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Scoliosis diagnosis
Scoliosis is usually detected by your family doctor while
performing a routine check-up. If necessary, it will be confirmed with an
X-ray of your back.
- School screening, unfortunately, is not very common in most countries but
it is the best way to detect scoliosis early. Usually, this is done using an
instrument call a scoliometer, which is a simple angle finder or inclinometer
that measures rotations of the spine/rib cage. A nurse, or other healthcare
professional with special training, can check a child within two minutes using
a scoliometer. It is simple to use and it is even possible for a parent to
check their own child following some simple instructions.
- It is important to follow-up on the deformation evolution, especially
during childhood. This surveillance must be done by an orthopaedic doctor
through regular check-ups, every 3 to 6 months, depending on the severity of
the curve, the age of the child and the family history. These check-ups
include a physical examination and an X-ray, if necessary.
- Scoliosis is quantified by the measurement of the angle of your spine
curvature on the X-ray. This is called the Cobb angle.
- General non-surgical treatment indications are: skeletally immature
children with curves of 15º or more combined with either proven progression
(5º or more in six months or less) or strong family history.
A 30-SECOND ANNUAL POSTURAL SCREENING BETWEEN THE AGES OF 10 AND 15 CAN MAKE
A LIFETIME OF DIFFERENCE:
Should you recognise any of these possible
symptoms, contact your family doctor.
Normal (fig. 1)
-
head centred over mid-buttocks
-
shoulders level
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shoulder blades level, with equal prominence
-
hips level and symmetrical
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equal distance between arms and body
Possible Scoliosis (fig. 2)
-
head alignment to one side of mid buttocks
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one shoulder higher
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one shoulder blade higher with possible prominence
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one hip more prominent than the other
-
unequal distance between arms and body

Normal (fig. 3)
- both sides of upper and lower back symmetrical
- hips level and symmetrical
Possible Scoliosis (fig. 4)
- one side of rib cage and/or the lower back showing uneven symmetry

Normal (fig. 5)
- even and symmetrical on both sides of the upper and lower back
Possible Scoliosis (fig. 6)
- unequal symmetry of the upper back, lower back or both
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