The X-rays will show the abnormal vertebra(e) and how severe the curve is. Images of your child's spine are taken from the back and the side. Imaging tests can provide more information. TestsĪlthough the forward bending test can detect scoliosis, it cannot detect the presence of congenital abnormalities. To rule out the presence of a spinal cord or nerve problem, your doctor may check the strength in your child's legs and the reflexes in the abdomen and legs. He or she will check the movement of the spine in all directions. With your child standing upright, your doctor will check to see if the hips are level, the shoulders are level, and that the position of the head is centered over the hips. A spinal deformity will be most noticeable when your child is in this position. Your child will bend forward and your doctor will observe your child from the back, looking for a difference in the shape of the ribs on each side. The standard screening test for scoliosis is the forward bending test. The vertebrae are shaped normally in compensatory curves. This occurs when the spine tries to make up for a scoliosis curve by creating other curves in the opposite direction above, or below, the affected area. In addition to scoliosis curves, a child's spine may also develop compensatory curves in order to maintain an upright posture. These cases can require surgery at an early age to stop the increased curvature of the spine. The combination of a bar on one side of the spine and a hemivertebra on the other causes the most severe growth problem. This results in a spinal curve that increases as a child grows. Such a bar prevents the spine from growing on one side after a child is born. If this separation is not complete, the result may be a partial fusion (boney bar) joining two or more vertebrae together. Courtesy of Texas Scottish Rite Hospital Failure of Separation of Vertebraeĭuring fetal development, the spine forms first as a single column of tissue that later separates into segments that become the bony vertebrae.
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