It is generally believed that scoliosis with a left thoracic convexity is m
ore likely to have underlying pathology than the commoner right pattern. Ex
amination of the scoliosis database showed that infantile idiopathic and co
ngenital scoliosis have a random distribution of right and left curve patte
rns. Juvenile and adolescent idiopathic groups and scoliosis secondary to p
athological conditions showed 4:1 ratio of right to left. This was more mar
ked in girls than in boys but did not support the view that left thoracic s
coliosis is by definition pathological.