Congenital Scoliosis

Etiology: vertebral body segmentation anomaly – hemivertebra, block vertebra, rib fusion

Radiology Cases of Congenital Scoliosis

Radiograph and tomogram of congenital scoliosis due to congenital bar
AP radiograph of the lumbar spine (left) demonstrates a curvature of the thoracolumbar spine convex to the left caused by a fusion of the right sided pedicles of the L1 and L2 vertebral bodies which is better demonstrated on the tomographic image (right).
CXR of congenital scoliosis due to hemivertebra
CXR AP shows a round soft tissue density in the superior and medial aspect of the right hemithorax which was found on cross sectional imaging to be in the posterior mediastinum, along with multiple hemivertebra segmentation anomalies of the lower cervical and upper thoracic spine causing a curvature of the upper thoracic spine convex to the right.
CXR of congenital scoliosis due to rib fusion
CXR AP shows multiple left-sided anterior and multiple right-sided posterior rib fusions and a mild curvature of the spine convex left resulting in a small thorax.