Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

Ā© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Paediatrics
intermediate
X-Type

Early-Onset Scoliosis - Management Principles

Early-Onset Scoliosis

A 2-year-old boy is referred with progressive thoracic scoliosis first noted at 6 months of age. Cobb angle measures 45 degrees with a rib-vertebral angle difference (RVAD) of 25 degrees. He has no underlying syndromic features, neuromuscular disorder, or congenital vertebral anomalies. Spine MRI is normal. His parents are concerned about lung development. Regarding early-onset scoliosis and Mehta casting:

Mark each as TRUE or FALSE

A

Early-onset scoliosis (EOS) is defined as scoliosis diagnosed before age 10 years; the critical peri...

B

Infantile idiopathic scoliosis (onset before age 3) has a male predominance, left-sided thoracic cur...

C

Mehta elongation-derotation-flexion (EDF) casting is the primary treatment for progressive infantile...

D

Serial casting should be continued until skeletal maturity regardless of curve response; bracing has...

E

MRI of the entire spine is mandatory before treatment to exclude neural axis abnormalities (syringom...

Answer the questions to see explanations

Click T (True) or F (False) for each option