Last Minute! Flashcards
Normal range of thoracic kyphosis
20-40°
Scheuermann’s kyphosis
> 45° and 5° or more of anterior wedging at three or more sequential vertebrae
Thoracic Apex at T7 to T9
Thoracolumbar T10 and T12
Scheuermann’s kyphosis: when to treat
<60° observe/exercise
60-80° curve and skeletally immature, risser sign 3 or less and as long as a Popeyes’s are still immature.
USE milwaukee CTLSO until mature-23hr/day
LSO posterior coronal control
Williams flexion ox
Spondylolisthesis grade I and II (25% and 50% slippage)
<50% slip angle
stops extension allows flexion with dynamic articulating bar
3pt pressure
TLSO sagittal
Sagittal/coronal
Taylor Knight Taylor Compression fx Post op Arthritis Controls up to T4
TLSO anterior control
Jewett/ cash
Thoracolumbar compression fx T10-L2
Beware of shear
Shoulder ring in Milwaukee is used for
Cervicothoracic spine used to load high curves- these curves loaded minimally becaseue contralateral side of neck ring contacted the patient
TLSO for scoliosis indicated for what level of curve apex
T8 ( including boston)
BrownSequard syndrome
One side paralysis
Associated with unilateral facet joint dislocations (usually stable)
Bilateral facet dislocations
Flexion with some rotation
Facet capsules, posterior ligament and intervertebral disc are disrupted
Common levels of injury C5-6 (greatest motion except for c1-C2
Denis type I
Compression fx anterior column
Denis type II
Burst fx anterior and middle column
Denis III
Seatbelt injury posterior and middle injured followed by distraction, through bone, soft tissue or both
Denis IV
Fracture dislocations translation flexion rotation with shear
SOMI
Stabilize flexion injuries C1-C5
Not controlling extension
