Evidence Checklist: Scoliosis

Orthopedic evaluation with spinal curvature and range of motion assessmentCritical

Examination documenting thoracic or lumbar curvature, any rib hump (Adam's forward bend test), spinal range of motion in degrees, and any associated pain or neurological symptoms.

Nexus opinion linking scoliosis to service ("at least as likely as not")Critical

A medical opinion connecting your scoliosis to military service, or establishing that service significantly aggravated a pre-existing scoliosis beyond its natural progression.

Full-length standing spine X-ray with Cobb angle measurementCritical

Posteroanterior standing scoliosis series documenting the Cobb angle (severity of curvature), curve type and location, and any vertebral rotation. VA rates scoliosis under the spine schedule based on motion limitation, not Cobb angle alone.

Documentation of pain, functional limitations, and flare-ups

Records documenting back pain, fatigue from compensatory muscle use, limitations in prolonged standing or sitting, and DeLuca factors affecting daily activities.

Treatment records (physical therapy, bracing, surgery)

Records documenting scoliosis brace use, spinal stabilization physical therapy, and any surgical intervention (spinal instrumentation and fusion).

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Back (Thoracolumbar Spine) ConditionsCritical

Standardized form capturing spinal range of motion, curvature findings, pain, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.