High-Risk Curves—Fast Growth, Big Changes
Some scoliosis curves have a much higher chance of rapid progression than others. Recognising high‑risk curves early is crucial to protecting children from severe deformity and possible surgery.
What Makes a Curve High Risk?
Key features include:
- Moderate to large Cobb angles in pre‑pubertal children.
- Evidence of recent rapid progression.
- Strong family history of significant scoliosis.
- Curve patterns known to progress more aggressively.
Dorsi’s Approach to High‑Risk Cases
For high‑risk curves, Dorsi Spinal Institute typically recommends:
- Early 3D bracing and scoliosis‑specific exercise.
- More frequent monitoring with imaging.
- Clear thresholds for treatment escalation.
Reassurance & Communication
We explain risk in clear terms and involve families in shared decision‑making, so they understand why proactive steps are needed and what the goals are.
Next Steps
If you’ve been told your child’s curve is “high risk” or you suspect fast change, Dorsi can re‑evaluate the situation and outline a robust plan to control progression.
Related reading: see our blogs on “wait and see”, progression risk, and curve correction outcomes.
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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