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14 Cards in this Set
- Front
- Back
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Scoliosis
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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. |
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Clinical Signs and Symptoms
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Generalized back pain
Body asymmetry (ribs, hips, shoulders) Muscle hypertrophy/compensation Can have neurological impact. Cardiac and pulmonary compromise in severe cases |
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Adams Forward Bending Test
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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 |
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Curve is quantified using the ______.
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Cobb angle
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COBB ANGLE
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Measured between two most angled vertebrae at top and bottom of curve
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MRI is indicated
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congenital presentation
atypical curves neuro signs |
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Treatment – Basic Guideline
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Observation up to 30°
Bracing 30 to 45° Surgical >45° |
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most important risk factor for Respiratory Failure in scoliosis
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degree of curve
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Rib cage deformity ultimately leads to
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decr PaO2
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wedge vertebrae
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partial unilateral failure of formation
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hemivertebrae
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complete unilateral failure of formation
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congenital bar
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unilateral failure of segmentation
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block vertebrae
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bilateral failure of segmentation
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neuromuscular causes of kyphoscoliosis
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muscular dystrophy
poliomylitis cerebral palsy |
