Scoliosis

Scoliosis plain film. Source: Silverjonny [Public domain]

Scoliosis plain film. Source: Silverjonny [Public domain]

Infantile idiopathic scoliosis: Generally resolves spontaneously

Juvenile idiopathic scoliosis: Greatest risk for progression

Adolescent idiopathic scoliosis

  • Most common presentation

  • Risk factors: Female sex, magnitude of curve

  • Obtain spine radiology to calculate Cobb angle

    • 20-30 degrees: Refer to orthopedics due to risk for progression

    • 30-40 degrees: Brace and observe

    • 40+ degrees: Surgical correction

Scoliosis Cobb angle of 89 degreees. Source: Skoliose-Info-Forum.de

Scoliosis Cobb angle of 89 degreees. Source: Skoliose-Info-Forum.de

USPSTF Screening Recommendation: Grade D