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The screening test used most often in schools and in the offices of pediatricians and primary care
physicians is called the Adams forward bend test.
The child bends forward dangling the arms, with the feet together and knees straight. The curve
of structural scoliosis is more apparent when bending over. In a child with scoliosis, the
examiner may observe an imbalanced rib cage, with one side being higher than the other, or
other deformities.
The forward bend test is a test used most often in schools and doctor's offices to screen for
scoliosis. During the test, the child bends forward with the feet together and knees straight while
dangling the arms. Any imbalances in the rib cage or other deformities along the back could be a
sign of scoliosis.

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*c
  

Adolescents with a spinal curvature of less than 20 degrees usually do not require extensive
treatment. They do, however, need periodic check-ups and X-rays to make sure the curve does
not get worse.

If the spinal curve is 25 to 40 degrees and the child is still growing, a 24-hour brace is often
worn. Bracing is an attempt to prevent further progression of the curve, but it will not reverse or
cure scoliosis.

c
  
Those who have spinal curves greater than 40 to 50 degrees are often considered for scoliosis
surgery. While surgery will not perfectly straighten the spine, the goal is to make sure the curve
does not get worse. During scoliosis surgery, the vertebrae are fused together so the spine cannot
bend. This is called a spinal fusion. The process is similar to what occurs when a broken bone
heals.

Surgery begins with an incision in the middle of the back. The muscles are then moved to the
side to expose the spine, and the joints between the vertebrae are removed to loosen them up.
Metal implants (usually rods, screws, hooks or wires) are put in to hold the spine in place while
the vertebrae gradually fuse. The procedure usually takes four to six hours, but varies from
patient to patient.

The implants are left in the body, even after the bones have fused, to avoid additional surgery.

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|
The screening test used most often in schools and in the offices of pediatricians and primary care
physicians is called the Adams forward bend test.
The child bends forward dangling the arms, with the feet together and knees straight. The curve
of structural scoliosis is more apparent when bending over. In a child with scoliosis, the
examiner may observe an imbalanced rib cage, with one side being higher than the other, or
other deformities.
The forward bend test is a test used most often in schools and doctor's offices to screen for
scoliosis. During the test, the child bends forward with the feet together and knees straight while
dangling the arms. Any imbalances in the rib cage or other deformities along the back could be a
sign of scoliosis.

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