Case Report  |   September 2017
Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
Author Notes
  • From Midwestern University Chicago College of Osteopathic Medicine (Dr Feely); and University of Illinois College of Medicine in Peoria (Dr Kapraun). Dr Kapraun is a family medicine resident at the University of Illinois College of Medicine in Peoria. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Richard A. Feely, DO, Feely Center for Optimal Health, 150 E Huron, Ste 1104, Chicago, IL 60611-2864. E-mail: hkapraun@atsu.edu
     
Article Information
Neuromusculoskeletal Disorders / Osteopathic Manipulative Treatment
Case Report   |   September 2017
Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
The Journal of the American Osteopathic Association, September 2017, Vol. 117, 595-599. doi:10.7556/jaoa.2017.114
The Journal of the American Osteopathic Association, September 2017, Vol. 117, 595-599. doi:10.7556/jaoa.2017.114
Abstract

Infantile idiopathic scoliosis is a compensatory result of cranial and sacral intraosseous dysfunction associated with asymmetric developmental deformation of the occiput, leading to dysfunction of the sphenobasilar synchondrosis. A female infant with progressive infantile idiopathic scoliosis diagnosed at age 12 months (46.9° left scoliotic curve) initially received standard orthopedic care, including casting. The patient presented for osteopathic evaluation at age 14 months, at which time her scoliotic curve was 52°. The patient wore a Risser cast extending from T1-L5 at her first osteopathic manipulative treatment (OMT) visit, which included osteopathic cranial manipulative medicine. Her parents chose to have the cast removed at age 17 months, with a 23° curve remaining. For approximately 12 months, OMT was the only continued, consistent treatment, which occurred once per month. By 28 months of age, radiographs measured 0° of scoliosis. This case demonstrates that OMT can dramatically improve infantile idiopathic scoliosis and prevent its progression.

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