Juvenile Idiopathic Scoliosis

• age 3-10
• similar to adolescent, often associated with intraspinal abnormality, most often syringomyelia and Arnold-Chiari malformations.
• 70% of curves progress

Juvenile Scoliosis Xray

• MRI indicated

Juvenile Scoliosis Treatment

• Serial casting for progressive curve >25 degrees followed by CTLSO or TLSO
• Growing rod for curves >60 degrees.  Will eventually require A/PSFI
• see Also AIS.