scoliosis Flashcards

1
Q

types of scoliosis

A

structural scoliosis

non-structural scoliosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

structural scoliosis

A

IRREVERSIBLE lateral curvature with fixed rotaion of the vertebra

vertebral bodies rotate into the convexity while the spinous processes rotate toward the concavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

example of structural scoliosis –> right curve w/ left rotation

A

if the thoracic spine is involved

–> forward bending produces a posterior rib hump in the thoracic spine on the convex side of the curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is structural scoliosis not corrected by

A

positioning or voluntary effort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

non-structural scoliosis is also called

A

functional scoliosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

non-structural scoliosis

A

REVERSIBLE lateral curve that tends to be positional and dynamic in nature

no structural or rotational changes in the alignment of the vertebra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

correction of non-structural scoliosis

A

forward bending

positional changes

muscles contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

description of curves

A

direction

major curve

compensatory curves

curve name

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

direction of the curve

A

identified by side of convexity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

major curve

A

most significant curve in the deformity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

compensatory curve

A

those that develop in response to major curves

–> position on the shoulder level and over the pelvis
–> eyes on the horizon and horizontal as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

curve name

A

where the level of the apex of the curve occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

sites of curves

A

could develop in the lumbar spine or the thoracic spine or both at the same

usually wont have in the cervical spine –> compensatory curve more likely to occur here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

shapes of curve

A

long c-curve

s-curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

long c-curve

A

extends the length of the thoracic and lumbar spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

s-curve

A

most common type of curve seen in idiopathic (unknown) scoliosis

involves a major and a compensatory curve

17
Q

complications of structural scoliosis

A

cosmesis

pts will look twisted –> have a rib hump

mostly involves the thoracic spine b/c it twists the ribcage

pulmonary complications

18
Q

cosmesis

A

especially of the thoracic spine is involved d/t deformation of the ribs

19
Q

pulmonary complications

A

rotation causes the ribs on the convex side of the curve to push posteriorly
–> causing a rib hump and narrowing thoracic spine

on the concave side

scoliosis causing restrictive pulmonary dz

20
Q

on the concave side (pulm complications)

A

ribs move anteriorly causing a widening and a hollow in the thoracic spine

approximation of ribs

axis of motion for the ribs to change

21
Q

scoliosis causing restrictive pulmonary dz

A

can sometimes case cardiac problems if the curve is large enough

22
Q

severity of curves

A

mild

moderate

severe

23
Q

mild

A

less than 20 degrees

24
Q

moderate

A

20-40 or 50 degrees

25
Q

severe

A

40 or 50 degrees or more

26
Q

what dictates treatment

A

bone age

growth plates

severity

27
Q

example –> 10 yr old with a moderate curve

A

may be a more aggressive treatment