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Chapter 13 - Examination of the Spine in Childhood
- By A. L. Rex Michael, Ashley Cole
Edited by Fazal Ali, Nick Harris
Book:

Orthopaedic Examination Techniques

Published online:

22 April 2022

Print publication:

12 May 2022, pp 242-251
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Summary

In this chapter. clinical examination of the spine in the child is described. The main pathology here is scoliosis and a simplified method of assessing a child with scoliosis is described. This method is similar to a lumbar spine examination, except that during the examination process a few specific points are noted: When inspecting, look for other stigmata associated with scoliosis such as café-au-lait spots. When palpating, remember to use a plumb line, which indicates whether the scoliosis is balanced. When asking the patient to move, look for the rib prominence (Adam’s test) indicating structural scoliosis. Finally, when performing a neurological assessment, remember to look at the abdominal reflexes.
This chapter also covers kyphosis and other conditions such as torticollis.