The clinical picture or clinical status represents all the changes in the child's body that occurred as a result of the deformity. The clinical picture is determined on the basis of a visual examination.

Because scoliosis is visible, teenagers try to hide their deformity in an incorrect way, and this may cause back pain. In this way, they affect their quality of life, their self-confidence, their self-esteem, and risks of stress and depression are increased.

In the period when the sudden growth starts, in girls physiological curves have not yet been formed, that is, natural kyphosis and lordosis have not yet been formed. The spinal column in this phase of growth is always in the position of a flat back and is always unstable, although that does not necessarily mean that scoliosis will occur.

Spinal deformities in adults can have a significant impact on their quality of life. Most often it occurs as a consequence of untreated or inadequately treated adolescent idiopathic scoliosis. Patients with adult scoliosis have a different clinical and radiological picture compared to patients with adolescent idiopathic scoliosis. Differences include degenerative changes within the curve, a natural history of deformity progression, and clinical symptoms.

The type of idiopathic scoliosis that occurs between 4 and 9 years of age is called juvenile scoliosis. The time period when juvenile scoliosis occurs is characterized by a much slower growth and development of the child, and thus a much slower progression of the scoliotic curve. Juvenile scoliosis is also the rarest type of scoliosis. The fact is that boys mature skeletally later than girls, and in them juvenile scoliosis occurs a little earlier, about 5 years, while in girls it is diagnosed about 7 years.