scoliosis

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Introduction

Lateral curvature of the spine. Scoliosis may be structural or functional.

Classification

Structural scoliosis:

  • rotation of the vertebrae on each other
  • deformation of rib cage
  • structural scoliosis is accentuated when the patient bends forward

Functional scoliosis:

Idiopathic scoliosis:[2][3][4]

  • occurs in adolescents
  • milder in course than other forms
  • generally resolves without intervention by early adulthood

Genetics

Management

  • back brace may be benficial[5]
  • not enough evidence to weigh benefits & harms of screening[3][6]

More general terms

More specific terms

Additional terms

References

  1. Guide to Physical Examination & History Taking, 4th edition, Bates B, JB Lippincott, Philadelphia, 1987
  2. 2.0 2.1 Journal Watch 24(18):124, 2004 U.S. Preventive Services Task Force (USPSTF). Screening for idiopathic scoliosis in adolescents. Recommendation Statement http://www.ahrq.gov/clinic/3rduspstf/scoliosis/scoliors.htm
  3. 3.0 3.1 3.2 U.S. Preventive Services Task Force (USPSTF). Screening for idiopathic scoliosis in adolescents. Brief evidence update. Journal Watch 24(18):124, 2004 http://www.ahrq.gov/clinic/3rduspstf/scoliosis/scolioup.htm
    U.S. Preventive Services Task Force (USPSTF). Screening foridiopathic scoliosis in adolescents. Draft Recommendation Statement. Physicians First Watch. May 31, 2017 https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/adolescent-idiopathic-scoliosis-screening1
  4. 4.0 4.1 Journal Watch 24(18):124, 2004 U.S. Preventive Services Task Force (USPSTF). Screening for idiopathic scoliosis in adolescents. Full text of original article http://www.ahrq.gov/clinic/3rduspstf/uspsaisc.htm
  5. 5.0 5.1 Weinstein SL et al Effects of Bracing in Adolescents with Idiopathic Scoliosis. N Engl J Med. September 19, 2013 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24047455 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1307337
    Carragee EJ and Lehman RA Spinal Bracing in Adolescent Idiopathic Scoliosis. N Engl J Med. September 19, 2013 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24047456 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMe1310746
  6. 6.0 6.1 US Preventive Services Task Force Screening for Adolescent Idiopathic Scoliosis. US Preventive Services Task Force Recommendation Statement. JAMA. 2018;319(2):165-172 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29318284 https://jamanetwork.com/journals/jama/fullarticle/2668355
    Dunn J, Henrikson NB, Morrison CC et al Screening for Adolescent Idiopathic Scoliosis. Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2018;319(2):173-187. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29318283 https://jamanetwork.com/journals/jama/fullarticle/2668354
    Hresko MT, Schwend RM, Hostin RA et al Early Detection of Scoliosis - What the USPSTF "I" Means for Us. JAMA Pediatr. Published online January 9, 2018. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29318255 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2668395
    Sarwark JF, Davis MM. Evolving Recommendations for Scoliosis Screening. A Compelling Need for Further Research. JAMA. 2018;319(2):127-129 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29318262 https://jamanetwork.com/journals/jama/fullarticle/2668333
  7. National Institute of Arthritis and Muscluloskeletal and Skin Diseases (NIAMS) Scoliosis in Children and Teens https://www.niams.nih.gov/health-topics/scoliosis

Patient information

scioliosis patient information

Database