History
Social History
- Age:
- Education/Work:
- Are you at school, college, or working? What is your job?
- Home Circumstances:
- Sports and Activities:
- Do you play any sports or participate in physical activities?
- Career Aspirations:
- What are your future plans or career goals?
Associated Problems
- Neurologic Symptoms:
- Do you experience any neurologic symptoms?
- Respiratory Symptoms:
- Do you get short of breath?
Past Medical History
- Birth History:
- Were there any issues during birth or the neonatal period (e.g., SCBU/NICU admissions)?
- Developmental Milestones:
- Were there delays in milestones?
- Maternal Perinatal Problems:
- Any complications during your mother’s pregnancy?
- Other Medical Problems:
- Have you been told about any other related conditions?
- Are there other issues you haven’t discussed with a doctor?
Skeletal Maturity
- Menarche:
- When was your first period?
- Parental Height:
- How tall are your parents or older siblings?
Family History
- Any family members with similar conditions?
Drug History and Allergies
- Current medications and allergies.
Examination
Look (Standing)
- Front:
- Shoulder, pelvic, ASIS, and waist asymmetry.
- Leg length discrepancy.
- Skin signs of spinal dysraphism (e.g., café-au-lait spots, hairy patches, neurofibromas).
- Side:
- Sagittal alignment (normal cervical, thoracic, and lumbar spine curves).
- Plumb line alignment (measured via X-ray).
- Back:
- Coronal alignment (C7 to natal cleft deviation).
- Define curve pattern (e.g., right thoracic or left lumbar flexible).
- Rib hump (measure with scoliometer during Adams forward bending test).
- Skin stigmata or scars.
Feel (Standing)
- Palpate for pain along the spine.
- Chest expansion (nipple level) – should be at least 7 cm.
Move (Standing)
- Assess range of motion (ROM) in all planes.
- Observe gait:
- Pelvic tilt or shoulder dipping.
- Short leg gait.
- Trendelenberg gait.
Look (Sitting)
- Assess partial correction of the curve (indicates compensatory/flexible elements).
Look (Lying)
- Measure leg lengths (apparent and true discrepancy).
Feel (Lying)
- Perform a full neurologic examination:
- Reflexes.
- Abdominal reflexes.
- Upper Motor Neuron (UMN) signs (Babinski, clonus).
Finishing Steps
- Radiographs:
- Obtain full-spine standing AP and lateral views.
- MRI:
- If there are concerning features, order an MRI.
Scoliosis X-Ray Interpretation
Radiographs:
- Full spine (36-inch cassette), AP and lateral views, including hips.
Curve Assessment:
- Pattern:
- Identify the type of curve.
- Cobb Angle:
- Measure using the endplates of the most angled vertebrae.
- Apical Vertebra:
- Note the most displaced vertebra.
Rotation:
- Assess pedicles for rotation.
- Determine whether spinous processes are visible between pedicles.
- Identify whether curves are structural (malrotation in both curves).
Congenital Anomalies:
- Look for hemivertebrae or bars.
Skeletal Age:
- Check iliac crest ossification and triradiate cartilage closure.
Flexibility:
- Forward-bending views to assess curve flexibility.
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Social History