Is routine screening for scoliosis recommended by the USPSTF?

The United States Preventive Services Task Force (USPSTF) does not recommend routine screening for scoliosis in adolescents. The rationale behind this recommendation stems from a lack of compelling evidence showing that such screenings lead to significant improvements in long-term outcomes. This includes factors like treatment effectiveness when scoliosis is detected early vs. later, as well as the potential psychological impact on adolescents who may not have a significant risk of progression.

The decision reflects an understanding that while scoliosis is relatively common in the adolescent population, the majority of cases are mild and do not necessitate medical intervention. The USPSTF emphasizes that the risks of unnecessary referrals, treatment, and potential anxiety for both patients and families can outweigh the benefits of routine screening in the absence of evidence supporting its efficacy.

Consequently, the recommendation against routine screening aligns with a broader public health approach of minimizing unnecessary medical evaluations and focusing resources where they are likely to yield substantial benefit.