The Integrated Shape Investigation System (ISIS) is a structured light scanner and shape analysis system, developed as a safe alternative to follow-up radiographs for the clinical assessment of deformities of the human back. The system is described and results presented of several clinic studies. These show a significant correlation between ISIS measures and conventional radiographic measures of spinal curvature, such as the Cobb angle. The development of a predictor for deterioration in adolescent idiopathic scoliosis, based on surface shape weasures, is discussed.