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May 11, 1957


JAMA. 1957;164(2):134-136. doi:10.1001/jama.1957.02980020014003

• Early recognition of scoliosis is possible if the back is examined with the patient bending forward. This should be part of every physical examination in children. Deformity increases most during the period of rapid vertebral growth from 11 to 15 years of age unless it is corrected. The severity of scoliosis is expressed in degrees of angular measure as determined on the roentgenogram. If it exceeds 30 degrees, complete restoration is no longer likely to be achieved because the average amount of correction obtained by traction, body casts, and surgical fusion of the affected vertebrae is about 25 degrees. The use of a localizer cast makes it possible to keep the patient ambulatory all the time, except for the 7 to 10 days after surgery. The total period of immobilization of the patient's back after operation is 8 to 10 months.