Adolescent Idiopathic Scoliosis

1. Regarding Adolescent Idiopathic Scoliosis (AIS), mark each statement true or

false.
a. Curvature exceeding >10 degrees in coronal plane
b. Majority of them are lumbar curves
c. Observation for curves less than 20 degrees in the presence of
substantial remaining growth
d. Curve of 45 degrees at maturity can be observed
e. Peak height velocity follows menarche

Key:
TFTTF
Majority (60%) are thoracic curves
Curve magnitude
- 20 degrees : observation
- 20-45 degrees: spinal orthotic
- >50 degrees: surgery
Curves of magnitude >50 degrees at maturity are likely to progress over the time and
is preferably managed with surgery.
Peak height velocity is followed by menarche.
Risser sign: Risser sign is a classic marker for skeletal maturity and is defined as the radiographic
ossification of the iliac apophysis.

2.

Patient with Risser grade 2, within a year after menarche, with a curve of 25 degrees is best
treated as per Scoliosis Research Society (SRS) criteria by:
a.
b.
c.
d.

Observation
Spinal orthotic
Surgery
Initially brace but will need surgery in a year as this curve progresses to 50 degrees
before maturity

Key:
B
The SRS criteria for bracing are curves 25 to 45 in patients who are Risser grade 0, 1, or 2 and less
than 1 year postmenarchal if female.