Lenke et al reported a classification for adolescent idiopathic scoliosis. Characterizing the features of a patient's scoliosis aids in treatment planning. The authors are from Barnes-Jewish Hospital and Washington University in St. Louis.
Patient selection: adolescent idiopathic scoliosis
Parameters:
(1) proximal thoracic curve pattern
(2) main thoracic curve pattern
(3) distal thorax and lumbar (thoracolumbar-lumbar) curve pattern
Proximal Thoracic
Main Thoracic
Distal Thoracic and Lumbar
Type
nonstructural
structural (major)
1
structural
2
3
(+/-major)
4
5
6
A structural curve pattern has one or both of the following:
(1) a Cobb angle >= 25 degrees on side-bending radiographs
(2) kyphosis of at least 20 degrees
(2a) for proximal thoracic: between second and fifth thoracic level
(2b) for main thoracic:between tenth thoracic and second lumbar
(2c) for thoracolumbar/lumbar: between tenth thoracic and second lumbar
To read more or access our algorithms and calculators, please log in or register.
Specialty: Surgery, orthopedic
