Scoliosis- What a pediatrician should know

  • Scoliosis of greater than 10 degrees is relatively common (incidence 1-2%), but progression to ≥ 25 degrees and the need for treatment is rare.
  • Examination findings of uneven shoulders/Scapulae level, Rib Hump, Uneven level of Anterior Superior Iliac Spine, are clinical clues to detect early cases.
  • Establishing the maturity level of the skeleton is important because of the risk of progression is increased with immaturity
  • In adolescents, progressive curves are seven times more likely to appear in girls than in boys.
  • All scoliosis is not idiopathic; assess for limb-length discrepancy, congenital anomalies, and neurological abnormalities, especially reflexes. 
  • Bracing does not permanently correct scoliosis, but it can prevent progression.
  • Regular YOGA and stretching of spine is very helpful to prevent progression.
  • Identification and timely referral to a Pediatric Orthopedics or a Spine Specialist and a regular occupational therapy support is must. 

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