Congenital Scoliosis can be defined as a sideways curvature of the spine due to a deformity present at birth. This means that the child’s spinal cord did not develop properly doing the initial four to five months of fetal growth. The condition is characterized by a twisted or rotated spine, which usually resembles the letter ‘C’ or ‘S’. Though the deformity is innate, the symptoms may not become apparent until the child attains adolescence.


  • One or more of the spinal vertebrae may form partially or completely fail to develop
  • Bones may not get separated as they should be
  • Absence of one or more bones in the spine
  • Formation of compensatory curves in the spine to balance the
  • Scoliotic curves


  • Tilted or uneven shoulders
  • One shoulder blade may protrude more than the other
  • The head or upper body may tilt to either side
  • One hip may be higher than another
  • Uneven waistline
  • Tilted pelvis
  • Prominence of ribs on one side


  • To diagnose Congenital Scoliosis, the spine surgeon may evaluate the child’s medical and family history.
  • He may conduct a physical examination to look for the apparent symptoms.
  • He may also check the reflexes in the abdomen and legs to rule out any nerve problem. I
  • maging tests such as X-ray, CT scan, MRI and ultrasound may be performed to detect the exact abnormality that has led to the development of Scoliosis.


  • If the scoliotic curve is much not significant, the spine specialist may monitor its progression by conducting X-rays after every few months during the growing years.
  • Braces or cast may be used to treat a curve between 25 and 40 degrees.
  • It may help to reduce the pressure on the spine and keep it in a more aligned position.
  • Surgical intervention may be required for children who:
  • Have significantly abnormal curves
  • Have curves that are worsening with growth
  • Have developed an abnormality of the spine
  • Are experiencing neurological problems, weakness, numbness or a loss of coordination due to the deformity
  • The spine surgeon may recommend spinal fusion to join the underdeveloped vertebrae so that they heal into a single bone. If the child is young, a ‘growing’ rod may be attached to the spine above and below the curve. After every few months, the surgeon may lengthen the rod to allow continued growth of the spine.
  • Once the child has completely grown, a spinal fusion may be performed.