Classification of Idiopathic Scoliosis

Chronological (SoE: V) Angular (SoE:VI) Topographic (SoE: V)

Age at diagnosis Cobb degress Apex
(years.months)
from To
Infantile 0-2 Low Up to 20 Cervical - Disc C6-7
Juvenile 3-9 Moderate 21-35 Cervico- C7 T1
thoracic
Adolescent 10-17 Moderate 36-40 Thoracic Disc T1-2 Disc T11-
to severe 12
Adult 18+ Severe 41-50 Thoraco – T12 L1
lumbar
Severe to 51-55 Lumbar Disc L1-2
very
severe
Very 56 or
severe more
 Factors as possible determinants of a higher
risk of scoliosis progression
Degress of cobb At the beginning of At the age of peak During the final
angle puberty height growth (13 stage of puberty (at
years of osseous age least Risser grade II)
in girls)
10º 20% 10% 2%
20º 60% 30% 20%
30º 90% 60% 30%

•Sex, female>male, within 12 month after

menses,
•Angle of trunk rotation exceeding 10°
•Growth spurt
•Family history
•Curve location :
•Laxity of skin and joints,
• Double curve progress more than
•Flattening of physiological thoracic
single
kyphosis (impedes efficient bracing)
• Apex T12 or above > progress than
isolated lumbar curve