Presentation
8 years boy with gradual lateral bending of the spine no history of trauma
Patient Data
Age: 8 years
Gender: Male
From the case:
Juvenile idiopathic mid-thoracic scoliosis
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There is abnormal lateral curvature of the thoracic spine with convexity towards the left. The Cobb’s angle measures 35.90 with apex vertebrae at T7-T8.
Case Discussion
Scoliosis is the abnormal lateral curvature of the spine (>100 Cobb angle) where idiopathic scoliosis is by far the most common (~80%) cause.
Management of the Scoliosis:
- Curvatures <200 requires no bracing or surgical intervention (Careful monitoring after 3 month is necessary to look, if the angle progress >50 if the patient is between 10-15 years)
- Curvature 20-400 should be braced to prevent progression in the growth period
- Curvature >400 surgical intervention
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