Insufficient Evidence to Determine Benefits and Harms of Universal Screening for Adolescent Scoliosis

Although more data now support effectiveness of bracing, no evidence is available on harms or whether treatment improves outcomes in adulthood.

Sponsoring Organization: U.S. Preventive Services Task Force (USPSTF)

Target Audience: Pediatrics primary care providers

Background and Objective

Adolescent idiopathic scoliosis is usually asymptomatic but, when severe, may cause back pain, pulmonary problems, and reduced quality of life. Routine screening for asymmetry of the shoulders, shoulder blades, and hips is recommended in adolescents by several national organizations. Exercise is prescribed for mild curvature, bracing for intermediate curvature, and surgery for the most severe or symptomatic cases. The USPSTF has reassessed the evidence on benefits and harms of screening and treating adolescent idiopathic scoliosis.

What's Changed

The USPSTF now finds inadequate evidence to assess the b…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)