 Doctor, what do you think are the causes to scoliosis and also is it congenital and what is the earliest age that you can detect this? Yeah, so there are different kinds of scoliosis. We classify them based on their origin that is there is congenital scoliosis which is a developmental disorder where the spine the one vertebra has to be square but it may not be square. It may be abnormally asymmetrically shaped. So the next spine vertebra sitting on top of it tilts to one side and that tilts just keeps increasing. So there is a that is what we call as a congenital scoliosis. Then there is the infantile scoliosis which comes around the age of 5 to 6 years or 10 years before the age of 10 years and then there is the adolescent scoliosis which comes happens only in adolescence above the age of 10 years. So there are these 3 different kinds of scoliosis but then there are others also that it can be secondary to some ligament disorders in the spine where children are born with loose ligaments and that can lead to a side word bending. There is also neuromuscular scoliosis where there is a neurological disorder where for example a child is born with cerebral palsy and their muscles are not balanced. So the spine starts getting deformed. It keeps getting deformed to such an extent that they may not be able to walk, they may end up being only sitting or they may just be bed bound. So it is important to identify the cause of the scoliosis what is the reason behind it and the treatment principles and our goals of treatment vary with the kind of scoliosis. For example in a neuromuscular scoliosis where the child is anyway not going to walk we cannot expect to correct the spine deformity and make the child walk because the primary problem is in the brain and which may not be treatable but doing a surgery in such a child may help the parents in taking care of the child better. The child may not be able to even sit we may be able to make the child sit up and that is much better than a child who is completely bed bound. So there is there are a lot of intricacies in this but by and large scoliosis is a treatable problem and there are points at which we suggest surgery and there are points where we say no surgery we just wait for some time.