Juvenile idiopathic mid-thoracic scoliosis

Case contributed by Subash Thapa
Diagnosis certain


8 years boy with gradual lateral bending of the spine no history of trauma

Patient Data

Age: 8 years
Gender: Male

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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