[Scoliosis and spondylolisthesis in children and adolescents]

The genuine structural scoliosis is characterized by a rotation of the vertebral bodies. Clinically suspect cases require an exact radiographic assessment. Treatment is based on the radiographically found COBB-angle: physiotherapy, brace and different types of surgical instrumentation are the most common therapeutic procedures. Early diagnosis is essential for the final therapeutic result! Spondylolisthesis can only be diagnosed by X-ray. Surgical stabilization is necessary if pain, instability or progressive gliding are found. The extent of surgical procedures depends on the stage of the gliding process. Therefore early diagnosis is desirable.