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13 Cards in this Set
- Front
- Back
Where is the apex of normal thoracic kyphosis?
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T5-T8
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What is the average annual spinal growth rate per segment? What is the approximate total?
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0.07 cm per year per segment 1 cm per year total
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Curve progression best corresponds with which measure?
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Peak growth velocity
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What is the recommended scoliometry threshold for referral for spine surgery evaluation?
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7 degrees on Adams forward bend
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Peak growth velocity generally occurs at which Risser stage? How about menarche?
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Peak growth velocity at Risser 0
Menarche occurs before Risser1 |
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What are five indications for obtaining an MRI in the adolescent scoliosis patient?
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Left thoracic curve
Abnormal neurologic exam, especially asymmetric abdominal reflexes Excess kyphosis (conider neurofibromatosis Onset <11 years old (think infantile, juvenile) Pain |
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How are stable vertebrae and neutral vertebrae defined?
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Midsacral line bisects the stable vertebrae
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What is the usual sagittal alignment at the apical vertebrae with AIS?
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Apical vertebrae usually hypokphotic
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What is the definition of a structural curve? Why are structural curves clinically significant?
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Structural curves do not bend out to less than 25 degrees
All structural curves should be incorporated in fusion |
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What are the six components of the Lenke classification for AIS?
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Main thoracic
Double thoracic Double major Triple major Thoracolumbar/lumbar Thoracolumbar/lumbar-main |
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What is the definition of a structural curve? Why are structural curves clinically significant?
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Structural curves do not bend out to less than 25 degrees
All structural curves should be incorporated in fusion |
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What three aspects make the progression of neuromuscular scoliosis?
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More rapid
Continues after maturity Pelvic obliquity |
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In general, at what age should fusion surgery be undertaken for neuromuscular scoliosis?
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10 to 12 years
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