Further examination revealed that he had a severe congenital scoliosis. The pattern of a unilateral failure of segmentation with a contralateral failure of segmentation is the most aggressive form of congenital scoliosis and requires early aggressive intervention. Pre-operative MRI was normal, but he went on to develop a symptomatic tethered spinal cord at age 4. A single horseshoe kidney required a urological procedure at an early age. This child emphasizes how multiple anomalies may be associated with congenital scoliosis Kyphosis Kyphosis or hunching over is normal in the thoracic spine.
Some kyphosis is normal.
However, when kyphosis is greater than 50 degrees, it becomes easy to see and is considered abnormal. Most parents will attribute this to poor posture , but become concerned that despite their persistent reminders, their child will not stand up straight. The evaluation of kyphosis begins by viewing the child from the side. There are no clear visual clues that distinguish normal from abnormal kyphosis. The doctors experience is usually the best indicator for when the amount of kyphosis is abnormal.