Idiopathic Scoliosis Questions & Answers

Updated: Jan 03, 2023
  • Author: Charles T Mehlman, DO, MPH; Chief Editor: Jeffrey A Goldstein, MD  more...
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Questions & Answers

Overview

What is idiopathic scoliosis?

How is idiopathic scoliosis classified?

What is the historical background of idiopathic scoliosis?

What is the postnatal developmental anatomy of the spine relative to idiopathic scoliosis?

What is the relevant anatomy in idiopathic scoliosis?

What is the prenatal developmental anatomy of the spine relative to idiopathic scoliosis?

What is the pathophysiology of idiopathic scoliosis?

What causes idiopathic scoliosis?

What is the research on the causes of idiopathic scoliosis?

How common is idiopathic scoliosis?

Is idiopathic scoliosis more common in males or females?

What is the role of curve magnitude in the prognosis of idiopathic scoliosis?

What is the psychological impact of idiopathic scoliosis?

Does childhood idiopathic scoliosis cause low-back pain in adulthood?

What have studies found regarding the prognosis of idiopathic scoliosis?

Presentation

What is the clinical history in patients with idiopathic scoliosis?

What is evaluated in the physical exam of patients with idiopathic scoliosis?

Workup

Which lab studies are used in the workup of idiopathic scoliosis?

What is the role of radiography in the workup of idiopathic scoliosis?

What is the role of MRI in the workup of idiopathic scoliosis?

What is the role of ultrasonography in the workup of idiopathic scoliosis?

What is the role of pulmonary function studies in the workup of idiopathic scoliosis?

What is the role of school-based screening in detecting idiopathic scoliosis?

What is the role of computerized photogrammetry in the workup of idiopathic scoliosis?

What are the histologic findings in idiopathic scoliosis?

Treatment

What are the approach considerations in the treatment of idiopathic scoliosis?

What are the approach considerations in the treatment of idiopathic scoliosis?

How is infantile idiopathic scoliosis distinguished from juvenile and adolescent idiopathic scoliosis?

When is treatment indicated in infantile idiopathic scoliosis?

How is infantile idiopathic scoliosis treated?

What are the characteristics of juvenile idiopathic scoliosis?

When is treatment indicated in juvenile idiopathic scoliosis?

What are the characteristics of adolescent idiopathic scoliosis?

What is the Lenke classification of adolescent idiopathic scoliosis?

When is treatment indicated in adolescent idiopathic scoliosis?

What is the medical therapy for treatment of idiopathic scoliosis?

What is the research on medical therapy for idiopathic scoliosis?

What is the psychological impact of idiopathic scoliosis?

What is the rate of compliance with brace regimens in the treatment of idiopathic scoliosis?

Are TLSO braces an effective treatment for idiopathic scoliosis?

What are the contraindications to treatment for idiopathic scoliosis?

What are the goals of surgery foir idiopathic scoliosis?

What is the role of instrumentation in the surgical treatment of idiopathic scoliosis?

What is the role of video-assisted thoracoscopic surgery (VATS) in the treatment of idiopathic scoliosis?

What is the role of the ankle clonus test as an intraoperative assessment in the treatment of idiopathic scoliosis?

What are the preoperative considerations in the surgical treatment of idiopathic scoliosis?

What is the Scoliosis Research Society definition of thoracolumbar idiopathic scoliosis?

What is the surgical approach in the treatment of idiopathic scoliosis?

What is the role of pedicle screws in the surgical treatment of idiopathic scoliosis?

What is the role of preoperative pulmonary function testing in the treatment of idiopathic scoliosis?

How is blood loss managed in the surgical treatment of idiopathic scoliosis?

How is the posterior approach of surgical treatment for idiopathic scoliosis performed?

What are the anterior approach strategies in the surgical treatment of idiopathic scoliosis?

How is the anterior approach of surgical treatment for idiopathic scoliosis performed?

What is the postoperative care following surgery for idiopathic scoliosis?

How common are complications in the surgical treatment of idiopathic scoliosis?

What are the possible intraoperative complications of surgery for idiopathic scoliosis?

What risks are associated with postoperative activity level or trauma following surgery for idiopathic scoliosis?

What is the risk for postoperative infection in the treatment of idiopathic scoliosis?

What is the crankshaft phenomenon complication in the surgical treatment of idiopathic scoliosis?

What is the risk of low back pain following surgery for idiopathic scoliosis?

How common is interscapular pain following surgery for idiopathic scoliosis?

What is the risk for pulmonary complications following surgery for idiopathic scoliosis?

What is the risk for pseudarthrosis following surgery for idiopathic scoliosis?

Guidelines

What are the SOSORT guidelines for idiopathic scoliosis bracing during growth?

What are the SOSORT guidelines for prevention of idiopathic scoliosis progression during growth?

What are the SOSORT guidelines for use of physiotherapeutic scoliosis-specific exercises (PSSEs) during bracing and surgical treatment of idiopathic scoliosis?

What are the SOSORT guidelines for use of manual therapy in the treatment of idiopathic scoliosis?

What are the SOSORT guidelines for correction of real leg-length discrepancy in the treatment of idiopathic scoliosis?