National Physical Therapy Examination (NPTE) Practice Exam

What may indicate the need for a referral to an orthopedic surgeon for a child with scoliosis?

1. Curve of 15°

2. Curve of 30°

3. Rapid progression of the curvature

4. Asymptomatic condition

The correct answer is: Rapid progression of the curvature

Referral to an orthopedic surgeon for a child with scoliosis is typically indicated by certain clinical features or risks associated with the condition. One of the most critical factors is the rapid progression of the curvature. This can suggest that the scoliosis may be worsening significantly, potentially leading to more serious complications if not addressed promptly. In children, as they are growing, skeletal changes can occur rapidly, and monitoring the curvature becomes essential to determine the appropriate intervention. A rapid increase in curvature can affect not only physical appearance but also respiratory function and overall mobility, making timely referral to an orthopedic specialist important for evaluation and possible treatment options. Other factors such as the degree of curvature may be important, yet they are not necessarily indicators for immediate referral unless accompanied by rapid progression. For instance, while a curve of 30° is considered significant and might warrant close monitoring, it is the speed at which the curvature changes that raises the urgency for surgical evaluation and potential intervention.