High-Risk vs Low-Risk Curves—Stratifying Treatment
Not all scoliosis curves deserve the same intensity of monitoring or treatment. Risk stratification lets clinicians match care to risk, avoiding both under‑ and over‑treatment.
Low-Risk Curves
Typically, these are:
- Small Cobb angles in near‑mature patients.
- Stable on serial imaging.
- Without strong family history or concerning symptoms.
Many can be safely managed with observation and periodic checks.
High-Risk Curves
High‑risk curves may show:
- Moderate size in young patients with lots of growth ahead.
- Documented progression over short time frames.
- Genetic or anatomical features linked to aggressive behaviour.
These usually need earlier bracing, more frequent imaging, and closer follow‑up.
Dorsi’s Risk Tools
Dorsi uses current research, growth staging, and imaging patterns to place each patient into an appropriate risk category—and revisits that category as they grow.
Next Steps
If you’ve been told your or your child’s curve is “borderline” or “at risk” without clear explanation, Dorsi can provide a structured risk assessment and a right‑sized treatment plan.
Related reading: see our blogs on mild curve progression, high‑risk curves, and monitoring intervals.
Written by
Dr Matthew ABJ Potts BSc MSc DC ISPRM
Clinical Director
Doctor of Chiropractic
Specialist Scoliosis Consultant
Fellow of the British Scoliosis Society
Member of the Scoliosis Association (UK)
Chair of the Clinical Advisory Board at Meloq AB
Member of the International Society of Physical and Rehabilitation Medicine
Editorial board member of international journals CICRJ & Rehabilitation Science
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