Scoliosis: Degrees, Military Service, and Re-evaluation Options - Orthopedics

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Regarding the issue of scoliosis?


I recently graduated from university and received a health examination notification.
I have a 12-degree right thoracic curvature and a 12-degree left lumbar curvature.
The doctor who initially examined me mentioned that I had not yet reached the standard for exemption from military service.
However, today’s notification states that I am classified as a second-class reserve.
According to current regulations, the curvature angle for alternative military service is between 20 to 30 degrees.
My question is, how is the curvature angle of scoliosis assessed? Can I apply for a re-examination?

Xiao Heng, 20~29 year old female. Ask Date: 2004/06/28

Dr. Shi Qiming reply Orthopedics


Dear Mr.
Hsiao-Heng,
Thank you for your inquiry.
The angle of scoliosis is measured using the Cobb angle method, which assesses the maximum angle of inclination of the vertebrae involved in the curvature.
If you are interested, you can search online using keywords like "Cobb angle" and "scoliosis" to find a wealth of information.
Regardless of the severity of your curvature, the final decision regarding military service eligibility will be made by military physicians.
From a professional standpoint, a curvature of 12 degrees in both the thoracic and lumbar regions is considered.
If the scoliosis is not visibly pronounced, annual follow-up is generally sufficient.
Thank you!
Orthopedic Department, Hsinchu Hospital, Department of Health, Executive Yuan

Reply Date: 2004/06/28

More Info


Scoliosis is a condition characterized by an abnormal lateral curvature of the spine, which can vary in severity. The degree of curvature is typically measured in degrees using an X-ray, and it plays a significant role in determining the treatment options and implications for activities such as military service. In your case, you mentioned having a 12-degree right thoracic curve and a 12-degree left lumbar curve. According to most medical guidelines, a curvature of less than 20 degrees is generally considered mild and may not require treatment or significant lifestyle changes.

Regarding military service, the regulations can vary by country, but many military organizations have specific standards for physical fitness and health. In your situation, it appears that the initial assessment indicated that your scoliosis did not meet the threshold for exemption from service, as it is typically set at 20 degrees or more for alternative service classifications. The fact that your current classification is "乙等常備役" suggests that while you may not be fully exempt, your condition is recognized, and you may have certain limitations or considerations in your service.

If you are concerned about the classification and believe that your condition may have changed or that there may have been an error in the assessment, you have the right to request a re-evaluation or a second opinion. This process often involves submitting a formal request to the appropriate military or medical authority, along with any supporting documentation, such as recent medical records or imaging studies that detail the current state of your scoliosis.

It is essential to understand that the assessment of scoliosis is not solely based on the angle of curvature. Other factors, such as the presence of symptoms (like pain or functional limitations), the progression of the curvature, and the overall impact on your health and physical capabilities, are also considered. Therefore, if you experience any discomfort or limitations in your daily activities, it is crucial to communicate these to your healthcare provider.

In summary, your current curvature of 12 degrees is considered mild and typically does not warrant exemption from military service. However, if you feel that your condition has worsened or if you have concerns about your classification, you can certainly apply for a re-evaluation. It is advisable to consult with a healthcare professional who specializes in spinal disorders to obtain an accurate assessment and guidance on how to proceed with your request. Additionally, keeping a record of any symptoms or changes in your condition can be beneficial during the re-evaluation process.

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