Infantile Scoliosis Clinical Presentation

Updated: Nov 01, 2019
  • Author: Palaniappan Lakshmanan, MBBS, MS, AFRCS, FRCS(Tr&Orth); Chief Editor: Jeffrey D Thomson, MD  more...
  • Print
Presentation

History and Physical Examination

Infantile scoliosis usually is detected during the first year of life either by the parents or by the pediatrician during routine examination of the infant. Usually, a single long thoracic curve to the left is present; less often, a thoracic and lumbar double curve is noted. A child who is diagnosed with scoliosis requires a thorough clinical and radiologic examination to exclude any congenital, muscular, or neurologic causes.

Next:

Complications

Other conditions may occur in conjunction with infantile scoliosis. In a review that included 81 patients who were treated with casting for idiopathic early-onset scoliosis (mean age at first cast, 19.3 ± 7.5 months; mean Cobb angle, 53.6º ± 18.8º), Talmage et al reported nine patients (11.1%) who met radiographic criteria for hip dysplasia, 36 (44.4%) who met the criteria of having at least one hip "at risk" for hip dysplasia. 10 (12.3%) who were diagnosed with torticollis, 13 (16.0%) who were diagnosed with plagiocephaly, and three patients (3.7%) who were diagnosed with metatarsus adductus or clubfoot. In all, 30.9% of patients (25/81) had at least one of these comorbid conditions. [10]

Previous