02/22/2026
What is your postal code? It is very important when scoliosis treatment is needed in Canada. When to start bracing, which brace, how long will be braced and how much it will cost the family, it will all depend which province you live in. More Canadian teens are falling through the cracks than before and end up in surgery. Scoliosis progression can be prevented in most cases with early diagnosis and timely treatment, consequently spinal surgery can be avoided. Long wait list for surgery and getting spinal fusion is free in Canada but preventative care comes with a high cost for families. Bracing remains the cornerstone of non-surgical management for adolescent idiopathic scoliosis (AIS) with an aim to minimize the risk of progression and to avoid spine surgery. In Canada however, one third to half of patients present with curve magnitudes too severe for optimal brace treatment, resulting in higher than necessary surgical volumes. High-cost spine surgeries are fully funded while non-surgical management is not. This Professional Opinion article highlights systemic barriers to early detection that limit opportunity for non-surgical management in Canada and ultimately drive up healthcare spending. In Canada, there is an urgent need for a coordinated national strategy to re-establish routine scoliosis screening, ensure equitable public funding for treatment and expand professional training in non-surgical spinal care. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/46590/34720 How To Cite: Lebel A, Kline M, Boucher J, Carberry J, Adulovic N, Dermott JA. Bracing and non-surgical management of scoliosis in Canada: Early detection, access inequities, and the need for interdisciplinary reform. Canadian Prosthetics & Orthotics Journal. 2025; Volume 8, Issue 2, No. 9. https://doi.org/10.33137/cpoj.v8i2.46590 Corresponding Author: Andrea Lebel, MSc, PT Affiliation: Scoliosis Physiotherapy & Posture Centre, Ottawa, ON, Canada. E-Mail: scoliosisphysiotherapy@gmail.com ORCID ID: https://orcid.org/0009-0002-9488-4291 schrothmethod scoliosisbrace