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Abstract
Early diagnosis of scoliosis is important for a good orthopaedic treatment.
Paediatrician is fondamental in first scoliosis recognising and sending to the specialist.
This protocol is a simple instrument for a quick, safe an uniform metod to recognise and treat scoliosis in paediatric clinic.
Medical history Genetic syndrome with malformations………………………2 points
Familiar history of scoliosis………………………………….……1 point
Statural growth≥5 cm in last 6 months………………1 point
Peri-puberty period ……………………………………………...…..1 point
Physical examination Dorsal hump…………………………………………..3 points
Lumbar rotation……………………………….3 points
Cut triangles asymmetry……………………2 points
Shoulder asymmetry……………………………….…1 point
Pelvic asymmetry………………………………………1 point
Hyperkyphosis…………………………………………..1 point
Hyperlordosis…………………………………1 point
Scapular winging………………………………………….1 point
Marfanoid aspect……………………………….1 point
Skin caffè-latte spots………………………………….1 point
Treatment 0–2 points: clinical monitoring (4–6 months)
3–4 points: spine x-ray
-scoliosis in x-ray: send to specialist
- no scoliosis in x-ray: clinical monitoring (4–6 months)
≥5 points: send to specialist with spine x-ray