脊椎侧弯对发育中的小朋友，是必须被关注的，因为这一段时间是他们恶化最快的关键期。
要预测脊椎侧弯恶化的速度，必须整合Scoliometer的角度，身体姿势，年龄，甚至需要照X光来确定角度大小等，这些都是供我们有效的资讯。
研究指出，如果年龄越小，角度却大约30度，在没有接受适当治疗的情况下，他们的脊椎恶化的机率是相对是高很多。越早接受适当的治疗，越能够有效控制脊椎恶化及达成有效的成果。
对于成年人的脊椎侧弯患者，由于地球上的地心引力及年纪成长带来的脊椎退化，这都会造成脊椎侧弯会比起一般人更容易有腰酸背痛的情形，接受正确的检查方式及定期的追踪，是可以预防脊椎早期退化及造成疼痛。
Risk of Progression Of AIS |
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| Degree of Curve (Cobb Angle) | Age 10 – 12 | Age 13 – 15 | Age over 16 |
| <20° | 25% | 10% | 0% |
| 20° – 30° | 60% | 40% | 10% |
| 30° – 60° | 90% | 70% | 30% |
| >60° | 100% | 90% | 70% |
Risk of Progression in Children and Adolescents
Scoliosis can be a serious condition in children because the curve can progress rapidly as the child grows.
To determine if a particular case of scoliosis has a high risk of progression, an accurate assessment of x-rays must be done. “Cobb angle”, posture, age, and condition of your spine are all factors that will determine whether the scoliosis has a chance of getting worse over time.
A study was carried out to predict curve progression in untreated adolescent idiopathic scoliosis cases. It showed that in growing children, there is a high risk of scoliosis progression. The earlier appropriate treatment is given, the better the chance of a successful outcome.
Risk of Progression in Adults
In adults the combination of gravity and degenerative changes in the spine can lead to a worsening of the scoliosis; sometimes with a subsequent increase in the associated pain. However, in some cases the scoliosis is stable and may not progress over time at all. The best way to determine risk of progression of a scoliosis in an adult is to assess full spine x-rays.
