In 90 percent of cases, scoliotic curves are mild and do not require active treatment. In the growing adolescent, it is very important that curves be monitored for change by periodic examination and standing x-rays as needed. Increases in spinal deformity require evaluation by an orthopaedic surgeon to determine if active treatment is required. In planning a child’s treatment, a doctor will take into account how severe the child’s curve is and where it occurs in the spine.