Factors Associated with Presentation of Severe Adolescent Idiopathic Scoliosis

Abstract

•At the time of diagnosis, a patient's curve magnitude (calculated via Cobb angle) and future growth potential have significant implications in both curve progression and treatment planning.•Avoiding spinal fusion by early curve identification and appropriate nonoperative (i.e., brace) treatment reduces patient risk and healthcare spending.•There are sociodemographic disparities in the identification and initiation of treatment for adolescent idiopathic scoliosis.•The odds of presenting with severe scoliosis are increased in patients who identify as Black/African American or female and/or come from areas with a lower access to resources (as defined by the Child Opportunity Index).