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.