In a case of scoliosis, who is considered to be at the greatest risk?

In cases of scoliosis, the severity of the curve and the age at which it occurs are critical factors in determining the risk of complications or the need for intervention. The individual identified as a 13-year-old female with a 100-degree curve is at the greatest risk due to several reasons.

Firstly, age is significant because scoliosis can progress more quickly during periods of rapid growth, such as during preadolescence and adolescence. Girls are also more likely to develop scoliosis and experience faster progression, which makes this age group particularly vulnerable.

Secondly, the degree of curvature plays a crucial role in assessing risk. A curvature of 100 degrees is considered severe and can lead to significant health issues, including respiratory problems, severe pain, and impacts on overall physical functioning. Such a severe curve is likely to require surgical intervention to correct or manage.

Additionally, females are generally at higher risk for progression of idiopathic scoliosis compared to males, especially during those critical growth spurts. This combination of being female, at a susceptible age, and having a severe curvature uniquely positions this individual at the highest risk among the provided options.