Infantile Scoliosis
A 14-month-old male infant is referred with a thoracic scoliosis first noticed by the mother at 8 months of age. The curve measures 32 degrees on standing radiograph. The infant has no syndromic features, normal neurological examination, and no family history of scoliosis. The spine radiograph shows a left-sided thoracic curve. Regarding infantile idiopathic scoliosis and prognostic indicators:
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Infantile idiopathic scoliosis is defined as scoliosis presenting before age 3 years with no identif...
The rib-vertebral angle difference (RVAD) of Mehta is the key prognostic indicator; RVAD greater tha...
Up to 90% of infantile idiopathic curves less than 25 degrees with Phase 1 RVAD will resolve spontan...
All infantile curves require immediate treatment with serial casting regardless of magnitude; MRI is...
MRI of the entire spine is mandatory before initiating treatment for infantile scoliosis; neural axi...
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