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Late onset idiopathic scoliosis affects children between 10 and 15 years of age, and predominantly, girls - 90% of cases - possibly associated with the more rapid female pubertal growth spurt. In general, the scoliosis is right sided convex (1)
The condition will get worse without treatment, which involves braces for lesser curves; curves of greater than 45 degrees are generally treated with surgery (1,5)
Adolescent idiopathic scoliosis with severe spinal curvature can be associated with negative health outcomes, including pulmonary disorders, disability, back pain, psychological effects, cosmetic issues and reduced quality of life (3).
The main tests used to screen for adolescent idiopathic scoliosis are the (Adam) Forward Bend Test (FBT), which may include a scoliometer, and Moiré topography, while radiography is employed to confirm diagnosis in a suspected case. The FBT is the most commonly used test, wherein assessors search for abnormalities and asymmetries of the spine as a patient bends forward.
A non-invasive, handheld device called a scoliometer can be used during the FBT to determine the angle of trunk rotation. Moiré topography is an alternative screening method that renders a 3D description of the back, highlighting any deformities present in the spine (4).
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