{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:31:09Z","timestamp":1792812669566,"version":"4.5.0"},"reference-count":19,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.mdpi.com"],"crossmark-restriction":true},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Currently, clinicians and physiotherapists pay only limited attention to spinal deformities in children with cerebral palsy (CP). To enhance awareness, a tool based on a traffic light system (TLS-Spine) was developed for use by pediatricians and physiotherapists caring for children with CP. The objective of the study was to evaluate the applicability of this assessment tool in routine clinical practice. Methods: A review group consisting of 48 pediatricians and physiotherapists was recruited. Each participant was asked to apply the TLS-Spine to a minimum of 10 CP patients and to complete a questionnaire concerning its value and applicability in daily practice. Responses were rated on a scale from 1 (complete agreement) to 6 (complete disagreement). Results: The TLS-Spine was correctly applied in 96.3% cases. The questionnaires of 48 reviewers based on 537 completed survey sheets were analyzed. Overall, reviewers reported no difficulties with the introduction and use of the TLS-Spine in daily clinical routine practice (median\/range: 1\/1\u20134). The tool was considered straightforward to use (1\/1\u20133), not time consuming (1\/1\u20134), helpful in performing the clinical examination (2\/1\u20136), understanding the findings (2\/1\u20136) and deciding on further management of the patients (2\/1\u20135). Physicians rated the TLS-Spine significantly higher than physiotherapists in four of nine dimensions. Conclusions: The TLS-Spine is a practical and user-friendly assessment tool. It may increase the awareness for spinal deformities and support early referral to orthopedic specialists for early detection and treatment.<\/jats:p>","DOI":"10.3390\/children12101315","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T10:54:48Z","timestamp":1759229688000},"page":"1315","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Traffic Light System for Detecting Spinal Deformities in Children with Cerebral Palsy"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6296-9480","authenticated-orcid":false,"given":"Bettina","family":"Westhoff","sequence":"first","affiliation":[{"name":"University Hospital, Medical Faculty, Department of Orthopedics and Traumatology, 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Vehse","sequence":"additional","affiliation":[{"name":"DRK Pediatric Hospital, Department of Neuroorthopedics, 57072 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kell","family":"Behrens","sequence":"additional","affiliation":[{"name":"Independent Researcher, 53474 Bad Neuenahr-Ahrweiler, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Horter","sequence":"additional","affiliation":[{"name":"Social Pediatric Center, 48653 Coesfeld, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Pasha","sequence":"additional","affiliation":[{"name":"Helios Klinikum, Department of Orthopedics and Traumatology, 47805 Krefeld, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Placzek","sequence":"additional","affiliation":[{"name":"University Hospital, Medical Faculty, Department of Orthopedics and Traumatology, 53127 Bonn, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6559-6277","authenticated-orcid":false,"given":"Urs","family":"von Deimling","sequence":"additional","affiliation":[{"name":"Independent Researcher, 53359 Rheinbach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Seidl","sequence":"additional","affiliation":[{"name":"Klinikum Herford, Department of Orthopedics and Traumatology, 32049 Herford, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Herz","sequence":"additional","affiliation":[{"name":"Marienstift, Department of Pediatric Orthopedic Surgery, 99310 Arnstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.braindev.2009.03.009","article-title":"Cerebral Palsy Update","volume":"31","author":"Cans","year":"2009","journal-title":"Brain Dev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1469-8749.1997.tb07414.x","article-title":"Development and Reliability of a System to Classify Gross Motor Function in Children with Cerebral Palsy","volume":"39","author":"Palisano","year":"1997","journal-title":"Dev. 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