Please use this identifier to cite or link to this item: https://doi.org/10.4103/0019-5413.58601
Title: The natural history of adolescent idiopathic scoliosis
Authors: Wong, H.-K. 
Tan, K.-J.
Keywords: Adolescent idiopathic scoliosis
Curve progression
Natural history
Issue Date: 1-Jan-2010
Citation: Wong, H.-K., Tan, K.-J. (2010-01-01). The natural history of adolescent idiopathic scoliosis. Indian Journal of Orthopaedics 44 (1) : 9-13. ScholarBank@NUS Repository. https://doi.org/10.4103/0019-5413.58601
Abstract: There have been great advances in the conservative and surgical treatment for adolescent idiopathic scoliosis in the last few decades. The challenge for the physician is the decision for the optimal time to institute therapy for the individual child. This makes an understanding of the natural history and risk factors for curve progression of significant importance. Reported rates of curve progression vary from 1.6% for skeletally mature children with a small curve magnitude to 68% for skeletally immature children with larger curve magnitudes. Although the patient's age at presentation, the Risser sign, the patient's menarchal status and the magnitude of the curve have been described as risk factors for curve progression, there is evidence that the absolute curve magnitude at presentation may be most predictive of progression in the long term. A curve magnitude of 25 at presentation may be predictive of a greater risk of curve progression. Advances in research may unlock novel predictive factors, which are based on the underlying pathogenesis of this disorder.
Source Title: Indian Journal of Orthopaedics
URI: http://scholarbank.nus.edu.sg/handle/10635/107970
ISSN: 00195413
DOI: 10.4103/0019-5413.58601
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