommended when:
The Cobb Angle Exceeds 45°–50°
Curves in this range tend to progress into adulthood if uncorrected.
Curve Progression Continues Despite Bracing
Rapid worsening during growth spurts threatens thoracic symmetry and postural balance.
Cardiopulmonary Function or Quality of Life Is Impacted
Severe rotational deformities can restrict lung volume or cause significant back pain and postural fatigue.
Dedicated Spine Center of Excellence
Every procedure is backed by a subspecialized multidisciplinary team, continuous neurological surveillance, and low-radiation CT guidance. We work directly with dedicated plastic surgeons to perform multilayer vascularized muscle flap closure over the spinal hardware which minimizes infections and improves aesthetic outcomes. Operations are performed with pediatric anesthesiologists at either Cohen Children’s Medical Center or Lenox Hill Hospital, in New York.
Intraoperative CT Navigation
Real-time CT navigation confirms absolute screw placement before leaving the operating room. Most screws are placed by Dr. Sarwahi using proprietary anatomical landmarks, significantly reducing cumulative radiation.
Continuous Neuromonitoring
Dedicated neurophysiologists maintain continuous spinal cord and motor-evoked potential monitoring from skin opening to closing, ensuring neurological safety at all times.
Plastic Surgery Team Closure
Every case involves dedicated plastic surgery wound closure using internal dissolvable sutures. This ensures optimal cosmetic healing, minimal scarring, and zero painful suture removals.
0% Procedural Mortality
With over 2,000 career scoliosis reconstructions completed across 15+ years, Dr. Sarwahi maintains an unblemished zero percent procedural mortality rate.
Traditional Fusion vs. Minimally
Invasive Scoliosis Surgery (MISS)
Take the next step toward your child’s spine health
Whether you are seeking a first opinion or exploring minimally invasive options for a progressive curve, Dr. Sarwahi and his team are here to guide your family with compassionate, expert care.