Clinical Practice and
Referral Guidelines


Scoliosis is not a diagnosis, but rather a description of a structural alteration that occurs in a variety of conditions.  The objective in developing this guideline was to assist the pediatrician in the evaluation of scoliosis and to determine when a referral to a pediatric orthopedist is warranted.    

This guideline includes the following:

  1. Definition of scoliosis by category-neuromuscular, congenital, and idiopathic;
  2. Presentation of concern;
  3. Evaluation to include history, physical exam, radiographic evaluation and risk for progression;
  4. Referral recommendations; and
  5. Treatment options, which may include, but not be limited to, observation, bracing and/or surgery.

If you are a physician and would like more information on the Clinical Practice and Referral Guideline for Scoliosis, please contact us at

If you are a parent and concerned that your child may have a spinal curvature, please consult with your child’s pediatrician or primary care physician.

* This guideline was developed in collaboration with pediatric orthopedists from Georgia Pediatric Subspecialists. The recommendations in the  guideline do not indicate an exclusive course of treatment. The intent is to build a consensus of care in the pediatric community and provide a framework for clinical decision-making. Last revised 4/2011

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