scoliosis

• Condition in which child’s spine curves sideways or rotates
• Curvature that is >10 degrees
• Commonly the child will Report back pain and family recognizes asymmetry of the hips or shoulders
• Nurses should assess the heart and lungs and vital signs to determine compromise related to the curvature
• Thoracic cavity assessment
• Early diagnosis is key
• Treatment is aimed at preventing progression of the curve and decreasing the impact on pulmonary and cardiac function

  • based off child age, expected growth, severity of curve
• Serial examinations and spine x-ray is used to monitor curve progression
• 25-40 degree curves, bracing may be sufficient to decrease progression of curve
• Surgical correction is usually required for curves greater than 40-50 degrees, achieved with Rod placement and bone grafting
• Encourage compliance with bracing, postoperative care and discharge teaching if required