Contents

Search

scoliosis

Lateral curvature of the spine. Scoliosis may be structural or functional. Classification: Structural scoliosis: 1) rotation of the vertebrae on each other 2) deformation of rib cage 3) structural scoliosis is accentuated when the patient bends forward Functional scoliosis: 1) compensatory for other abnormality 2) unequal leg lengths 3) functional scoliosis disappears when the patient bends forward Idiopathic scoliosis: [2,3,4] 1) occurs in adolescents 2) milder in course than other forms 3) generally resolves without intervention by early adulthood Genetics: - genetic variations in CHD7 are associated with susceptibility to idiopathic scoliosis type 3 Management: - back brace may be benficial [5] - not enough evidence to weigh benefits & harms of screening [3,6]

Related

kyphosis (hyperkyphosis, Dowager's hump)

Specific

kyphoscoliosis

General

abnormal curvature of the spine

Database Correlations

OMIM 608765

References

  1. Guide to Physical Examination & History Taking, 4th edition, Bates B, JB Lippincott, Philadelphia, 1987
  2. 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. 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. 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. Weinstein SL et al Effects of Bracing in Adolescents with Idiopathic Scoliosis. N Engl J Med. September 19, 2013 PMID: 24047455 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 PMID: 24047456 http://www.nejm.org/doi/full/10.1056/NEJMe1310746
  6. US Preventive Services Task Force Screening for Adolescent Idiopathic Scoliosis. US Preventive Services Task Force Recommendation Statement. JAMA. 2018;319(2):165-172 PMID: 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: 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: 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: 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