James's 1954 retrospective review of 241 mature cases of idiopathic scoliosis examines how the anatomical site of the primary curve and the patient's age at onset together determine the final degree of curvature — and therefore the prognosis and need for surgery.
When evaluating a child with idiopathic scoliosis, prioritize assessment of curve location and age at presentation - thoracic curves with early onset warrant the most aggressive monitoring and lowest threshold for intervention.
James's 1954 retrospective review of 241 mature cases of idiopathic scoliosis examines how the anatomical site of the primary curve and the patient's age at onset together determine the final degree of curvature — and therefore the prognosis and need for surgery.
When evaluating a child with idiopathic scoliosis, prioritize assessment of curve location and age at presentation - thoracic curves with early onset warrant the most aggressive monitoring and lowest threshold for intervention.