Skip to main content

Adolescent Idiopathic Scoliosis

  • Chapter
  • First Online:
Surgery of the Spine and Spinal Cord

Abstract

Idiopathic scoliosis is a structural three-dimensional deformation of the spine with coronal Cobb angle greater than 10°. Adolescent idiopathic scoliosis (AIS) occurs between the age of 10 years and skeletal maturity. Epidemiological studies estimate a 1–3 % prevalence of idiopathic scoliosis in the adolescent population. However, most curves do not require treatment.

One to 3 % of adolescents have a spinal curve greater than 10° in the coronal plane with an equal repartition among boys and girls. There is an equal prevalence between the sexes for small curves, with increasing female prevalence for larger and progressive curves. At adolescence, the prevalence of curves greater than 40° is less than 0.1 %, with a sex ratio of girls to boys of 10:1.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Weinstein SL, Dolan LA, Wright JG, Dobbs MB (2013) Effects of bracing in adolescents with idiopathic scoliosis. N Engl J Med 369:1512–1521

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Rogala EJ, Drummond DS, Gurr J (1978) Scoliosis: incidence and natural history. A prospective epidemiological study. J Bone Joint Surg Am 60:173–176

    CAS  PubMed  Google Scholar 

  3. Wynne-Davies R (1975) Infantile idiopathic scoliosis. Causative factors, particularly in the first six months of life. J Bone Joint Surg 57:138–141

    CAS  Google Scholar 

  4. Andersen MO, Thomsen K, Kyvik KO (2007) Adolescent idiopathic scoliosis in twins: a population-based survey. Spine (Phila Pa 1976) 32:927–930

    Article  Google Scholar 

  5. Sales de Gauzy J, Ballouhey Q, Arnaud C, Grandjean H, Accadbled F (2010) Concordance for curve type in familial idiopathic scoliosis: a survey of one hundred families. Spine (Phila Pa 1976) 35:1602–1606

    Article  Google Scholar 

  6. Riseborough EJ, Wynne-Davies R (1973) A genetic survey of idiopathic scoliosis in Boston, Massachusetts. J Bone Joint Surg Am 55:974–982

    CAS  PubMed  Google Scholar 

  7. Gorman KF, Julien C, Moreau A (2012) The genetic epidemiology of idiopathic scoliosis. Eur Spine J 21:1905–1919

    Article  PubMed  PubMed Central  Google Scholar 

  8. Axenovich TI, Zaidman AM, Zorkoltseva IV, Tregubova IL, Borodin PM (1999) Segregation analysis of idiopathic scoliosis: demonstration of a major gene effect. Am J Med Genet 86:389–394

    Article  CAS  PubMed  Google Scholar 

  9. Lowe T, Lawellin D, Smith D, Price C, Haher T, Merola A, O’Brien M (2002) Platelet calmodulin levels in adolescent idiopathic scoliosis: do the levels correlate with curve progression and severity? Spine (Phila Pa 1976) 27:768–775

    Article  Google Scholar 

  10. Weinstein JN, Lurie JD, Tosteson TD, Skinner JS, Hanscom B, Tosteson AN, Herkowitz H, Fischgrund J, Cammisa FP, Albert T, Deyo RA (2006) Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA 296:2451–2459

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Cote P, Kreitz BG, Cassidy JD, Dzus AK, Martel J (1998) A study of the diagnostic accuracy and reliability of the Scoliometer and Adam’s forward bend test. Spine (Phila Pa 1976) 23:796–802; discussion 803

    Article  CAS  Google Scholar 

  12. Bunnell WP (1986) The natural history of idiopathic scoliosis before skeletal maturity. Spine (Phila Pa 1976) 11:773–776

    Article  CAS  Google Scholar 

  13. Bunnell WP (1984) An objective criterion for scoliosis screening. J Bone Joint Surg Am 66:1381–1387

    CAS  PubMed  Google Scholar 

  14. Bunnell WP (2005) Selective screening for scoliosis. Clin Orthop Relat Res: 40–45

    Google Scholar 

  15. Ashworth MA, Hancock JA, Ashworth L, Tessier KA (1988) Scoliosis screening. An approach to cost/benefit analysis. Spine (Phila Pa 1976) 13:1187–1188

    Article  CAS  Google Scholar 

  16. Izatt MT, Bateman GR, Adam CJ (2012) Evaluation of the iPhone with an acrylic sleeve versus the Scoliometer for rib hump measurement in scoliosis. Scoliosis 7:14

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lenke LG, Betz RR, Harms J, Bridwell KH, Clements DH, Lowe TG, Blanke K (2001) Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 83-A:1169–1181

    CAS  PubMed  Google Scholar 

  18. Ilharreborde B, Dubousset J, Le Huec JC (2014) Use of EOS imaging for the assessment of scoliosis deformities: application to postoperative 3D quantitative analysis of the trunk. Eur Spine J 23(Suppl 4):S397–S405

    PubMed  Google Scholar 

  19. Chowanska J, Kotwicki T, Rosadzinski K, Sliwinski Z (2012) School screening for scoliosis: can surface topography replace examination with scoliometer? Scoliosis 7:9

    Article  PubMed  PubMed Central  Google Scholar 

  20. Frerich JM, Hertzler K, Knott P, Mardjetko S (2012) Comparison of radiographic and surface topography measurements in adolescents with idiopathic scoliosis. Open Orthop J 6:261–265

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kotwicki T, Durmala J, Czaprowski D, Glowacki M, Kolban M, Snela S, Sliwinski Z, Kowalski IM, Sosort (2009) Conservative management of idiopathic scoliosis – guidelines based on SOSORT 2006 Consensus. Ortop Traumatol Rehabil 11:379–395

    PubMed  Google Scholar 

  22. Takasaki H (1973) Moire topography. Appl Opt 12:845–850

    Article  CAS  PubMed  Google Scholar 

  23. Ramirez N, Johnston CE, Browne RH (1997) The prevalence of back pain in children who have idiopathic scoliosis. J Bone Joint Surg Am 79:364–368

    CAS  PubMed  Google Scholar 

  24. Ghanem IB, Londono C, Delalande O, Dubousset JF (1997) Chiari I malformation associated with syringomyelia and scoliosis. Spine (Phila Pa 1976) 22:1313–1317; discussion 1318

    Article  CAS  Google Scholar 

  25. Duval-Beaupere G, Lamireau T (1985) Scoliosis at less than 30 degrees. Properties of the evolutivity (risk of progression). Spine (Phila Pa 1976) 10:421–424

    Article  CAS  Google Scholar 

  26. Kouwenhoven JW, Castelein RM (2008) The pathogenesis of adolescent idiopathic scoliosis: review of the literature. Spine (Phila Pa 1976) 33:2898–2908

    Article  Google Scholar 

  27. Picault C, deMauroy JC, Mouilleseaux B, Diana G (1986) Natural history of idiopathic scoliosis in girls and boys. Spine (Phila Pa 1976) 11:777–778

    Article  CAS  Google Scholar 

  28. Lonstein JE, Winter RB (1994) The Milwaukee brace for the treatment of adolescent idiopathic scoliosis. A review of one thousand and twenty patients. J Bone Joint Surg Am 76:1207–1221

    CAS  PubMed  Google Scholar 

  29. Potter BK, Kuklo TR, Lenke LG (2005) Radiographic outcomes of anterior spinal fusion versus posterior spinal fusion with thoracic pedicle screws for treatment of Lenke Type I adolescent idiopathic scoliosis curves. Spine (Phila Pa 1976) 30:1859–1866

    Article  Google Scholar 

  30. Weinstein SL, Ponseti IV (1983) Curve progression in idiopathic scoliosis. J Bone Joint Surg Am 65:447–455

    CAS  PubMed  Google Scholar 

  31. Peterson LE, Nachemson AL (1995) Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity. Logistic regression analysis based on data from The Brace Study of the Scoliosis Research Society. J Bone Joint Surg Am 77:823–827

    CAS  PubMed  Google Scholar 

  32. Danielsson AJ (2013) Natural history of adolescent idiopathic scoliosis: a tool for guidance in decision of surgery of curves above 50 degrees. J Child Orthop 7:37–41

    Article  PubMed  Google Scholar 

  33. Chopin, Jouve JL (n.d.) Symposium SOFCOT

    Google Scholar 

  34. Mordecai SC, Dabke HV (2012) Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature. Eur Spine J 21:382–389

    Article  PubMed  Google Scholar 

  35. Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J, Grivas TB, Knott P, Kotwicki T, Maruyama T, Minozzi S, O’Brien JP, Papadopoulos D, Rigo M, Rivard CH, Romano M, Wynne JH, Villagrasa M, Weiss HR, Zaina F (2012) 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 7:3

    Article  PubMed  PubMed Central  Google Scholar 

  36. Lonstein JE, Carlson JM (1984) The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am 66:1061–1071

    CAS  PubMed  Google Scholar 

  37. Noonan KJ, Weinstein SL, Jacobson WC, Dolan LA (1996) Use of the Milwaukee brace for progressive idiopathic scoliosis. J Bone Joint Surg Am 78:557–567

    CAS  PubMed  Google Scholar 

  38. Zaborowska-Sapeta K, Kowalski IM, Kotwicki T, Protasiewicz-Faldowska H, Kiebzak W (2011) Effectiveness of Cheneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity. Scoliosis 6:2

    Article  PubMed  PubMed Central  Google Scholar 

  39. Coillard C, Leroux MA, Zabjek KF, Rivard CH (2003) SpineCor – a non-rigid brace for the treatment of idiopathic scoliosis: post-treatment results. Eur Spine J 12:141–148

    PubMed  Google Scholar 

  40. Coillard C, Vachon V, Circo AB, Beausejour M, Rivard CH (2007) Effectiveness of the SpineCor brace based on the new standardized criteria proposed by the scoliosis research society for adolescent idiopathic scoliosis. J Pediatr Orthop 27:375–379

    Article  PubMed  Google Scholar 

  41. Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, Chow DH, Tam SY (2008) The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 33:1360–1365

    Article  Google Scholar 

  42. Rahman T, Bowen JR, Takemitsu M, Scott C (2005) The association between brace compliance and outcome for patients with idiopathic scoliosis. J Pediatr Orthop 25:420–422

    Article  PubMed  Google Scholar 

  43. Trivedi JM, Thomson JD (2001) Results of Charleston bracing in skeletally immature patients with idiopathic scoliosis. J Pediatr Orthop 21:277–280

    CAS  PubMed  Google Scholar 

  44. Price CT, Scott DS, Reed FR Jr, Sproul JT, Riddick MF (1997) Nighttime bracing for adolescent idiopathic scoliosis with the Charleston Bending Brace: long-term follow-up. J Pediatr Orthop 17:703–707

    CAS  PubMed  Google Scholar 

  45. Katz DE, Richards BS, Browne RH, Herring JA (1997) A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 22:1302–1312

    Article  CAS  Google Scholar 

  46. Nachemson AL, Peterson LE (1995) Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society. J Bone Joint Surg Am 77:815–822

    CAS  PubMed  Google Scholar 

  47. Rowe DE, Bernstein SM, Riddick MF, Adler F, Emans JB, Gardner-Bonneau D (1997) A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis. J Bone Joint Surg Am 79:664–674

    CAS  PubMed  Google Scholar 

  48. Accadbled F, Henry P, de Gauzy JS, Cahuzac JP (2006) Spinal cord monitoring in scoliosis surgery using an epidural electrode. Results of a prospective, consecutive series of 191 cases. Spine (Phila Pa 1976) 31:2614–2623

    Article  Google Scholar 

  49. Gavaret M, Jouve JL, Pereon Y, Accadbled F, Andre-Obadia N, Azabou E, Blondel B, Bollini G, Delecrin J, Farcy JP, Fournet-Fayard J, Garin C, Henry P, Manel V, Mutschler V, Perrin G, Sales de Gauzy J, French Society of Spine Surgery S (2013) Intraoperative neurophysiologic monitoring in spine surgery. Developments and state of the art in France in 2011. Orthop Traumatol Surg Res 99:S319–S327

    Article  CAS  PubMed  Google Scholar 

  50. Olgun ZD, Yazici M (2013) Posterior instrumentation and fusion. J Child Orthop 7:69–76

    Article  PubMed  Google Scholar 

  51. Cotrel Y, Dubousset J, Guillaumat M (1988) New universal instrumentation in spinal surgery. Clin Orthop Relat Res 227:10–23

    CAS  PubMed  Google Scholar 

  52. Sales de Gauzy J, Jouve JL, Ilharreborde B, Blondel B, Accadbled F, Mazda K (2014) Use of the Universal Clamp in adolescent idiopathic scoliosis. Eur Spine J 23(Suppl 4):S446–S451

    Article  PubMed  Google Scholar 

  53. Suk SI, Lee SM, Chung ER, Kim JH, Kim SS (2005) Selective thoracic fusion with segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis: more than 5-year follow-up. Spine (Phila Pa 1976) 30:1602–1609

    Article  Google Scholar 

  54. Belmont PJ Jr, Klemme WR, Dhawan A, Polly DW Jr (2001) In vivo accuracy of thoracic pedicle screws. Spine (Phila Pa 1976) 26:2340–2346

    Article  Google Scholar 

  55. Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD (2004) Free hand pedicle screw placement in the thoracic spine: is it safe? Spine (Phila Pa 1976) 29:333–342; discussion 342

    Article  Google Scholar 

  56. Parent S, Labelle H, Skalli W, de Guise J (2004) Thoracic pedicle morphometry in vertebrae from scoliotic spines. Spine (Phila Pa 1976) 29:239–248

    Article  Google Scholar 

  57. Sucato DJ (2010) Management of severe spinal deformity: scoliosis and kyphosis. Spine (Phila Pa 1976) 35:2186–2192

    Article  Google Scholar 

  58. Dwyer AF, Schafer MF (1974) Anterior approach to scoliosis results of treatment in fifty-one cases. J Bone Joint Surg Br 56:218–224

    CAS  PubMed  Google Scholar 

  59. Moe JH, Purcell GA, Bradford DS (1983) Zielke instrumentation (VDS) for the correction of spinal curvature. Analysis of results in 66 patients. Clin Orthop Relat Res: 133–153

    Google Scholar 

  60. Yaszay B, Jazayeri R, Lonner B (2009) The effect of surgical approaches on pulmonary function in adolescent idiopathic scoliosis. J Spinal Disord Tech 22:278–283

    Article  PubMed  Google Scholar 

  61. Kim YJ, Lenke LG, Bridwell KH, Kim KL, Steger-May K (2005) Pulmonary function in adolescent idiopathic scoliosis relative to the surgical procedure. J Bone Joint Surg Am 87:1534–1541

    Article  PubMed  Google Scholar 

  62. Gitelman Y, Lenke LG, Bridwell KH, Auerbach JD, Sides BA (2011) Pulmonary function in adolescent idiopathic scoliosis relative to the surgical procedure: a 10-year follow-up analysis. Spine (Phila Pa 1976) 36:1665–1672

    Article  Google Scholar 

  63. Lenke LG, Newton PO, Marks MC, Blanke KM, Sides B, Kim YJ, Bridwell KH (2004) Prospective pulmonary function comparison of open versus endoscopic anterior fusion combined with posterior fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 29:2055–2060

    Article  Google Scholar 

  64. Lonner BS, Kondrachov D, Siddiqi F, Hayes V, Scharf C (2006) Thoracoscopic spinal fusion compared with posterior spinal fusion for the treatment of thoracic adolescent idiopathic scoliosis. J Bone Joint Surg Am 88:1022–1034

    Article  PubMed  Google Scholar 

  65. Suk SI, Kim JH, Kim SS, Lee JJ, Han YT (2008) Thoracoplasty in thoracic adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 33:1061–1067

    Article  Google Scholar 

  66. Chen SH, Huang TJ, Lee YY, Hsu RW (2002) Pulmonary function after thoracoplasty in adolescent idiopathic scoliosis. Clin Orthop Relat Res: 152–161

    Google Scholar 

  67. Yilmaz G, Borkhuu B, Dhawale AA, Oto M, Littleton AG, Mason DE, Gabos PG, Shah SA (2012) Comparative analysis of hook, hybrid, and pedicle screw instrumentation in the posterior treatment of adolescent idiopathic scoliosis. J Pediatr Orthop 32:490–499

    Article  PubMed  Google Scholar 

  68. Lykissas MG, Jain VV, Nathan ST, Pawar V, Eismann EA, Sturm PF, Crawford AH (2013) Mid- to long-term outcomes in adolescent idiopathic scoliosis after instrumented posterior spinal fusion: a meta-analysis. Spine (Phila Pa 1976) 38:E113–E119

    Article  Google Scholar 

  69. Sudo H, Ito M, Kaneda K, Shono Y, Abumi K (2013) Long-term outcomes of anterior dual-rod instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis: a twelve to twenty-three-year follow-up study. J Bone Joint Surg Am 95:e49

    Article  PubMed  Google Scholar 

  70. Sudo H, Ito M, Kaneda K, Shono Y, Takahata M, Abumi K (2013) Long-term outcomes of anterior spinal fusion for treating thoracic adolescent idiopathic scoliosis curves: average 15-year follow-up analysis. Spine (Phila Pa 1976) 38:819–826

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jérôme Sales de Gauzy MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Sales de Gauzy, J., Accadbled, F. (2016). Adolescent Idiopathic Scoliosis. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27613-7_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27611-3

  • Online ISBN: 978-3-319-27613-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics