“…Scoliosis is frequently observed in association with connective tissue disorders (James 1970, Nordwall 1973, Nachemson & Sahlstrand 1977 and it has been suggested that patients with IS might have a generalized collagen disease (Francis et al 1977, Bushel1 et al 1978. Even if Nordwall (1973) was unable to find any difference in elastic stiffness of tendons or ligaments between scoliotics and controls, the experimental results of Francis et al (1977) suggest an abnormal cross-link formation and maturation in the collagen of patients with adolescent IS.…”