A patient who was scalded over the back during early childhood may develop scar-related scoliosis during adolescence.
Clinical features:
(1) The patient has a history of scalding over the back during infancy or early childhood.
(2) There is a rapid progression of scoliosis during the adolescent growth spurt.
(3) The convex aspect of the scoliosis curve is the side without scar contracture or with less scarring. A dense band of scarring may cause a "bow string" effect.
(4) There is pelvic obliquity, with the iliac crest higher on the side with the scar contracture.
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