ApiFix® for Scoliosis
what is ApiFix surgery?
A scoliosis diagnosis can bring a wave of emotions — concern, confusion and uncertainty. It’s understandable to have questions and to want the best, least disruptive treatment possible for your child. Fortunately, there are more treatment options today than ever before, including ones that are less invasive and designed specially for growing kids.
At Dayton Children’s Hospital, we offer ApiFix®, a surgical option for eligible children and teens that helps straighten the spine with smaller incisions, a quicker recovery and excellent long-term results. The spine team at Dayton Children’s has performed more ApiFix procedures than nearly anywhere in the United States.
ApiFix is an FDA-approved surgical treatment for moderate scoliosis in adolescents. It works by gently straightening the spine using a flexible rod and a self-adjusting design. Unlike traditional spinal fusion, ApiFix allows for some movement and flexibility even after surgery.
This approach uses just a few small incisions and avoids the need to fuse large sections of the spine, making it a less invasive option that preserves spinal motion.
who is a candidate for ApiFix?
ApiFix is an exciting treatment option, but it’s not right for everyone. It’s designed specifically for children and teens who meet certain criteria. Your child may be a good candidate for ApiFix if they:
- Have adolescent idiopathic scoliosis (AIS): This is the most common type of scoliosis, typically diagnosed during growth spurts in late childhood or early adolescence.
- Are still growing: ApiFix works best in patients who haven’t finished growing yet. Ongoing growth helps the spine continue to correct and adjust after surgery.
- Have a spinal curve between 35 and 60 degrees: This range is ideal for ApiFix’s corrective capabilities. Curves below 35 degrees may not need surgery, while curves above 60 degrees may require a more traditional approach.
- Have flexible curves that can be corrected without spinal fusion: ApiFix relies on the spine’s natural flexibility to gradually guide it into alignment. Flexibility is typically assessed through bending X-rays or other imaging studies.
During your consultation at Dayton Children’s, our spine specialists will perform a comprehensive evaluation (including physical exams, X-rays and growth assessments) to determine if ApiFix is the right path forward for your child.
why choose minimally invasive surgery?
ApiFix was designed with young, active patients in mind. Compared to traditional spinal fusion, the benefits of minimally invasive surgery with ApiFix include:
- Smaller incisions and minimal scarring
- Less pain after surgery
- Shorter hospital stay (often 1-2 days)
- Faster return to school and sports
- Preserved spinal motion
It is a powerful treatment option that helps your child heal quickly, without missing out on all the fun of being a kid.
have questions about ApiFix?
schedule an appointmentOur spine nurse navigator is here to help! Schedule a free 30-minute consultation with our spine nurse navigator to learn more about the ApiFix procedure and whether your child is a good candidate for the minimally invasive surgery.
benefits to booking a consultation today
- Book online at a convenient time for you, the parent/guardian!
- The consult is free
- Speak directly with our spine nurse navigator who knows Dayton Children’s spine program inside and out
- The consult is virtual so you can join from the comfort of your home or workplace
ApiFix news and blogs
Stay up to date on the latest news, research, and blog posts about scoliosis treatment and innovations like ApiFix.
patient stories
Real families have seen life-changing results with ApiFix. Hear directly from patients and parents about their experiences with treatment at Dayton Children’s.
for your visit
Here’s what to know before your child’s appointment for ApiFix at Dayton Children’s, from preparing questions to planning follow-up care.
ApiFix resource center
Does your child have scoliosis? Have you heard about ApiFix?
ApiFix offers substantial benefits over traditional fusion surgery to straighten a curved spine, including:
- a smaller incision
- faster operation
- shorter hospital stay
- It acts as an internal brace and naturally expands as the child grows or exercises.
Learn more about the spinal and scoliosis program at Dayton Children’s and schedule an appointment.
hours & locations
ApiFix care is available at multiple Dayton Children’s locations for your convenience.
FAQs – ApiFix
The ApiFix system is indicated for use in patients with adolescent idiopathic scoliosis meeting the following criteria:
- Single curves classified as Lenke 1 (thoracic major curve) or Lenke 5 (thoracolumbar/lumbar major curve)
- Cobb angle 35 – 60 degrees
- Curves reduce to ≤ 30 degrees on lateral side-bending x-rays
- Kyphosis < 55 degrees (measured from T5 to T12)
Patient families can schedule a spine appointment with one of our spine surgeons to discuss surgical options for scoliosis.
Time is key when it comes to scoliosis surgery. ApiFix is most effective when performed during a child’s growth period, which is typically between the ages of 10 and 16. Your provider will consider your child’s age, growth plates, curve severity and flexibility to find the ideal window for surgical intervention.
Like any surgery, ApiFix comes with some risks, but for the right patient, it can be a safe and effective option with fewer long-term trade-offs than traditional spinal fusion.
Potential risks of ApiFix include:
- Infection at the surgical site (rare and typically treatable with antibiotics)
- Implant-related complications, such as device movement or breakage
- Curve progression if the spine doesn’t respond as expected
- Reoperation in some cases, either to adjust or remove the device
Other important considerations:
- Not all patients are candidates: ApiFix works best for children or teens with flexible, moderate curves (35°–60°).
- Long-term data is still growing: While early outcomes are promising, ApiFix is a newer alternative to fusion, so families should consider both the current benefits and the evolving research.
- Motion preservation vs. stability: ApiFix allows more spinal motion than fusion, which many families prefer, but it may not be suitable for severe or rigid curves.
At Dayton Children’s, our pediatric surgery team will walk you through every option honestly, thoroughly, and with your child’s long-term health and well-being at the center of every decision.
Recovery from ApiFix is often smoother than traditional scoliosis surgeries.
Most patients:
- Stay 1–2 nights in the hospital
- Resume normal activities (like school) within a week
- Return to sports or physical activities in just a few weeks
- Experience less post-op discomfort and better mobility
Our team will work closely with you to make sure your child’s recovery is as safe, supported and stress-free as possible.
The cost of ApiFix surgery can vary based on several factors, including:
- Length of hospital stay
- Pre- and post-surgical imaging and follow-up care
- Your insurance provider and coverage details
At Dayton Children’s, we know that cost is a major consideration for families. That’s why our dedicated financial counselors are here to support you every step of the way.
We’ll help you:
- Review your insurance plan to clarify what’s covered and what isn’t
- Provide a personalized cost estimate based on your child’s care needs
- Discuss available payment plans or financial assistance programs if needed
We’re committed to making sure finances never stand in the way of the care your child deserves.
ApiFix is one of several scoliosis treatment options we offer at Dayton Children’s. Depending on your child’s needs, we may also recommend:
- Regular monitoring for mild curves
- Bracing
- Physical therapy
- Traditional spinal fusion (for more severe cases)
Our goal is to personalize every care plan, so your child gets the best treatment at the right time.
here when you need us
Whether you’re looking for the right provider, ready to make an appointment, or need care right now—we’re here to help you take the next step with confidence.
