Scoliosis
Cobb angle >10deg
Prevelence 1%
4:1000 will need treatment
Curves most often progress in females and rapidly growing children
<20deg unlikely to progress after skeletal maturity
>30deg likely to continue to progress
Rapidly progressive = >1deg/month
Ix
Xray standing, and lateral
CT for OT planning
MRI:if focal neurology, rapid progression, convex to left in >4yo
Idiopathic 80% (s-shaped)
Congenital (angular)
Neuromuscular (C shaped)
Syndromes
Skeletal Dysplasia
Focal (angular)
Associated with
Prevelence 1%
4:1000 will need treatment
Curves most often progress in females and rapidly growing children
<20deg unlikely to progress after skeletal maturity
>30deg likely to continue to progress
Rapidly progressive = >1deg/month
Ix
Xray standing, and lateral
CT for OT planning
MRI:if focal neurology, rapid progression, convex to left in >4yo
Idiopathic 80% (s-shaped)
- Rare in <3y (thoracic to L, rare to progress)
- 10% in 4-10yo (Thor to R i.e. away from heart)
- 90% in 10-17yo (Thor to R i.e. away from heart) F>M
Congenital (angular)
- Wedge, hemi,
Neuromuscular (C shaped)
- CP or DMD or SMA
Syndromes
- Marfans, NF
Skeletal Dysplasia
Focal (angular)
- Tumour, infection,
Associated with
- Syrinx
- Chiari I