Adolescent Idiopathic Scoliosis

Introduction

Define/describe the condition

Anatomy

Describe the pertinent anatomy and provide links to relevant pages

Pathogeneis

Describe the biologic basis of the disorder or the mechanism of injury

Natural History

Describe the natural history,epidemiology and prognosis

Patient History and Physical Findings

Describe the means to elicit the most useful information from the patient history and physical examination as well as the relevant findings

Imaging and Diagnostic Studies

Describe appropriate radiologic and other diagnostic studies

Differential Diagnosis

Include a list with links to relevant conditions

Treatment

Medical therapy

Nonoperative treatment: Scoliosis Research Society (SRS) recommendation includes brace treatment of skeletally immature patients who present with curves greater than 30 degrees and those who progress by 10 degrees or more to curves greater than 25 degrees. Part-time or night time braces (eg Charleston or Providence) may be effective for curves less than 35 degrees. Bracing should continue until completion of growth, indicated by unchanged height at an interval of 6 months, Risser stage 4 (females), Risser stage 5 (males), 18 – 24 months after menarchy, or skeletal maturity on bone age determination

Operative treatment – include links to pages with detailed surgical techniques

Indications and contraindications

Pearls and Pitfalls

Tips and problems to avoid

Postoperative Care

Include immediate postoperative care and rehabilitation

Outcome

Include functional and prosthetic survivorship data as applicable

Complications

Include overview of complications

References