303) A 11 year old girl is evaluated in your office for progressing lateral curvature of her spine. She denies any back pain or neurological symptoms. Her mother is very concerned about the child’s appearance. On physical examination, there is gross convexity in the thoracic region of her spine with forward flexion at the hips. There is no tenderness or neurological deficits. An x-ray of the spine reveals 25º curvature ( cob angle) . Which of the following is the most appropriate management at this time?
A) Repeat Clinical exam and x-rays at 6 months
B) Refer to orthopedic evaluation
D) Spinal fusion surgery
E) Recommend back strengthening exercises