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ScoliosisOpen pop-up dialog box

Scoliosis is a sideways curvature of the spine that occurs most often during the growth
spurt just before puberty. While scoliosis can be caused by conditions such as cerebral
palsy and muscular dystrophy, the cause of most scoliosis is unknown. About 3% of
adolescents have scoliosis.

Most cases of scoliosis are mild, but some spine deformities continue to get more
severe as children grow. Severe scoliosis can be disabling. An especially severe spinal
curve can reduce the amount of space within the chest, making it difficult for the lungs
to function properly.
Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the
curve is getting worse. In many cases, no treatment is necessary. Some children will
need to wear a brace to stop the curve from worsening. Others may need surgery to
keep the scoliosis from worsening and to straighten severe cases of scoliosis.

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Symptoms

Signs and symptoms of scoliosis may include:

 Uneven shoulders

 One shoulder blade that appears more prominent than the other

 Uneven waist

 One hip higher than the other

If a scoliosis curve gets worse, the spine will also rotate or twist, in addition to curving
side to side. This causes the ribs on one side of the body to stick out farther than on the
other side.

When to see a doctor

Go to your doctor if you notice signs or symptoms of scoliosis in your child. Mild curves,
however, can develop without the parent or child knowing it because they appear
gradually and usually don't cause pain. Occasionally, teachers, friends and sports
teammates are the first to notice a child's scoliosis.

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Causes
Doctors don't know what causes the most common type of scoliosis — although it
appears to involve hereditary factors, because the disorder tends to run in families. Less
common types of scoliosis may be caused by:

 Neuromuscular conditions, such as cerebral palsy or muscular dystrophy

 Birth defects affecting the development of the bones of the spine

 Injuries to or infections of the spine

Risk factors

Risk factors for developing the most common type of scoliosis include:

 Age. Signs and symptoms typically begin during the growth spurt that
occurs just prior to puberty.

 Sex. Although both boys and girls develop mild scoliosis at about the same
rate, girls have a much higher risk of the curve worsening and requiring
treatment.

 Family history. Scoliosis can run in families, but most children with


scoliosis don't have a family history of the disease.

Complications

While most people with scoliosis have a mild form of the disorder, scoliosis may
sometimes cause complications, including:

 Lung and heart damage. In severe scoliosis, the rib cage may press
against the lungs and heart, making it more difficult to breathe and harder
for the heart to pump.

 Back problems. Adults who had scoliosis as children are more likely to


have chronic back pain than are people in the general population.

 Appearance. As scoliosis worsens, it can cause more noticeable changes


— including uneven hips and shoulders, prominent ribs, and a shift of the
waist and trunk to the side. Individuals with scoliosis often become self-
conscious about their appearance.
By Mayo Clinic Staff

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Diagnosis & treatment
June 22, 2019
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Related

 Scoliosis

 Scoliosis brace

 Straightening Scoliosis

Associated Procedures

 MRI

 Spinal fusion

 X-ray

News from Mayo Clinic

 Mayo Clinic Minute: Scoliosis is not just for kidsMay 04, 2021, 04:15 p.m. CDT

 Mayo Clinic Q and A: Scoliosis most often develops during growth spurt just
before pubertyDec. 03, 2019, 04:00 p.m. CDT

 #MayoClinicRadio podcast: 10/5/19Oct. 07, 2019, 06:00 p.m. CDT

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