We reviewed 28 patients <18 years of age with scoliosis and syringomye
lia. Children with scoliosis and syringomyelia had an equal incidence
of left- and right- sided curves with a normal sagittal alignment. Mos
t were first seen at Risser 0 with significant curves, and curve progr
ession occurred in half of the patients. Bracing was not effective in
preventing curve progression. Neurologic signs, present in most childr
en, stabilized after syrinx drainage. Nether the sex or age of the chi
ld, nor the type of curve, nor the drainage of the syrinx was predicti
ve of curve progression.