Infantile Scoliosis Clinical Presentation

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



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]