Scoliosis in Juveniles Wheeless

Description: Wheeless' Textbook of Orthopaedics
by definition juvenile scoliosis develops before age 10; - majority of idiopathic curvatures are right thoracic curves; - left thoracic scoliosis is unusual; - clinically, juvenile scoliosis shows slow progression prior to age 10, but after age 10 rapid progression may be found; - diff dx of non progressive curve: - spondyloepiphyseal dysplasia tarda: - osteoid osteoma; - infection; - discitis; - diff dx of progressive curve: - tethered cord: - Arnold Chiari malformation: - hydromyelia: - hydrocephalus: - spinal tumor; - syringomyelia