Abstract
Orthopaedic treatment for idiopathic scoliosis in adolescence is indicated with a curve of ≥ 20° and a Risser score ≤ 4, because progression of curve is low with Risser scores > 4. We present the case of a young man with a left lumbar idiopathic scoliosis (T12–L4) with a curve of 10°, which was stable from 13 years (Risser 0) to 16 years old (Risser 4). The scoliosis progressed quickly after a Risser score of 4 was achieved. The man had been wearing a lift on the left foot since he was 13, because of a leg length discrepancy, and had been under clinical and radiological monitoring. When the boy reached 17 years, the scoliosis rapidly progressed, to a curve of 22° and a Risser score of > 4. The scoliosis was effectively treated with a Boston brace. At 20 years, the Risser score was 5, and the left lumbar curve was 13° after discontinuing the use of the brace. To our knowledge, no scientific reference indicates a time limit to orthopaedic treatment for idiopathic adolescent scoliosis. Despite the experts' recommendations, a brace might be indicated with a Risser score ≥ 4 to stop the progression of the curve.
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