Pediatric Spine Program

Highest Quality of Care Near Home

We are excited to announce that Golisano Children's Hospital of Southwest Florida has joined forces with Pediatric Orthopedics of SWFL (POSWFL) to expand pediatric spine services in Southwest Florida. The pediatric spine program offers a comprehensive range of diagnostic testing and treatment plans for patients suffering from back and neck pain.

POSWFL is the only pediatric orthopedic center in Southwest Florida and has five board certified fellowship-trained pediatric orthopedic surgeons. Children no longer need to travel to Orlando, Tampa, or Miami for certain procedures and treatments.

From back injuries to spinal deformities, there are times when children need to have surgery. With brand-new technologies and workflows in place we are able to make surgeries safer and more efficient.

Learn more about Pediatric Orthopedics

Halo Gravity Traction Procedure

We’re excited to offer a specialized treatment called halo gravity traction for children with severe spinal curves like scoliosis and kyphosis. This procedure uses a lightweight metal ring, or "halo," which is gently secured to the child’s head under anesthesia. It connects to a pulley system with weights that gradually apply traction to straighten the spine over several weeks to months.

This slow, steady process helps improve spinal alignment and creates more space for the lungs and other organs, often making future surgery safer and more effective. During their hospital stay, your child will work closely with a team of doctors, nurses, physical therapists, and occupational therapists to adjust to the equipment, stay active, and build strength.

We know this can feel overwhelming for families, but our team is here to support you and your child every step of the way. Talk to your pediatric orthopedic specialist to see if halo traction is the right option for your child.

Frequently Asked Pediatric Spine Questions

How are pediatric fractures different from adult fractures?

Children’s bones are more flexible and have growth plates (epiphyseal plates), making them more prone to specific types of fractures such as growth plate fractures. These fractures may require special care to avoid growth disturbances. An orthopedic specialist will assess the fracture type and recommend treatment accordingly.

What is the best way to manage growing pains in children?

Growing pains are common and typically affect the legs, especially in younger children. They usually occur at night and tend to improve with simple measures such as stretching exercises, massage, warm baths, and over-the-counter pain relievers. However, if the pain becomes severe or persistent, a visit to an orthopedic specialist is advised.

What is the best way to treat flat feet in children?

Flat feet are common in young children and often correct themselves as the child grows. However, if flat feet cause pain or difficulty with walking or running, an orthopedic specialist might recommend custom shoe inserts (orthotics), supportive shoes, or physical therapy. Surgery is rarely needed unless the condition causes severe issues in older children.

When should my child start seeing a pediatric orthopedic specialist?

Your child should see a pediatric orthopedic specialist if they experience persistent or severe pain, injuries that don't heal properly, or deformities such as bowed legs, scoliosis, or foot abnormalities. Additionally, if your child is involved in sports and has concerns regarding growth plate injuries or overuse injuries, seeing a specialist is a good idea for prevention and management.

What is scoliosis, and when should I be concerned?

Scoliosis is a sideways curvature of the spine. Mild scoliosis may not cause noticeable symptoms, but as it progresses, it can lead to back pain, posture changes, or difficulty breathing. It’s usually detected during routine check-ups or school screenings. If you notice uneven shoulders, hips, or a visible curve in your child’s back, it's important to consult an orthopedic specialist for evaluation and possible treatment.

Scoliosis and Spinal Conditions in Children

Our experienced team of experts are committed to caring for young patients with specialized orthopedic needs.

Scoliosis

Scoliosis is a very manageable condition when diagnosed early. It can cause the spine to look like an “s” shape or a “c” shape. Common signs of scoliosis include uneven shoulders or hips, but it is generally, a painless condition that may go unnoticed until a routine exam or physical.

It’s really important to distinguish that there are so many different types of scoliosis. While some children may just need their condition monitored, others may need treatment like a brace or surgery.

Schroth Physical Therapy for Scoliosis
Schroth is a research-supported treatment for scoliosis. It is comprised of scoliosis-specific exercises and postural retraining based on the patient's unique spinal curve pattern. Schroth addresses three of the ways scoliosis affects our spine: its rotation, lateral translation, and the collapse of the spine.

Scoliosis Treatment for Children

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Reporter: It can present like this (“s” shaped spine) or like this (“C” shaped spine)

Dr. Arun Hariharan: Scoliosis in the simplest of terms is a curvature of the spine and specifically it means a side to side curvature.

Reporter: But pediatric orthopedic surgeons say, there are also more mild cases of scoliosis that can be more difficult to diagnose.

Dr. Arun Hariharan: It’s really important to distinguish that there are so many different types of scoliosis. The most common one you see is the adolescent idiopathic scoliosis and that’s the teenager that gets it. One shoulder being higher than the other.

Reporter: Scoliosis is typically caused by genetics and worsens as the child is growing.

Dr. Arun Hariharan: There are certain cases where it’s not idiopathic scoliosis, but there are congenital, neuro-muscular, or traumatic cases, where we know that it’s caused by certain muscle imbalances or genetic problems within that condition.

Reporter: While some children may just need their condition monitored, others may need treatment like a brace or surgery.

Dr. Arun Hariharan: The severe curves is when we really need to talk about surgery. When it gets past a certain number of degrees, and we measure those degrees off an x-ray, patients start to experience trouble with their heart and lungs and overall function as far as standing.

Reporter: Making it important to notice any changes early to ensure children get the treatment they need. For Lee Health, I’m Lindsey Morton.

Kyphosis

Kyphosis is an abnormal forward curve in the upper spine. Children with kyphosis have a rounded or "hunchback" appearance. Children can be born with kyphosis or they can develop it because of other health reasons. Common health issues associated with kyphosis are spina bifida, neuromuscular conditions, and other brittle bone diseases. Kyphosis can also be caused by excessive slouching.

For some children, kyphosis progresses and becomes worse over time. This can cause difference in shoulder/hip height and even tighten muscles in the back and legs. Depending on the cause of kyphosis, your child may need a brace, exercises, or even surgery.

Spondylolysis/Spondylolisthesis

Spondylolysis is a stress fracture of the spine. It can happen from repeated stress or from an injury to the spine. Spondylolisthesis happens when one of the stress fractures progresses to the point of causing the vertebrae to slip out of place.

These conditions are one of the most common causes of back pain in children and adolescents. Children are more at risk for spondylolysis/spondylolisthesis because their bones are still growing, especially during a growth spurt.

Signs of this condition include:

lower back pain
pain that radiates down the legs
weakness in the legs or trouble walking
trouble peeing or bladder accidents
numbness and tingling in the groin and/or buttocks

If you think your child may have scoliosis or a different spinal conditions reach out to your primary care provider who can refer you to a specialist.

Pediatric Orthopedics of SWFL Locations

Fort Myers: 15821 Hollyfern Court, Fort Myers, FL 33908

Naples: 3361 Pine Ridge Rd, Suite 202, Naples, FL 34109

Phone : 239-432-5100

Hours of Operation: Monday – Friday: 8:00 AM – 4:30 PM

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