Snapshot A 12-year-old girl presents to her pediatrician’s office for an annual visit. She reports that she feels like her body is not symmetric, but has attributed this to a growth spurt and growing pains. On physical exam, there is subtle curvature of her spine. When she bends forward, there is some bony prominences from her ribs and curvature of the spine. Inclinometer shows > 7° of curvature. She is sent for radiography, which confirms the diagnosis. Introduction Clinical definition login to view 2 more bullets Epidemiology login to view 9 more bullets Pathogenesis login to view 1 more bullet Associated conditions login to view 3 more bullets Prognosis login to view 1 more bullet Presentation Symptoms login to view 4 more bullets Physical exam login to view 7 more bullets Imaging Radiographs login to view 7 more bullets Studies Making the diagnosis login to view 1 more bullet Differential Spinal curvature due to unequal leg length login to view 2 more bullets Tethered cord syndrome login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 3 more bullets Non-operative login to view 3 more bullets Operative login to view 4 more bullets Complications Restrictive lung disease Chronic back pain