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Scoliosis. 2013 Oct 31;8:17. doi: 10.1186/1748-7161-8-17. eCollection 2013.

Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force.

Author information

  • 1Orthopedic Division, Sainte-Justine University Hospital, University of Montreal, Montreal, Canada.
  • 2Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, USA ; Department of Orthopaedic Surgery, University of Texas-Southwestern, Dallas, USA.
  • 3Department of Orthopedics, VU University Medical center, Amsterdam, the Netherlands and Sint Maartenskliniek, Nijmegen, Amsterdam, the Netherlands.
  • 4Orthopaedic and Trauma Department, Tzanio" General Hospital of Piraeus, Piraeus, Athens, Greece.
  • 5Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, Hong-Kong, China.
  • 6Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • 7Department of Orthopaedic Surgery, Children's Hospital of Wisconsin, Milwaukee, USA.
  • 8Research Center, Sainte-Justine University Hospital, University of Montreal, Montreal, Canada.
  • 9School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, Hong-Kong, China.



Routine screening of scoliosis is a controversial subject and screening efforts vary greatly around the world.


Consensus was sought among an international group of experts (seven spine surgeons and one clinical epidemiologist) using a modified Delphi approach. The consensus achieved was based on careful analysis of a recent critical review of the literature on scoliosis screening, performed using a conceptual framework of analysis focusing on five main dimensions: technical, clinical, program, cost and treatment effectiveness.


A consensus was obtained in all five dimensions of analysis, resulting in 10 statements and recommendations. In summary, there is scientific evidence to support the value of scoliosis screening with respect to technical efficacy, clinical, program and treatment effectiveness, but there insufficient evidence to make a statement with respect to cost effectiveness. Scoliosis screening should be aimed at identifying suspected cases of scoliosis that will be referred for diagnostic evaluation and confirmed, or ruled out, with a clinically significant scoliosis. The scoliometer is currently the best tool available for scoliosis screening and there is moderate evidence to recommend referral with values between 5 degrees and 7 degrees. There is moderate evidence that scoliosis screening allows for detection and referral of patients at an earlier stage of the clinical course, and there is low evidence suggesting that scoliosis patients detected by screening are less likely to need surgery than those who did not have screening. There is strong evidence to support treatment by bracing.


This information statement by an expert panel supports scoliosis screening in 4 of the 5 domains studied, using a framework of analysis which includes all of the World Health Organisation criteria for a valid screening procedure.

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