How is scoliosis classified?
Idiopathic scoliosis is the most common form of
scoliosis. There may be a genetic component involved but, as the name implies,
the cause is unknown. Idiopathic scoliosis can be divided into three different
types: infantile, juvenile, and adolescent.
Infantile idiopathic scoliosis is diagnosed
between birth and 3 years of age and has a higher incidence among boys. The
majority of these curves will resolve sponta-neously without treatment. The
curves of infantile idio-pathic scoliosis are thought to be secondary to
molding in utero.
Juvenile idiopathic scoliosis is diagnosed
between the ages of 4 and 10 years and is more evenly distributed between males
and females.
Adolescent idiopathic scoliosis occurs between
the age of 10 years and skeletal maturity, and is more commonly seen in
females.
There are many causes and associated conditions
in which scoliosis may occur. A classification of scoliosis is shown in Table
52.1.
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