Cobb Angle

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Ryland, a 13-year-old male, presents with left thoracic scoliosis. The patient denies back pain; however, the patient's Cobb angle has progressed from 20 to 27 degrees over the past year. Which of the following is MOST recommended:  

A. Perform trunk strengthening exercises for muscles on the right 

B. Refer the patient for an orthopedic surgery consult 

C. Immediate referral for orthosis fitting 

D. Advise the child's guardians to monitor progression and continue with HEP

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