For scoliosis with a Cobb angle of 0-20 degrees, the typical management is

For scoliosis with a Cobb angle of 0-20 degrees, the typical management is

• A. Brace
• B. Monitor
• C. Surgery
• D. Physical therapy only

Answer: (B)

The idea being tested is how to manage scoliosis based on how large the curve is and the patient’s growth potential. When the Cobb angle is in the mild range (about up to twenty degrees), the risk of rapid progression is low, especially as growth slows or stops. The typical approach is watchful waiting with periodic imaging to ensure the curve isn’t progressing as the child grows. Bracing or surgery is not usually indicated for such mild curves. Bracing is generally reserved for larger curves during remaining growth, and surgery is considered for more significant, rapidly progressing curves or when nonoperative measures fail. Physical therapy may help with flexibility and posture but does not by itself prevent progression in a growing child with a mild curve, so it isn’t the primary management.

The idea being tested is how to manage scoliosis based on how large the curve is and the patient’s growth potential. When the Cobb angle is in the mild range (about up to twenty degrees), the risk of rapid progression is low, especially as growth slows or stops. The typical approach is watchful waiting with periodic imaging to ensure the curve isn’t progressing as the child grows. Bracing or surgery is not usually indicated for such mild curves. Bracing is generally reserved for larger curves during remaining growth, and surgery is considered for more significant, rapidly progressing curves or when nonoperative measures fail. Physical therapy may help with flexibility and posture but does not by itself prevent progression in a growing child with a mild curve, so it isn’t the primary management.