Early onset scoliosis is defined as a spinal deformity occurring before the age of

10 years. Spine has a rapid growth period from birth to 5 years of age. Therefore,

scoliosis may progress rapidly if left untreated during this age. Postural self

resolving scoliosis can usually be differentiated from a progressive scoliosis

using radiographic findings, such as rib vertebra angle difference. Progressive

scoliosis typically needs scoliosis casting under general anaesthesia, which is

very effective treatment method and may even result into curing the condition

in otherwise healthy children (idiopathic infantile scoliosis). When conservative treatment fails and early onset scoliosis progresses to over 50 degrees, is

surgical treatment using growing rods typically needed. Using this approach

scoliosis can be controlled while allowing spinal growth, which is elementary

for normal lung development. Untreated early onset scoliosis results into severe

cardiopulmonary compromise and early death. The risk of complications with

any surgical method is more than 50% and therefore centralized surgical care

is mandatory