Abstract
Adolescent scoliosis secondary to ganglioneuroma is a rare entity with a clinical presentation mimicking adolescent idiopathic scoliosis that can lead to delayed or misdiagnosis. We present this case with a literature review to illustrate the importance of careful evaluation of the clinical and radiological findings in reaching a proper, timely mannered diagnosis. Clinical and radiological evaluation with a keen eye for signs of the atypical curve and radiological abnormalities on plain films and getting more detailed imaging with CT and MRI would lead to earlier diagnosis of secondary causes of scoliosis and direct proper treatment plan.