Information on alternative treatment for scoliosis that is compromising respiratory function, that may be diagnosed as "thoracic insufficiency syndrome". . . . If your children are facing these types of secondary medical problems, you may want to explore the "Titanium Rib Project" that was started at Christus Santa Rosa Children's Hospital in San Antonio, Texas by Dr. Campbell (unsure of his first name). The surgery often allows spinal fusions to be delayed or avoided altogether. Additionally, no body casts needed. The child does have to return to the hospital for subsequent surgeries as he/she grows and the implanted rib is "expanded". Anyway, hope this info helps you. I understand that a few other hospitals in the country are beginning to do the surgery, but Dr. Campbell is the pioneer in this area. They should be able to give you more information to see if your children are candidates for the procedure.