Patient Cases: Adolescent Idiopathic Scoliosis

This is a 14-year-old girl who first saw Dr. Vitale when she was 12 years old. Her thoracic curve was 42 degrees, and her lumbar curve was 75 degrees. When the major curve is lumbar and the thoracic curve is “non-structural,” this case of Idiopathic Scoliosis is called a “Lenke Type 5 Scoliosis.” Due to the size of her lumbar ... MORE >

This patient is now a 14 year old who first saw Dr. Vitale when she was 12 years old. At that time, she had a 43 degree thoracic curve and a 57 degree lumbar curve. The family was given options and risks and benefits of a fusion versus AVBT. The family decided to proceed forward with a lumbar AVBT. This ... MORE >

The patient is a 12-year-old girl who was diagnosed with Idiopathic Scoliosis when she was 8 years old. Her thoracic curve measured 24 degrees when she was 9 years old and was put in a scoliosis brace to slow the curve progression while allowing her to continue growing. However, her scoliosis progressed and at the age of 12 she progressed ... MORE >

Adolescent Idiopathic Scoliosis, Scoliosis bracing This patient is a 14-year-old girl who first saw Dr. Vitale when she was 11 years old. At the time, her thoracic curve was 20 degrees, and the lumbar curve was 33 degrees. Due to being skeletally immature with a curve between 25 and 45 degrees, Dr. Vitale opted to treat her with full time scoliosis ... MORE >

This patient is now a 17 year old who we first evaluated when she was 13 years old. At that time, she had a 29 degree thoracic curve and a 38 degree lumbar curve. She did bracing and schroth. She had difficulties with both due to availability during Covid-19 as well as not able to wear the brace full time ... MORE >

Jack came to us as a second opinion at the age of 9. He had recently been diagnosed but wanted another opinion. He had 21 and 20 degree curves at that time. He started with Schroth physical therapy and did great with this. A year later his curve progressed and he was prescribed a Rigo Cheneau N brace which is a ... MORE >

Mia is a young woman who came to us at 14 year old as a second opinion. She also had some back pain. She had her growth spurt ahead of her but already had a 54 degree curve. I recommended a posterior spinal fusion. She had a fusion from T4-L3 with plastic surgery closure.... MORE >

Isabella was ten years old when she first came to our office upon the recommendation of her pediatrician for suspected scoliosis. Isabella is very active playing tennis and soccer. Isabella clinically appeared to have slight asymmetries at her shoulder and flank. Her X-rays showed curves measuring 29, 22, and 16 degrees. Upon discussion of natural history of scoliosis during rapid growth, ... MORE >

This patient is an 18 year old who we met when she was 13 years old. She had curves measuring 29 and 31 degrees. We recommended bracing and Schroth PT. She wore the brace on average 18 hours a day and did Schroth PT with Gail Fennell. Her curves continued to decrease with the bracing and Schroth protocol. At the ... MORE >

This is a 14 year old with Adolescent Idiopathic Scoliosis. She had recently been diagnosed and came to our office for a second opinion. She had no complaints of pain. Preoperatively, she had a main lumbar curve of 51 degrees with a compensatory thoracic curve of 18 degrees. She had a fusion from T8-L4 and doing great post operatively. She ... MORE >