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Cobb angle measurement of a scoliosis; concave side on the left; convex side on the right Vertebra and curves of the vertebral column. Cobb angle is a common measure to classify scoliosis. The greater the angle, the more serious is the disease but the smaller is the number of patients.
Scoliosis affects 2–3% of the United States population, or about five to nine million cases. [4] A scoliosis (spinal column curve) of 10° or less affects 1.5–3% of individuals. [100] The age of onset is usually between 10 years and 15 years (but can occur younger) in children and adolescents, making up to 85% of those diagnosed.
The management of scoliosis is complex and is determined primarily by the type of scoliosis encountered: syndromic, congenital, neuromuscular, or idiopathic. [1] Treatment options for idiopathic scoliosis are determined in part by the severity of the curvature and skeletal maturity , which together help predict the likelihood of progression.
The Scoliosis Research Society has proposed a range of 40° and 60° as measured between the upper endplate of Th12 and the upper endplate of S1. [18] Individual studies, although using other reference points, have found normal ranges up to approximately 85°. [18] It is generally more pronounced in females. [18]
Adolescent idiopathic scoliosis (AIS) is a disorder in which the spine starts abnormally curving sideways between the ages of 10–18 years old. [ 1 ] [ 2 ] [ 3 ] Generally, AIS occurs during the growth spurt associated with adolescence.
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