DECISIONAL ALGORITHM

Follow the indications and get the evaluation

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Check for a true rotation

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Did you rule out the interference of a leg length discrepancy?

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Evaluate pre-pubescent growth and development

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Measure the angle of trunk rotation

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Did you rule out conditions suggesting a lower treshold?

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Suggested follow-up examination within 6 months/1 year (it depends on growth velocity)

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Hai escluso condizioni cliniche che consigliano di adottare una soglia più bassa (es. doppia curva, scoliosi scompensata, presenza di sintomi)?

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Evaluate Cobb Angle

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Measure the angle of trunk rotation

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Did you rule out conditions suggesting a lower treshold?

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Discharged. In the presence of a possible heterometry, the clinician will evaluate whether this is a data item that needs to be checked.

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Hai escluso condizioni cliniche che consigliano di adottare una soglia più bassa (es. doppia curva, scoliosi scompensata, presenza di sintomi)?

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Evaluate Cobb Angle

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Evaluate Risser degree

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Discharged. In the presence of a possible heterometry, the clinician will evaluate whether this is a data item that needs to be checked.

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Plan a follow-up within 6 months

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Consider remaining growth: Risser signe, hand x-ray

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Brace recommended until growht velocity 0

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Discharged (Remote follow-up if needed)

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Spine surgeon visit reccomended – brace in the meanwhile

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Hai escluso una interferenza nella valutazione da parte di una eterometria degli arti inferiori?

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Discharged. In the presence of a possible heterometry, the clinician will evaluate whether this is a data item that needs to be checked.

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Follow-up visit within 4-6 months

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Brace recommended

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