Scoliosis of undetermined etiology without underlying bony or neuromuscular abnormalities
Primary curvature: Curvature with greatest angulation
Secondary curvature: 1 more compensatory curvature above or below primary curvature
Flexible curvature: Curvature that resolves when patient bends to contralateral side
Structural curvature: Curvature that does not change when patient bends to contralateral side
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Ghandhari H et al: Long-term outcome of posterior spinal fusion for the correction of adolescent idiopathic scoliosis. Scoliosis Spinal Disord. 13:14, 2018
Tully PA et al: Should all paediatric patients with presumed idiopathic scoliosis undergo MRI screening for neuro-axial disease? Childs Nerv Syst. 34(11):2173-78, 2018
Yamato Y et al: Will a low-dose biplanar radiograph become "gold standard" for three-dimensional assessment of spinal deformity in patients with adolescent idiopathic scoliosis? J Spine Surg. 4(2):465-66, 2018
Assi KC et al: Statistical model based 3D shape prediction of postoperative trunks for non-invasive scoliosis surgery planning. Comput Biol Med. 48C:85-93, 2014
Longworth B et al: Prevalence and predictors of adolescent idiopathic scoliosis in adolescent ballet dancers. Arch Phys Med Rehabil. 95(9):1725-30, 2014
Negrini S et al: Actual evidence in the medical approach to adolescents with idiopathic scoliosis. Eur J Phys Rehabil Med. 50(1):87-92, 2014
Rushton PR et al: What is the effect of surgery on the quality of life of the adolescent with adolescent idiopathic scoliosis? A review and statistical analysis of the literature. Spine (Phila Pa 1976). 38(9):786-94, 2013
Pahys JM et al: Intraspinal anomalies in infantile idiopathic scoliosis: prevalence and role of magnetic resonance imaging. Spine (Phila Pa 1976). 34(12):E434-8, 2009
Bagchi K et al: Hardware complications in scoliosis surgery. Pediatr Radiol. 32(7):465-75, 2002
Redla S et al: Magnetic resonance imaging of scoliosis. Clin Radiol. 56(5):360-71, 2001
Lowe TG et al: Etiology of idiopathic scoliosis: current trends in research. J Bone Joint Surg Am. 82-A(8):1157-68, 2000
Mohaideen A et al: Not all rods are Harrington - an overview of spinal instrumentation in scoliosis treatment. Pediatr Radiol. 30(2):110-8, 2000
Oestreich AE et al: Scoliosis circa 2000: radiologic imaging perspective. I. Diagnosis and pretreatment evaluation. Skeletal Radiol. 27(11):591-605, 1998
Oestreich AE et al: Scoliosis circa 2000: radiologic imaging perspective. II. Treatment and follow-up. Skeletal Radiol. 27(12):651-6, 1998
Cordover AM et al: Natural history of adolescent thoracolumbar and lumbar idiopathic scoliosis into adulthood. J Spinal Disord. 10(3):193-6, 1997
Lee CS et al: The crankshaft phenomenon after posterior Harrington fusion in skeletally immature patients with thoracic or thoracolumbar idiopathic scoliosis followed to maturity. Spine. 22(1):58-67, 1997
Little DG et al: The Risser sign: a critical analysis. J Pediatr Orthop. 14(5):569-75, 1994
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
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Diagnostic Checklist
TERMINOLOGY
Definitions
Scoliosis of undetermined etiology without underlying bony or neuromuscular abnormalities
Primary curvature: Curvature with greatest angulation
Secondary curvature: 1 more compensatory curvature above or below primary curvature
Flexible curvature: Curvature that resolves when patient bends to contralateral side
Structural curvature: Curvature that does not change when patient bends to contralateral side
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Ghandhari H et al: Long-term outcome of posterior spinal fusion for the correction of adolescent idiopathic scoliosis. Scoliosis Spinal Disord. 13:14, 2018
Tully PA et al: Should all paediatric patients with presumed idiopathic scoliosis undergo MRI screening for neuro-axial disease? Childs Nerv Syst. 34(11):2173-78, 2018
Yamato Y et al: Will a low-dose biplanar radiograph become "gold standard" for three-dimensional assessment of spinal deformity in patients with adolescent idiopathic scoliosis? J Spine Surg. 4(2):465-66, 2018
Assi KC et al: Statistical model based 3D shape prediction of postoperative trunks for non-invasive scoliosis surgery planning. Comput Biol Med. 48C:85-93, 2014
Longworth B et al: Prevalence and predictors of adolescent idiopathic scoliosis in adolescent ballet dancers. Arch Phys Med Rehabil. 95(9):1725-30, 2014
Negrini S et al: Actual evidence in the medical approach to adolescents with idiopathic scoliosis. Eur J Phys Rehabil Med. 50(1):87-92, 2014
Rushton PR et al: What is the effect of surgery on the quality of life of the adolescent with adolescent idiopathic scoliosis? A review and statistical analysis of the literature. Spine (Phila Pa 1976). 38(9):786-94, 2013
Pahys JM et al: Intraspinal anomalies in infantile idiopathic scoliosis: prevalence and role of magnetic resonance imaging. Spine (Phila Pa 1976). 34(12):E434-8, 2009
Bagchi K et al: Hardware complications in scoliosis surgery. Pediatr Radiol. 32(7):465-75, 2002
Redla S et al: Magnetic resonance imaging of scoliosis. Clin Radiol. 56(5):360-71, 2001
Lowe TG et al: Etiology of idiopathic scoliosis: current trends in research. J Bone Joint Surg Am. 82-A(8):1157-68, 2000
Mohaideen A et al: Not all rods are Harrington - an overview of spinal instrumentation in scoliosis treatment. Pediatr Radiol. 30(2):110-8, 2000
Oestreich AE et al: Scoliosis circa 2000: radiologic imaging perspective. I. Diagnosis and pretreatment evaluation. Skeletal Radiol. 27(11):591-605, 1998
Oestreich AE et al: Scoliosis circa 2000: radiologic imaging perspective. II. Treatment and follow-up. Skeletal Radiol. 27(12):651-6, 1998
Cordover AM et al: Natural history of adolescent thoracolumbar and lumbar idiopathic scoliosis into adulthood. J Spinal Disord. 10(3):193-6, 1997
Lee CS et al: The crankshaft phenomenon after posterior Harrington fusion in skeletally immature patients with thoracic or thoracolumbar idiopathic scoliosis followed to maturity. Spine. 22(1):58-67, 1997
Little DG et al: The Risser sign: a critical analysis. J Pediatr Orthop. 14(5):569-75, 1994
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