MSK - Adolescent Idiopathic Scoliosis Flashcards
1
Q
Definition
A
Structural spinal deformity characteristics by decompensation of the normal vertebral alignment during rapid skeletal growth in otherwise healthy children.
2
Q
Epidemiology
A
10-18 years
Men:Women 3:2
3
Q
Aetiology
A
Idiopathic
4
Q
Pathophysiology
A
Unknown
5
Q
Symptoms
A
- Postural asymmetry
- Absent or minimal pain
- Absence of neurological symptoms with normal neurological exam
- Paraspinal prominence when bending forward
- Scoliometer measurement of >5 degrees at paraspinal prominence
6
Q
Diagnosis
A
FIRST LINE = Clinical exam - asymmetric thoracic, thoracolumbar, or lumbar paraspinal prominence may be observed when patient bends forward.
7
Q
Treatment
A
Dependant an angle of displacement:
- Regular exercise
- Bracing
- Surgical spinal arthrodesis
8
Q
Risk factors
A
FHx
Peak adolescents growth spurt
