scoliosis

Question 1

what plane is scoliosis normally in

Answer 1

coronal plane

Question 2

what is the most common scoliosis

Answer 2

double major curve

-thoracolumbar

Question 3

what spine segment only curves are rare

Answer 3

single lumbar curves

Question 4

classification of scoliosis

Answer 4

idopathic
congenital
acquired
neuromuscular
syndromic

Question 5

most common classification of scoliosis presented

Answer 5

idiopathic

Question 6

infantile idopathic scoliosis 
males or females more
convexity to \_\_ predominantes 
and curve is usually \_\_\_
male/female progress more towards surgery

Answer 6

male over female
convex to L
curve usually thoracolumbar
females

Question 7

when to refer a juvenile idiopathic scoliosis

Answer 7

if Cobb angle is above 20 degrees

Question 8

adolescent scoliosis most common type

Answer 8

double major, right thoracic and left lumbar

Question 9

related anomalies with congenital scoliosis

Answer 9

urinary tract
cardiac
spinal dysraphism

Question 10

neuromuscular scoliosis

Answer 10

cerbral palsy
polio
duchenne’s muscular dystrophy

Question 11

syndromic scoliosis

Answer 11

marfan’s
ehlers danlos
neurofibromatosis

Question 12

acquired scoliosis

Answer 12

structural short leg syndrome
psoas synd
poor posture
healed leg fracture

Question 13

AAOS screening girls

boys

Answer 13

10 and 12, boys 13 and 14

Question 14

AAP screening

Answer 14

10,12,14,16

Question 15

adams forward bend test

Answer 15

demonstrates rotational component of scoliosis

Question 16

cobb angle gonld standard ___ degrees defines scoliosis

Answer 16

10

Question 17

cobb referral to ortho

Answer 17

angle over 20 deg

progression of cobb angle > 5 deg

Question 18

treatment 0-10 degrees, asymptomatic

Answer 18

OMT

observe with F/U every 4-6 months

Question 19

10-20 degrees asymptomatic

Answer 19

OMT, ortho eval, PCP follow

-clinical exam and x-rays every 4-6 months

Question 20

greater than 20 degrees on presentation

Answer 20

ortho referral

Question 21

0-30 degrees

Answer 21

omt

follow clinicall

Question 22

what is the goal of treatment

Answer 22

prevent progression to 50 degrees

Question 23

bracing: milwaukee brace

Answer 23

20-40 deg curves for growing pt

Question 24

boston brace

Answer 24

works on lordosis and roation and scoliosis
apex of curve must be below T10
-TLSO throacic lumbar sacral orthotic

Question 25

surgery when

Answer 25

adolescent with curve > 40 degrees

Question 26

surgeries

Answer 26

posterior spoinal fusion

harrington rods

Question 27

goal of surgery to prevent

Answer 27

pulmonary comp >50
cardiac compromis > 75
to fuse spine