Scoliosis

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Scoliosis
• Asymmetry on forward bend
• Normal neurologic exam; no back pain or features of a neuromuscular or genetic cause
• Standing spine x-ray ordered
• Follow up after the x-ray result

Most scoliosis is mild and painless, and most curves never need treatment; curves are watched most closely during growth. Encouraged full participation in sports and activities. Return precautions given including back pain, weakness or numbness, trouble with urine or stool, a curve that looks like it is getting worse, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Neuro exam, no pain
X-ray; mild curve observation; orthopedics

Used to decide, kept out of the note

Cobb angle thresholds for bracing and surgery

Return precautions in the template

back painweakness or numbnesstrouble with urine or stoola curve that looks like it is getting worse

Sources

Sport-Related Concussion in Children and Adolescents. Clinical Report. Pediatrics 2018;142(6):e20183074. (newest AAP concussion CR found; also Early Childhood…
Overuse Injuries, Overtraining, and Burnout in Young Athletes. Clinical Report. Pediatrics 2024;153(2):e2023065129. (replaces earlier report)
Early Childhood Concussion. State-of-the-art review. Pediatrics 2024;154(5):e2023065484 (not an AAP policy)

Few formal guidelines cover this topic, so the template also leans on expert opinion.