Scoliosis: Review of diagnosis and treatment

Joseph A. Janicki, Benjamin Alman*

*Corresponding author for this work

Research output: Contribution to journalReview article

58 Scopus citations

Abstract

Scoliosis is a spinal deformity consisting of lateral curvature and rotation of the vertebrae. The causes of scoliosis vary and are classified broadly as congenital, neuromuscular, syndrome-related, idiopathic and spinal curvature due to secondary reasons. The majority of scoliosis cases encountered by the general practitioner will be idiopathic. The natural history relates to the etiology and age at presentation, and usually dictates the treatment. However, it is the patient's history, physical examination and radiographs that are critical in the initial evaluation of scoliosis, and in determining which patients need additional considerations. Scoliosis with a primary diagnosis (nonidiopathic) must be recognized by the physician to identify the causes, which may require intervention. Patients with congenital scoliosis must be evaluated for cardiac and renal abnormalities. School screening for scoliosis is controversial and is falling out of favour. The treatment for idiopathic scoliosis is based on age, curve magnitude and risk of progression, and includes observation, orthotic management and surgical correction with fusion. A child should be referred to a specialist if the curve is greater than 10° in a patient younger than 10 years of age, is greater than 20° in a patient 10 years of age or older, has atypical features or is associated with back pain or neurological abnormalities.

Original languageEnglish (US)
Pages (from-to)771-776
Number of pages6
JournalPaediatrics and Child Health
Volume12
Issue number9
DOIs
StatePublished - Nov 2007

Keywords

  • Back pain in scoliosis
  • Idiopathic scoliosis
  • Nonidiopathic scoliosis
  • Scoliosis screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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