Adolescent Idiopathic Scoliosis

  • Etiology: idiopathic
  • Imaging: right thoracic curve (dextroscoliosis) = thoracic spine convex right + has compensatory lumbar curve convex left = S-shaped curve
  • Clinical: presents in teens, may not just be adolescent idiopathic scoliosis if there is pain / neurologic signs, rapid change, atypical curves (short / angular, long single, left thoracic apex)

Radiology Cases of Adolescent Idiopathic Scoliosis

Radiograph of adolescent idiopathic scoliosis
AP radiograph of the spine shows a primary curvature of the thoracic spine convex to the right and a compensatory curvature of the lumbar spine convex to the left.