The posterior approach for scoliosis surgery is done from the back of the body. It involves making a long, straight incision into the back and moving aside the back muscles to reveal the spine.Rods, wires, hooks, or screws are attached to the spine in various ways. The spine is repositioned and held in place with these mechanisms while the new bone surface fuses. Bone grafts, often taken from the person's pelvic bone or ribs, are put in place to help the spinal bones fuse together in a permanent position over time.
A doctor may test a young person for scoliosis during a routine physical exam. In schools, screening may be provided annually for students between the ages of 10 and 14 (grades 5 through 9). The exam takes about 30 seconds and may be done by a school nurse or physical education teacher.The examiner first views the child from behind, looking for uneven shoulders, hips, or waistline or for shoulder blades that stick out or are uneven.The child then bends forward from the waist, with the arms hanging down loosely and the palms touching (forward-bending test). The examiner looks for any unevenness, such as one side of the rib cage that is higher than the other. The examiner may also view the child from the side to detect a hump on the upper back (kyphosis).Also, the examiner may measure the angle of trunk rotation (ATR) with a device called a scoliometer. Some states require screening for scoliosis by law. But health experts don't agree with whether or not to screen for scoliosis.1, 2