The patient reported a probable family history of scoliosis with both her mother and father experiencing back pain and showing signs of spinal deformity.
The patient completed the Scoliosis Research Society questionnaire (SRS-22r), which revealed decreased scores compared to normal in the pain and self-image domains.
Upon examination, there was a left curvature of the spine in the thoracolumbar region, apparent pelvic obliquity, and the appearance of an increase in the kyphosis angle in the thoracic spine (Figure 1).
The patient had a set of recent x-rays (Figure 2) that showed a left 19° thoracolumbar scoliosis with an apex at T12.
The patient’s thoracic kyphosis measured 42° which is in the high normal range (20-45°) for her age.
These x-rays demonstrated a clinically significant progression in the patient’s scoliosis since the last radiographic review.
The tri-radiate cartilage was still open on these films indicating that the patient was Risser 0 and still had a substantial amount of growth ahead of her.
A diagnosis of juvenile idiopathic scoliosis with progression in adolescence was made.