The white smoke from the official's starter gun rises in the air as the runners sprint around the track.

Two, four, six, eight...

The competitive cheerleaders chant before they begin their routine.

There’s dead silence. Then the sound erupts of gymnasts’ landing and sticking.

These moments make up three of Bryce Gray's favorite passions. People who know and love 16-year-old Bryce, describe her as a premier multi-sport athlete, a great leader, and a trusted friend. Yet, her favorite interest came to a screeching halt during a routine physical.

"I was tumbling and everything was normal. I had some pain, but I just thought it was typical back pain. I was doing backflips every day," Bryce recalled.

During her appointment, Bryce and her mother Shemita learned she had scoliosis, which was the source of her back pain. 

"At the time, I time didn't know what scoliosis was," Bryce remembered. "After going to get fitted for a brace, I realized it was serious."

Bryce wore a back brace prescribed for 6-18 hours a day very compliantly, for 16 months. She was only allowed to remove her brace to shower and practice sports. She complained her clothes no longer fit and became self-conscious going to school, not sure how her peers would react.

"My friends made the best of it and started to call me Bryce-bot," Bryce said. "They would joke that I looked like a robot because of how hard the plastic was on my brace."

Bryce was released to actively compete just in time for summer. She and Shemita believed she'd made progress wearing the brace and were relieved when Bryce was able to stop bracing. By the end of summer, Shemita realized something wasn't right as Bryce complained of breathing problems.

"She told me she thought she had asthma," Shemita remembered. "She kept complaining about her breathing and I knew I needed to get her to the doctor.”

Bryce saw Lauren LaMont, M.D., an orthopedic surgeon at Cook Children’s Medical Center.

That doctor's appointment would be a turning point for Bryce. The family learned Bryce’s curve had grown over the summer, and her spinal curve had worsened. Her hips were also uneven.

"They told us her curve was progressive and had started to press against her lungs," Shemita explained.

"I have dreams of being a college athlete. When I got my diagnosis, I felt like everything was put on hold," Bryce expressed emphatically. 

Dr. LaMont explained that Bryce's condition would continue to worsen, and surgery would be her only option for correction.

"If you took an X-ray of a normal back curve, it would measure between zero and 10 degrees and no one would question it," Dr. LaMont said. "Bryce's curve was near 60 degrees, and we knew she would need surgery."

After receiving the news, Shemita allowed Bryce to decide when she’d have the procedure. Out of fear, Bryce continued putting the surgery off.

"I knew what was best, but I didn't want to go through the pain and the healing process," Bryce said. "After a breakdown at the hospital, Dr. LaMont helped calm me down and I had surgery three days later."

The week before surgery, Bryce received the news she'd been selected as captain of her cheer team. She'd worked hard to achieve this honor.

"I felt shattered," Bryce remembered. "I was cheer captain. It was the middle of the summer, and I couldn't hang out with any of my friends. It was hard."

Dr. Lamont performed a posterior spinal fusion. The surgery took four hours, and Bryce spent four days at Cook Children’s for post-op care.

"I went in through her back and put rods and screws inside to straighten her spine out as much as possible," Dr. LaMont said. "We then fused the area so the spine no longer moves."

Once Bryce was home, she learned there wasn't much she could do for herself. She needed help showering, turning over in the middle of the night, and getting up the stairs. Because her surgery took place while COVID-19 precautions were in place, she was unable to have visitors and could only see family and friends through video chats. She also began a rigorous physical therapy regimen.

Bryce finished her last session of physical therapy in early January and was released to continue with her activities. Her orders require her to take it slow. Bryce admits it hasn't been as easy as she'd hoped.

"Getting back to normal is not going well," Bryce admits. "I knew I had metal rods in my back, but I didn't think much of it because I'm an athlete. I tried getting back into track and cheer at the same time, and quickly realized it was a bad idea."

Bryce decided to sit out of track and field and focus on getting stronger in cheer and tumbling. She has known how to do a back handspring since she was a toddler and finds it frustrating that she now needs help.

Shemita says watching her daughter go through this process has been grueling, but she's learned a lot from Bryce's determination to get better. Shemita has faith her daughter will continue to excel, no matter how long it takes.

"She's very resilient," Shemita said. "She's strong-willed, and a hard worker. I have no doubts about her recovery. I want her to take it slow."

Dr. Lamont agrees Bryce should ease back into her activities, especially if she wants to heal and continue to live out her dreams.

"She will feel different as she gets back into tumbling and some of more of her flipping routines because the mobility of her spine is different,” Dr. Lamont explained. “I don't want her to stop being an athlete. Part of the reason we fixed her back is so she can continue living her life the way she desires. She has to be patient.” 

As Bryce continues to get stronger, she reflects on how she can help other young women with scoliosis.

"Whatever sport you're doing is not more important than your life or your future," Bryce said. "You have to stay strong and positive to get through the recovery process, and you'll be able to get back to doing what you love.”

Bryce has two more years of high school and still wants to go to college on an athletic scholarship. Instead of seeing her surgery as something that put her dreams on hold, she's shifted her mindset and now believes it was a temporary obstacle for her to come back as an even stronger champion. 

Does your child look like one of these pictures when they head off to school?

Then this article is for you to improve the future of your child’s spine.

Backpacks are routinely bought because of how pretty they are, what super hero or cartoon character is on them, or how much can they hold. These are all very important to your child, but there are a few more criteria that parents should be looking at:

Top 10 things to know about a backpack to prevent injuries:

1. The American Academy of Pediatrics recommends that a backpack should not weigh more than 10 to 20 percent of the child’s body weight. If the child is complaining of discomfort, always keep it less than 10 percent of their body weight.
2. Put heavier items closer to the child’s body in the backpack, so that it does not pull the backpack away from their spine.
3. Parents should pick up their child’s backpack on a regular basis to feel its weight.
4. Backpacks should be worn with one strap on each shoulder, not hanging off one shoulder.  Use the abdominal strap if one is provided.
5. The backpack’s straps should be fitted snuggly over the child’s shoulders.
6. Make sure the backpack is positioned literally on the back - between the shoulders - and not resting on the child’s lower back or hips.
7. Have the appropriate size backpack. If the straps are tight and the back pack hangs down past the hips, the back pack is too big for this child.  It should rest above the hip line.
8. If your child has pain in their shoulders, neck or back- there are options with back packs with wheels.You might also ask the school to provide one set of books for school and one set for home.  These modifications sometimes require a physician note for the school.
9. If your child has more to carry than is recommended for the backpack, they can carry some items in their hands to balance the weight on the body. Make sure that they are not carrying more than 10 percent of their body weight.
10. If your child is complaining of pain after the backpack is removed and does not go away, seek a physician consult.

Please check out the below links to assist you with keeping your child happy and healthy this upcoming school year!

Dana S. Harrison, PT, MPT, Cook Children’s SPORTS Program/Rehab Manager

Related links:

• Cook Children's Sports Performance Orthopedic Rehab Team Specialists (SPORTS)
• Backpack safety for pre-grammar school
• Backpack safety for elementary school
• Backpack safety for teenagers

About the author

Dana Harrison, PT, MPT is Cook Children’s SPORTS program/Rehab manager. Our physicians, therapists, nurses and technologists work exclusively with kids and understand the unique needs of a growing athlete's bones, muscles, body and mind.