Check skin for lesions associated with neurofibromatosis, hair patches along the spine Height and weight Sexual maturity assessment Check feet for signs of high arch Thorough neurologic exam including strength assessment Examine spine for tenderness Measure lower extremities to rule out leg length discrepancy scoliometer Radiograph Evaluation Standing AP of the spine. Before ordering other tests, should consult with orthopedic surgeon to avoid unnecessary radiation and expense. Complications Pulmonary compromise- restrictive lung disease uncommon with curves less than 100 degrees. Pregnancy usually not affected Not associated with pain. This is the reason that scoliosis may go undiagnosed.
Efficacy is questionable in correcting curvature and preventing progression.
Wearing a brace continuously is associated with self esteem issues, compliance problems, physical activity limitations, sleep disturbances, and being hot. Effectiveness of braces Effectiveness and when to operate. The role of the pediatrician is to detect significant curvature of the spine, rule out any underlying disorder that is related to the scoliosis, and refer the patient to the appropriate subspecialist. With minor deformities, it is appropriate for the pediatrician to observe the patient and follow at frequent intervals. It is important that when making a referral, that the specialist is familiar with scoliosis is pediatric patients.