| Scoliosis & Spine |

What Is Scoliosis?
Scoliosis is a progressive condition causing the spine to curve or twist into a “C” or “S” shape. Signs and symptoms of scoliosis include uneven shoulders, a prominence of the shoulder blade and waistline discrepancies. Scoliosis is reported to affect two to three percent of school-age children. It appears most often in adolescent girls and has shown a tendency to run in families. There are many types of scoliosis, including:
- Idiopathic scoliosis – Girls are eight times more likely to develop it than boys; Idiopathic is the most common type of scoliosis.
- Early onset scoliosis – Occurs before the age of 5 and more often in boys
- Congenital scoliosis – Present at birth when some parts of the spine are misshapen
- Neuromuscular scoliosis – Scoliosis caused by a neurological condition
Scoliosis and TSRHC
In April 2007, researchers at TSRHC identified the first gene - CHD7 - associated with idiopathic scoliosis. The gene discovery was the result of a 10-year study conducted led by Carol Wise, Ph.D. and is outlined in the May 2007 issue of the American Journal of Human Genetics. This discovery will help TSRHC researchers and doctors better understand the factors that lead to curve progression in children and teens and ultimately find its genetic cause.
TSRH® Spinal Systems
In the mid-1980s, TSRHC researchers developed a surgical tool that does not require bracing or casting after surgery, thereby reducing recovery time. During this time, the TSRH® Spinal System became the most widely used implant system in the world for spinal deformity. In 2005, TSRHC modified its original spinal system to create the TSRH® SILO™ 5.5 Spinal System, which is smaller, more versatile and allows for improved treatment of scoliosis.
The most common form of scoliosis is idiopathic, meaning there is no known cause. Despite some popular beliefs, scoliosis does not result from carrying heavy items, athletic activity, sleeping/standing postures, or minor lower limb length discrepancies. Researchers at TSRHC identified the first gene – CHD7 – associated with idiopathic scoliosis. They hope the discovery will one day lead to identifying the cause of the spinal curvature.
Becoming a Patient
Texas Scottish Rite Hospital for Children, located in Dallas, uses several criteria to determine a patient's eligibility. For more information on becoming a patient or referring a patient, contact our Patient Access department at (214) 559-7477 or (800) 421-1121, ext. 7477.

