Abstract:
STUDY DESIGN:Patients in the scoliosis screening database were analyzed with respect to curve convexity, severity, and outcome, using standard statistical methods. OBJECTIVES:This study assessed whether left thoracic scoliosis is always pathologic and inquired why this is the case. SUMMARY OF BACKGROUND DATA:Left thoracic scoliosis is more significant than the usual right thoracic pattern, but evidence in the literature is circumstantial. METHODS:Prospectively collected data from 1979-1990 was analyzed in the natural history database of the school screening program. RESULTS:Right thoracic pattern was observed in 421 girls, and left thoracic pattern was present in 125 girls. The minimum age at diagnosis was 10 years and the Cobb angle was > 4 degrees. Primary left thoracic patterns were statistically smaller and less progressive. CONCLUSIONS:The left pattern of scoliosis in the absence of overt neuropathology carries a benign prognosis. This contradictory observation is examined in the light of biological asymmetry.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Goldberg CJ,Dowling FE,Fogarty EEdoi
10.1097/00007632-199406000-00013subject
Has Abstractpub_date
1994-06-15 00:00:00pages
1385-9issue
12eissn
0362-2436issn
1528-1159journal_volume
19pub_type
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