Demystifying Scoliosis: Q&A Part 2

Continuing to address common questions about scoliosis for patients, parents, and families:

  • What causes scoliosis? Scoliosis can have various causes. Adolescent idiopathic scoliosis — the most common form — has no identified single cause. Other forms are congenital (from vertebral malformations present at birth) or neuromuscular (associated with conditions like cerebral palsy or muscular dystrophy).
  • Is scoliosis noticeable? It depends on the severity. Mild curves often produce no visible change. Larger curves may cause uneven shoulder height, a prominent shoulder blade, an uneven waistline, or a rib hump visible when bending forward.
  • Can scoliosis be prevented? Scoliosis cannot be prevented, but early detection significantly improves treatment options and outcomes. Screening during adolescent growth is important precisely because it identifies curves while they are still manageable.
  • How is scoliosis diagnosed? Diagnosis involves a clinical examination — including the Adams forward bend test — and standing X-rays to measure the Cobb angle. The Cobb angle is the standard way to quantify how much the spine curves.

About Dr. Zeeshan Sardar
Dr. Sardar, MD, MSc, F.R.C.S.C, is Co-Chief of Spinal Deformity Surgery at NewYork-Presbyterian / Columbia University, specializing in scoliosis in adolescents and adults, kyphosis, and complex spinal deformity. To schedule a consultation, call 212-932-5187 or visit the contact page.

This post is for educational purposes only and does not constitute individualized medical advice. Please consult a qualified spine specialist to discuss your specific condition.

Published by Dr. Zeeshan Sardar, MD, MSc, F.R.C.S.C

Dr. Zeeshan Sardar is Co-Chief of Spinal Deformity Surgery, Director of Quality & Patient Safety, and Medical Director of the Spine Unit at Och Spine Hospital, NewYork-Presbyterian / Columbia University. Board-certified in orthopaedic surgery, he completed three spine fellowships — combined orthopedic and neurosurgical spine (Cedars-Sinai), artificial disc replacement (Texas Back Institute), and complex spinal deformity (Columbia) — and specializes in scoliosis, kyphosis, complex revision and Harrington rod revision surgery, and motion-preserving and robotic-assisted spine surgery. He is a member of the Scoliosis Research Society.

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