Infantile idiopathic scoliosis is diagnosed between the ages of 0 to 3 years. It is the least common of all idiopathic scoliosis with no known cause. Many will resolve without treatment, however in larger curves, this is less likely and treatment is more likely needed.
Infants should always have a complete neurological examination and MRI or CT scan performed to rule out any underlying neurological condition or disease process.
Treatment options may include observation in smaller curves under 20 degrees. In flexible curves over 20 degrees, full time bracing can be applied for 2 to 3 years and then reviewed as growth stabilises. In more rigid curves, repeated serial casting is required to help minimize development and the need for surgery.
Surgery, is always the last choice of treatment for infantile scoliosis, however it may be recommended if bracing and casting fail to stop the scoliosis from progressing.