Scoliosis were made possible at the turn of the 20th century. During this time, many schools subjected their students to physical examinations and posture tests. Students were believed to suffer from negative effects such as poor posture due to hunching over desks for hours in the classroom. Although these screenings were not intended to detect spinal curvature, physicians diagnosed many students with scoliosis. Scoliosis was considered a disease-based condition during the mid-20th century caused by tuberculosis or poliomyelitis. These diseases responsible for causing spinal deformities were successfully managed throughout the 1960s due to the distribution of vaccines and antibiotics. Despite the
Scoliosis in life secondary to degenerative (may or may not be associated with aging) changes. This is a type of deformity that starts and progresses because of the collapse of the vertebral column in an asymmetrical manner. People who initially present with scoliosis undergo physical examination to determine whether the deformity has an underlying cause and to exclude the possibility of underlying condition more serious than simple scoliosis. The person's gait is assessed, with an exam for signs of other abnormalities (e.g., spina bifida as evidenced by a dimple, hairy patch, lipoma, or hemangioma). A thorough neurological examination is also performed,