<s>[INST] I live in Buffalo, NY.  My 18-year old daughter, who plays very competetive soccer, has scoliosis that has progesses to 56 degrees.  We have been told she needs surgery.  Is there any way to look up credientials and results of surgeries performed by a specific doctor in our area.  The doctor that we have been dealing with is Dr. Robert D. Galpin of University Orthopedics who supposedly specializes in pediatric scoliosis but we cant find any information on him besides from the University Orthopedic website. [/INST] Hi, Early or mild symptoms of adult degenerative scoliosis may respond well to non-surgical treatments. Physical therapy can improve strength and flexibility in the trunk and legs, while nutritional changes and aerobic exercise can help patients lose weight, thereby decreasing the stress on the lumbar spine. Injections into the epidural space or into the spinal joints may help decrease inflammation and reduce back or leg pain, and alternative treatments such as acupuncture may also give relief. Bracing does not usually provide satisfactory relief. In some patients, symptoms may progress in spite of non-surgical care. This is often the case when a nerve root is chronically compressed.  Surgery may then be appropriate. Surgical intervention can be broadly categorized into three groups:Simple decompression, Decompression with short fusion and Decompression and scoliosis correction surgery. The link below will help you find neurosurgeon at NY, their qualification surgery done and appointment detailshttp://neurosurgery.med.nyu.edu/conditions-we-treat/z-conditions-guide/adult-degenerative-scoliosis. Regards Chat Doctor.  </s>