Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
As with congenital scoliosis, there is potential for defects in other organ systems. After X-rays confirm the diagnosis, the physician may order additional tests to determine if occult abnormalities are present in the spinal cord, kidneys, cardiac or gastrointestinal system. The MRI provides additional information regarding the abnormal growth potential and may assist in predicting progression of the spinal deformity (see Figure 1).
From a clinical perspective, it is important to monitor the child’s leg strength and ability to walk. More severe kyphosis can place significant pressure on the spinal cord causing myelopathy (spinal cord compression). Young children may be perceived as being late walkers when they actually have spinal cord compression. In most instances, however, there is not significant pressure on the nerves.