Screening and diagnosis of scoliosis in children and adolescents
Scoliosis is a condition where the spine has an abnormal curvature, which can take the form of a “C” or “S” shape. It is a common condition that affects children and adolescents, and early detection and diagnosis is crucial for effective treatment.
Screening for scoliosis is typically done during regular check-ups with a healthcare provider, such as a pediatrician or family doctor. During a screening, the healthcare provider will check for any visual signs of scoliosis, such as uneven shoulders, a raised hip, or a protruding rib cage. They will also feel for any asymmetry or lumps along the spine.
If scoliosis is suspected during a screening, the healthcare provider will refer the child or adolescent to a specialist, such as an orthopedic surgeon or a physiatrist, for further evaluation. The specialist will conduct a thorough physical examination, including measuring the angle of curvature of the spine using a tool called a scoliometer. They will also take x-rays of the spine to confirm the diagnosis and determine the severity of the curve.
In addition to physical examination, a specialist may also order additional tests such as MRI, CT scan, and bone scan to evaluate the spine and to rule out any underlying conditions that may be causing the scoliosis.
It’s important to note that scoliosis can occur at any age, but it is most commonly diagnosed during the growth spurt that occurs during adolescence. Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis that affects children and adolescents and it typically develops during puberty.
Once scoliosis is diagnosed, the healthcare provider will determine the best course of treatment. Treatment options include observation, bracing, and surgery. The type of treatment recommended will depend on the severity of the curve, the patient’s age, and their overall health.
In summary, scoliosis is a common condition that affects children and adolescents and early detection and diagnosis is crucial for effective treatment. Screening for scoliosis is typically done during regular check-ups with a healthcare provider, and if scoliosis is suspected, the child or adolescent will be referred to a specialist for further evaluation. Specialists use physical examination, x-rays, and other imaging tests to confirm the diagnosis and determine the severity of the curve. Depending on the type and severity of scoliosis, treatment options include observation, bracing, and surgery.