In order to assess the risk of progression, several aspects must be taken into account which may cause the scoliosis to progress:

  • number of curves:  a scoliosis pattern with more curves has a worse prognosis
  • age: the younger the child when scoliosis is detected, the worse the prognosis
  • rotation: the greater the Cobb angle and rotation, the worse the prognosis
  • gender: girls have a worse prognosis than boys
  • signs of puberty: girls whose scoliosis is detected before menarche have a worse prognosis
  • skeletal maturity: skeletally immature adolescents have a greater tendency to deformation
  • sagittal profile: a flat back predisposes to spinal rotation

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