scoliosis Flashcards
what plane is scoliosis normally in
coronal plane
what is the most common scoliosis
double major curve
-thoracolumbar
what spine segment only curves are rare
single lumbar curves
classification of scoliosis
idopathic congenital acquired neuromuscular syndromic
most common classification of scoliosis presented
idiopathic
infantile idopathic scoliosis males or females more convexity to \_\_ predominantes and curve is usually \_\_\_ male/female progress more towards surgery
male over female
convex to L
curve usually thoracolumbar
females
when to refer a juvenile idiopathic scoliosis
if Cobb angle is above 20 degrees
adolescent scoliosis most common type
double major, right thoracic and left lumbar
related anomalies with congenital scoliosis
urinary tract
cardiac
spinal dysraphism
neuromuscular scoliosis
cerbral palsy
polio
duchenne’s muscular dystrophy
syndromic scoliosis
marfan’s
ehlers danlos
neurofibromatosis
acquired scoliosis
structural short leg syndrome
psoas synd
poor posture
healed leg fracture
AAOS screening girls
boys
10 and 12, boys 13 and 14
AAP screening
10,12,14,16
adams forward bend test
demonstrates rotational component of scoliosis
cobb angle gonld standard ___ degrees defines scoliosis
10
cobb referral to ortho
angle over 20 deg
progression of cobb angle > 5 deg
treatment 0-10 degrees, asymptomatic
OMT
observe with F/U every 4-6 months
10-20 degrees asymptomatic
OMT, ortho eval, PCP follow
-clinical exam and x-rays every 4-6 months
greater than 20 degrees on presentation
ortho referral
0-30 degrees
omt
follow clinicall
what is the goal of treatment
prevent progression to 50 degrees
bracing: milwaukee brace
20-40 deg curves for growing pt
boston brace
works on lordosis and roation and scoliosis
apex of curve must be below T10
-TLSO throacic lumbar sacral orthotic
