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14 Cards in this Set

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Scoliosis
A lateral curvature of the spine >10° in the coronal plane.

Associated with rotation around vertical axis.

Often associated with rib cage deformities, uneven shoulder height, scapular levels and iliac crest levels.
Clinical Signs and Symptoms
Generalized back pain

Body asymmetry (ribs, hips, shoulders)

Muscle hypertrophy/compensation

Can have neurological impact.

Cardiac and pulmonary compromise in severe cases
Adams Forward Bending Test
pt bends forward,
look for:

is one shoulder higher than other

does a shoulder blade stick out more than the other

does an arm stick out more than another

IS THERE A BULGE IN THE BACK
Curve is quantified using the ______.
Cobb angle
COBB ANGLE
Measured between two most angled vertebrae at top and bottom of curve
MRI is indicated
congenital presentation

atypical curves

neuro signs
Treatment – Basic Guideline
Observation up to 30°
Bracing 30 to 45°
Surgical >45°
most important risk factor for Respiratory Failure in scoliosis
degree of curve
Rib cage deformity ultimately leads to
decr PaO2
wedge vertebrae
partial unilateral failure of formation
hemivertebrae
complete unilateral failure of formation
congenital bar
unilateral failure of segmentation
block vertebrae
bilateral failure of segmentation
neuromuscular causes of kyphoscoliosis
muscular dystrophy
poliomylitis
cerebral palsy