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10 Cards in this Set

  • Front
  • Back
If the apex is proximal to T7, what brace is needed?
Milwaukee brace
Bracing has been prospectively shown to be effective for which population?
Females with 25- to 35- degree curves
An anterior spinal fusion alone may suffice for which curve type?
Thoracolumbar curves
What are the two classic advantages of an anterior fusion in this population? Is there an important caveat?
Save levels
Improve correction
Caveat: pedicle screws may negate these advantages
What are the three general indications for a combined anterior and posterior fusion?
Curves> 75 degrees
Crankshaft prevention (females <10 years old, males <13 years old)
Neuromuscular scoliosis
Why are some neuromuscular conditions treated posterior fusion alone?
To avoid compromising already fragile pulmonary function
What are three examples of neuromuscular disorders treated with posterior fusion only?
Muscular dystrophy
Spinal muscular atrophy
Werdnig-Hoffman
What should the distal extent of fusion ideally be in the adolescent idiopathic population?
L3 or above
What are the two risk factors for neurologic injury?
Excessive correction
Sublaminar wires
What is the ideal pedicle screw depth?
80% of vertebral body depth