How is scoliosis monitored and managed in CP?

• A. Regular clinical and radiographic monitoring; physical therapy to maintain flexibility; bracing or surgical intervention if progression occurs
• B. Radiographs only when pain arises
• C. No intervention ever
• D. Only bracing, no monitoring

Answer: (B)

In cerebral palsy, scoliosis is managed with ongoing, proactive surveillance rather than waiting for pain. Regular clinical assessments check trunk asymmetry, spinal curvature, flexibility, and seating balance, while periodic radiographs measure the curvature magnitude (Cobb angle) to track progression even when there are no symptoms. This combination lets clinicians catch progression early and plan appropriate care. Physical therapy helps keep the spine flexible, maintain posture, and support function and seating stability. When a curve progresses or begins to impact function or respiration, intervention is considered: bracing to slow progression in growing children and moderate curves, and surgical options for severe or rapidly progressing curves that impair function or pulmonary health. By using both monitoring and staged interventions, management aims to preserve function, sitting balance, and pulmonary reserve as CP-related scoliosis evolves.