“This is not a redemption narrative,” Patricia Horvath writes in her memoir about a childhood and adolescence marked by her painful struggles with scoliosis. Yet considering what she’s overcome, it’s hard not to think Horvath, in no small measure, has moved from darkness into light. In “All The Difference,” Horvath, who teaches English and creative writing at Framingham State University, examines what for most kids and teens can be one of the most difficult things to contend with: feeling or looking different. It began in her childhood, with a curved spine that made her unbalanced, awkward and a failure at sports and schoolyard games. “My lack of coordination,” she writes, “was on display every single day.” Yet things got worse as Horvath moved into adolescence. After physical therapy and special orthopedic shoes failed to address her problems, she was forced to wear a bulky, corseted brace 23 hours a day starting at age 13. A few years later, she had spinal fusion surgery, leaving her bedridden for months in plaster and fiberglass casts; she had to relearn to walk afterward. Then, years later, when she was living in Northampton and pursuing an MFA in creative writing at the University of Massachusetts Amherst, Horvath discovered she was actually shrinking; though her doctors doubted her fears at first, she was in fact now struggling with osteoporosis. That condition might have come about from years of skimpy eating, she writes, her way of trying to divorce herself from her own body. “My bones have always been treacherous, and once again they had betrayed me.” But “All the Difference,” despite the pain it recounts, is never self-pitying, and it’s much more than a litany of medical problems. Horvath looks back at other landmarks from her youth — a mean-spirited elementary school teacher, an icy relationship with her stepfather, listening to rock and roll, her first tentative relationships with boys — with a sharp eye and often a dry sense of humor. In elementary school, for instance, she developed a love of the tales of the Greek Gods; they become a reference point for describing the special shoes she had to wear to correct her imbalanced walk. “They were heavy things, nothing like Hermes’s winged sandals. They made me feel earthbound, and I loathed them.” And Horvath’s physical problems, if nothing else, cemented her love of reading and writing at an early age, an interest she’s now made good on. She’s published short stories and essays in numerous publications, won a number of awards and fellowships, and today is an editor of “The Massachusetts Review.” Ultimately, she says, “All the Difference” is an exploration of the connection between disability and self-identity and what happens to one’s sense of self when a physical disability ceases to be visible. “You have the bones of a seventy year old, my doctor has said,” she writes. “Yet they support me, these geriatric bones. In their own crooked way, and despite my neglect, they hold me up. They are, in no small sense, miraculous.” --The Daily Hampshire Gazette, Thursday, May 11, 2017