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May 28, 2003

Health and Function of Patients With Untreated Idiopathic Scoliosis—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(20):2644. doi:10.1001/jama.289.20.2644-a

To the Editor: Dr Weinstein and colleagues1 found a wide range of long-term outcomes among a small, geographically localized cohort of adults with a childhood history of late-onset idiopathic scoliosis (LIS). I disagree, however, with their conclusion that there is "little physical impairment other than back pain and cosmetic concern." In addition to 4 deaths attributed to LIS, these individuals reported twice the incidence of chronic pain compared with control subjects, who were selected from very high-disability environments including hospital clinics.