Juvenile idiopathic scoliosis is classically defined as scoliosis that is first diagnosed between the ages of 4 and 10. This category comprises about 10% to 15% of all idiopathic scoliosis in children. At the younger end of the spectrum, boys are affected slightly more than girls and the curve is often left-sided. Towards the upper end of the age spectrum, the condition is more prevalent in girls and the curve tends to be right sided. Children with juvenile scoliosis generally have a high risk of progression of their curve. Seven out of ten children with this condition will worsen and require active treatment with scoliosis bracing.
One of our juvenile scoliosis patients who came in when she was two-years-old and was first braced. Her primary curve reduced from 44° to 27° in 4 months. From left: first brace fitting, review of first brace and second brace fitting.Gensingen Brace by Dr Weiss® view from the back.
Treatment of Juvenile Scoliosis
In juvenile scoliosis where there are curves between 10 and 25 degrees, Schroth physiotherapy may be able to make some correction or control the curve. However once the curve is greater than 25 degrees it is usually too large for physiotherapy alone to manage and physio in conjunction with scoliosis bracing is recommended.
As with adolescent scoliosis LOC treats juvenile scoliosis with an evidence based treatment package which includes the Gensingen Brace by Dr Weiss® and Schroth physiotherapy. Depending on the age of the child parents may well need to help them follow their recommended postural activities. Once correction of the curve has been achieved scoliosis bracing may be discontinued for one or more years with a return to observation. As the child begins an adolescent growth spurt, he/she will likely be re-braced to maintain the previously achieved correction of the curve.
Juvenile Scoliosis case study pre-Gensingen Brace by Dr Weiss® (left) and out of brace X-ray following six months of treatment.
The above scans are from a three-year-old boy with juvenile idiopathic scoliosis. He first came to us with a single thoracic curve and was hypermobile. He was fitted with a bespoke brace and had custom foot orthotics fitted to aid with his hypermobile pes planus (flat feet). He responded to bracing incredibly well and is currently wearing it for 23 hours a day, even at preschool.