May/June 2024 HAWAII PARENT 105 Signs and symptoms of scoliosis include: • Top of shoulders are uneven • One shoulder blade protrudes outward more than the other • One hip appears higher than the other • One side of the rib cage appears higher than the other while bending forward It isnʻt known what causes the most common form of scoliosis (idiopathic), but it is often hereditary. Since it can be difficult to notice the symptoms in its early stages, it is important for your child to participate in school health screenings and visit their pediatrician regularly. X-rays are used to evaluate and measure the curvature of the spine, which your doctor can use to determine the severity of the curve and possible treatments, which include: Mild curve: Your doctor may recommend regular monitoring and observation as your childʻs bones continue to grow. Moderate curve: Bracing is typically recommended to slow or stop the curve from progressing. This usually involves creating a custom-fitted brace that your child wears every day under their clothes. Severe curve: Depending on your childʻs age and the location and severity of the curve, your doctor may recommend surgery, including spine fusion or the insertion of an expandable rod that is adjusted as your child grows. Severe scoliosis often results in increased back pain and breathing problems and must be treated promptly.
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