Early onset scoliosis

FrequencyEarly onset scoliosis is rare and occurs in approximately 1 in 1,000 children.

CauseIn many cases, there is no clear cause for early onset scoliosis. Sometimes the curvature of the spine occurs in connection with other diseases or syndromes. Congenital bony malformations rarely lead to early onset scoliosis.

Congenital or acquiredEarly onset scoliosis is rarely due to congenital malformations of the spine. More frequently, there is an underlying disease which leads to a curvature of the spine during growth.

Children with early onset scoliosis often have a visible curvature of the spine and upper body, which can worsen over time. Sometimes the curvatures can also lead to back pain.

ConservativeSometimes it is enough just to observe the progression. To do this, examinations and x-rays of the back are taken at regular intervals. If the curvature is more severe, corsets or plasters are used to prevent the curvature from increasing. Exercises that strengthen the back muscles can also help.

SurgicalIf the curvature becomes too great, surgery may be necessary. This involves stabilising the spine with screws and rods to correct the curvature and stop the progression. In order to allow the spine to continue to grow, these rods can be lengthened regularly or grow automatically with the spine.

Prognosis without treatmentIf scoliosis is not treated, it can get worse and lead to more serious problems, such as pain or difficulty breathing.

Prognosis with treatmentWith the right treatment, especially if it starts early, the curvature of the spine can be stopped or even improved. Many children can lead a normal life after treatment, without major restrictions.