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Spine Illustrated guide

# Scoliosis: noticing asymmetry and seeking assessment

Three illustrated steps on back asymmetry, assessment and the limits of observation at home. This is not an Adams test tutorial.

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![A clothed teenager viewed from behind, with the shoulders at slightly different heights.](https://ortopediaevolutiva.com/illustrated-guides/scoliosi-asimmetria-v1.webp)

![A clothed teenager viewed from behind, with the shoulders at slightly different heights.](https://ortopediaevolutiva.com/clinical-print-figures/52396f76e5d7d5cf.webp)

01

## Notice asymmetry

An uneven shoulder or waist may deserve attention. Appearance alone cannot confirm scoliosis.

![A doctor observing a clothed teenager](https://ortopediaevolutiva.com/illustrated-guides/scoliosi-visita-v1.webp)

![A doctor observing a clothed teenager](https://ortopediaevolutiva.com/clinical-print-figures/357d3b2b1758b3d2.webp)

02

## Assessment provides context

The clinician examines the back and growth, then decides whether X-rays and further checks are needed.

![A mother showing the doctor a photograph of her child](https://ortopediaevolutiva.com/illustrated-guides/scoliosi-foto-v1.webp)

![A mother showing the doctor a photograph of her child](https://ortopediaevolutiva.com/clinical-print-figures/bf34dee72e0dbcf1.webp)

03

## Not a home diagnostic test

A drawing or photograph cannot measure the curve or establish whether a brace is needed.

General information; this guide does not replace an individual medical assessment.

[Dr Daniele Priano — Paediatric orthopaedics](https://ortopediaevolutiva.com/en/about)

[Condition information →](https://ortopediaevolutiva.com/en/conditions/scoliosis)

## Sources
- [AAOS/POSNA/SRS — Idiopathic Scoliosis](https://www.orthoinfo.org/diseases--conditions/idiopathic-scoliosis-in-children-and-adolescents)

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