What is the significance of painful scoliosis in pediatric patients

The presentation of painful scoliosis is atypical in the pediatric patient. If pain is present in the pediatric patient with idiopathic scoliosis, it is typically mild, nonspecific, intermittent, and nonradiating. It is typically mechanical (improves with rest), does not awaken the patient from sleep, and does not limit activity. Persistent severe back pain should prompt the physician to further investigate the cause of the patient's symptoms. Workup (e.g. lateral spinal radiograph, magnetic resonance imaging [MRI], bone scan) is needed to rule out etiologies such as spinal tumor, spinal infection, spondylolisthesis, or Scheuermann's disease.

Clinical Evaluation of Scoliosis

Anterior superior iliac spine Umbilicus

Gauging trunk alignment with plumb line

Gauging trunk alignment with plumb line

Anterior superior iliac spine Umbilicus

A'

Measurement of leg length for determination of pelvic obliquity AB = actual leg length A'B = apparent leg lengtl

Measurement of rib hump with scoliometer

Estimation of rib ump and evaluation of curve unwinding as patient turns trunk from side to side

Measurement of rib hump with scoliometer

Estimation of rib ump and evaluation of curve unwinding as patient turns trunk from side to side

Older sister, severe curve

Younger sister, mild curve

Examination of all siblings A to detect early scoliosis

Figure 7-1. A, Clinical evaluation of scoliosis. B, Thoracic scoliosis. C, Thoracic and lumbar scoliosis. (A. Reprinted from The Netter Collection of Medical Illustrations - Musculoskeletal System, Part II, Developmental Disorders, Tumors, Rheumatic Diseases and Joint Replacements, p. 34. ©Elsevier Inc. All Rights Reserved.)

Younger sister, mild curve

Examination of all siblings A to detect early scoliosis

Figure 7-1. A, Clinical evaluation of scoliosis. B, Thoracic scoliosis. C, Thoracic and lumbar scoliosis. (A. Reprinted from The Netter Collection of Medical Illustrations - Musculoskeletal System, Part II, Developmental Disorders, Tumors, Rheumatic Diseases and Joint Replacements, p. 34. ©Elsevier Inc. All Rights Reserved.)

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

Get My Free Ebook


Post a comment