Savarese Ch 5: Scoliosis and Short Leg Syndrome

Question 1

Name a scoliosis curve that is sidebent left

Answer 1

Dextroscoliosis

Question 2

Name a scoliosis curve that is concave on the left

Answer 2

Dextroscoliosis

Question 3

The big difference between structural and functional scoliotic curves

Answer 3

A functional curve CAN be partially/completely corrected with sidebending to the OPPOSITE direction.

Question 4

How do you measure spinal curves?

Answer 4

On x-rays with Cobb method.

Question 5

Describe the Cobb method

Answer 5

Extend horizontal lines from the vertebral bodies of the exteme ends of the curve.

• Draw perpendicular lines from those lines
• Measure the acute (cobb) angles.

Question 6

Classify scholiosis based on Cobb measurements

Answer 6

Mild: 5-15
moderate 20-45
Severe >50

Question 7

When is respiratory function compromised?

Answer 7

Cobb > 50

Question 8

When is cardiovascular function compromised?

Answer 8

Cobb > 75

Question 9

What is the most common cause of anatomical leg length discrepancy? (short leg syndrome)

Answer 9

Hip replacement

Question 10

Describe the innominate rotation with short leg syndrome

Answer 10

short leg: anterior rotoation

Log leg: posterior rotation

Question 11

Explain how the lumbar spine compensates for a short leg syndrome

Answer 11

Lumbar spine will SB away and rotate toward the side of the short leg

Question 12

When is a heal lift considered?

Answer 12

If the femoral head difference is > 5 mm (x-ray)