Scoliosis Overview

Posted bythespinebookadminPosted inPediatrics and Scoliosis, Topics

Types of Scoliosis 

  • Vertebral defects (formation or segmentation) 
  • VACTERL 
  • Neuromuscular 
    • CP, DMD 
    • myelodysplasia 
  • Syndromic 
    • NF1, Marfan’s, Rett’s, OI, Klippel Feil, Ehler’s Danlos 
  • Idiopathic 
    • Infantile < 3 years 
    • Juvenile 4-9 
    • Adolescent >10 years 

Alternative 

  • Early onset <10 
    • Congenital  
    • Structural  
      • Chest wall abnormalities, fused ribs, congenital diaphragmatic hernia 
    • Neuromuscular 
    • Syndromic 
    • Idiopathic EOS 
      • Infantile <4 
      • Juvenile 4-10 
  • Late onset (AIS) >10 

Spine and Development 

  • Pulmonary development 
    • ++ 0-2 
    • +2-8 
    • Lung function 
  • Thoracic insufficiency syndrome 

Pearls 

  • Most common cause of painful scoliosis in adolescent – osteoid osteoma 

*for all types, examine for symmetry of abdominal reflexes. If assymetric. Needs an MRI