What is the most common curve pattern observed in adolescent idiopathic scoliosis?

The most common curve pattern observed in adolescent idiopathic scoliosis is typically a single right thoracic curve. This is characterized by a predominant curvature in the thoracic spine that bends to the right side, often between the T5 and T12 vertebrae.

This specific pattern is frequently seen in clinical practice and is particularly relevant because the right thoracic curve is associated with the patterns of development and growth in adolescents. Moreover, it reflects the general population trends where a right thoracic curve is more prevalent.

In the context of scoliosis management, understanding this pattern aids clinicians in developing an appropriate treatment plan, which may include bracing, physical therapy, or in more severe cases, surgical intervention, depending on the degree of the curve and the symptoms presented by the patient.

In contrast, other curve patterns like double major curves are less common and typically present with more complex treatment considerations. A single left thoracic curve is rare and may indicate atypical development, while a single lumbar curve is also less common and often occurs in different contexts. Hence, recognizing the single right thoracic curve as the predominant pattern is essential for effective clinical assessment and management of adolescent idiopathic scoliosis.