Scoliosis in Children
Assessment in secondary care is advised for any child with a suspected scoliosis who is still growing.
Clinical signs suggestive of scoliosis include:
- Asymmetry in shoulder height, arm-flank distance or flank creases.
- Prominence of the ribs on one side when touching the toes is often the most apparent sign (Adam’s forward bend test).
Urgent referral is advised:
- Prompt referral is advised in children under 11 due to the risk of progression.
- Those with neurological symptoms /signs or non-mechanical or night pain that interrupts sleep should be referred urgently.
Children with suspected scoliosis should otherwise be referred on a routine basis via NHS E-referral.
Imaging prior to the appointment is not necessary.