Scoliosis screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
According to the US Preventive Services Task Force, American Academy of Orthopaedic Surgeons and Scoliosis Research Society, screening for scoliosis by visual inspection of the spine as well as Adam's forward bend test looking for curvature is recommended in childhood, after age 10 years in schools.
Screening
- According to the US Preventive Services Task Force(UPSTF), American Academy of Orthopaedic Surgeons(AAOS), Pediatric Orthopaedic Society of North America (POSNA) and Scoliosis Research Society(SRS), screening for by visual inspection of the spine, shoulder and hips as well as Adam's forward bend test with scoliometer looking for curvature is recommended in childhood, after age 10 years in schools.[1][2][3][4][5][6]
- The females should be screened twice, at 10 and 12 years and boys once, at age 13 or 14 years.[1][2]
Screening Test
Adam’s Forward Bend Test
- This is a simple screening test that can detect potential problems.
- Ask kids to bend at the waist as if they were touching their toes.
- Get eyes level with the child’s back to look for one side being higher than the other or any asymmetry of the back.
Scoliometer Test
- Ask the child to slowly bend forward until the shoulders are level with the hips.
- View the child from the back with eyes at the same level as the back.
- Adjust the bending position height so the deformity of the spine is most pronounced.
- Gently lay the scoliometer across the deformity at right angles to the body, with the marking centered over the curve.
- Observe the scoliometer reading.
References
- ↑ 1.0 1.1 Weinstein SL, Dolan LA, Wright JG, Dobbs MB (2013). "Effects of bracing in adolescents with idiopathic scoliosis". N Engl J Med. 369 (16): 1512–21. doi:10.1056/NEJMoa1307337. PMC 3913566. PMID 24047455.
- ↑ 2.0 2.1 Richards BS, Vitale MG (2008). "Screening for idiopathic scoliosis in adolescents. An information statement". J Bone Joint Surg Am. 90 (1): 195–8. doi:10.2106/JBJS.G.01276. PMID 18171974.
- ↑ Final Recommendation Statement: Idiopathic Scoliosis in Adolescents: Screening. U.S. Preventive Services Task Force. February 2014. Accessed 8/30/15
- ↑ Labelle H, Richards RB, De Kleuver M, et al. Screening for adolescent idiopathic scoliosis: an information statement by the Scoliosis Research Society international task force Scoliosis 2013, 8:17
- ↑ Jin J (2018). "Screening for Scoliosis in Adolescents". JAMA. 319 (2): 202. doi:10.1001/jama.2017.20372. PMID 29318279.
- ↑ Sanders JO, Newton PO, Browne RH, Katz DE, Birch JG, Herring JA (2014). "Bracing for idiopathic scoliosis: how many patients require treatment to prevent one surgery?". J Bone Joint Surg Am. 96 (8): 649–53. doi:10.2106/JBJS.M.00290. PMID 24740661.