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King classification of idiopathic scoliosis

Classification

Type I:

  • S-shaped curve in which both thoracic curve lumbar curve cross midline
  • Lumbar curve larger than thoracic curve on standing roentgenogram
  • Flexibility index a negative value (thoracic curve < lumbar curve on standing roentgenogram, but more flexible on side-bending)


Type II:

  • S-shaped curve in which thoracic curve and lumbar curve cross midline
  •  Thoracic curve < lumbar curve
  •  Flexibility index < 0


Type III

  • Thoracic curve in which lumbar curve does not cross midline (so-called overhang)


Type IV

  • Long thoracic curve in which L5 is centered over sacrum but L4 tilts into long thoracic curve


Type V

  • Double thoracic curve with T1 tilted into convexity of upper curve; upper curve structural on side-bending

Explanation

Provide an explanation for key principles and pertinent aspects of the classification

Figures

Insert figures illustrating the classification

Reference(s)

Provide the citation for the landmark article and recent review articles describing the classification

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