Her X-Rays confirm that her curve was 26 degrees, which isn't huge, but because of the location of the curve, she did have nearly a 5 cm trunk shift to the left. I explained how this type of trunk shift can be associated with back pain. Note the green lines drawn along outer edge of pelvis, and relationship to her rib cage! On one side, it is shifted over 4.5 cm.
We got her started on a conservative program, including seeing a special scoliosis physical therapist for home training program, a special lightweight back brace, NSAID medications, and follow-up to recheck her trunk shift and scoliosis progression.
We also talked at length about the importance of tracking this curve as she gets older, since these thoracolumbar curves with large trunk shifts can lead to progressive painful curves in adulthood with severe progression of lumbar disc degeneration. If the curve does continue to progress, or if pain worsens despite conservative treatment, scoliosis surgery can help get her "hour glass" centered again, and thereby center the loads better so the back muscles don't have to work so hard. It can also decrease the loading on the lower lumbar discs, which might save her from needing a bigger scoliosis surgery as an adult, which might even have to include the pelvis/ilium.