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Diagnosis of Scoliosis
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| Scoliosis: |
There are several different "warning signs" to look for to help
determine if you or someone you love has scoliosis. Should you
notice any one or more of these signs, you should schedule an
exam with a doctor.
Shoulders are different heights – one shoulder blade is more
prominent than the other
Head is not centered directly above the pelvis
Appearance of a raised, prominent hip
Rib cages are at different heights
Uneven waist
Changes in look or texture of skin overlying the spine
(dimples, hairy patches, color changes)
Leaning of entire body to one side
A standard exam that is often used by pediatricians and in initial
school screenings is called the Adam’s Forward Bend Test. Most
schools test children in the fifth or sixth grade, and the Adam's
Forward Bend Test can be administered easily by school nurses or
parent volunteers. For this test, the patient is asked to lean forward
with his or her feet together and bend 90 degrees at the waist. The
examiner can then easily view from this angle any asymmetry of
the trunk or any abnormal spinal curvatures. It should be noted that
this is a simple screening test that can detect potential problems,
but cannot determine accurately the exact severity of the
deformity.
Once suspected, scoliosis is usually confirmed with an x-ray,
spinal radiograph, CT scan, MRI or bone scan of the spine. The
curve is then measured by the Cobb Method and is discussed in
terms of degrees. Generally speaking, a curve is considered
significant if it is greater than 25 to 30 degrees. Curves exceeding
45 to 50 degrees are considered severe and often require more
aggressive treatment.
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