This manifests as a lateral deviation and rotation of the spine with no identifiable cause, but it is usually related to a brain stem, hormonal or proprioception disorder. The adolescent form is most common but there is an Infantific form also a Juvenile form. Right thoracic curves, with apex T7 or T8 are the most common, followed by double major, left lumbar and right lumbar, in that order. Inclusion of the iliac crest on radiographs will reveal the degree of skeletal maturity. A lateral radiograph to check for spondylolisthesis is also recommended.
Treatment includes careful observation, some for bracing and if needed surgery.
Bracing does not rectify the problem but does halt rapid progression. Surgical options include instrumentation without fusion for Infantile, also Juvenile forms. There are several options for the Adolescent form but posterior fusion and instrumentation with Harrington distraction rods are the most common. It varies according to the age of the child, the degree of the curve and also the degree of progression. To Note Re.