Question 2058
{"accessible":true,"alternatives":[{"id":10216,"text":"cerebral palsy"},{"id":10217,"text":"neurofibromatosis"},{"id":10218,"text":"no underlying cause"},{"id":10219,"text":"posterior element fusion"},{"id":10220,"text":"syringomyelia"}],"archived":false,"correctAlternativeId":10218,"explanation":"\u003cp\u003eThis is a severe idiopathic scoliosis. There is no underlying cause. The other answers are potential causes of secondary scoliosis, but the curves here are typical of adolescent idiopathic scoliosis, and AIS is commoner in girls. There is nothing to suggest that this is anything other than an idiopathic scoliosis.\u003c/p\u003e","id":2058,"imageUrl":"https://prod-images-static.radiopaedia.org/images/55035236/0._big_gallery.jpeg","imageAttribution":{"kind":"case","rID":89570},"imageAttributionCaseInfo":{"title":"Severe idiopathic scoliosis","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":89570,"case_param":"severe-idiopathic-scoliosis"},"firstQuestionPath":"/questions/2059","nextQuestionPath":"/articles/scoliosis/questions/2057","relatedArticles":[],"alsoUsedIn":[{"id":944,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 944","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/944"},{"id":944,"kind":"Course","title":"2021 Virtual Conference Private Use - page 944","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/944"},{"id":944,"kind":"Course","title":"Paediatric Lectures - page 944","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/944"}],"stem":"\u003cp\u003eA 13-year-old girl is referred to the orthopedic clinic with suspected scoliosis. An AP whole-spine x-ray is performed and is shown here. What is the most likely cause of scoliosis in this case?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2058"}],"attemptsPercentages":[{"alternativeId":"10219","percentage":18},{"alternativeId":"10220","percentage":3},{"alternativeId":"10218","percentage":66},{"alternativeId":"10216","percentage":10},{"alternativeId":"10217","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"scoliosis"}