Scoliosis - Class 7 Flashcards

1
Q

scoliosis

A

general term used to describe any lateral curvature of the spine

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2
Q

classifications

A

structural

non-structural

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3
Q

structural scoliosis

A

irreversible lateral curvature

w/ fixed rotation of the vertebra

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4
Q

how do the vertebral bodies rotate –> structural

A

into the convexity

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5
Q

how do the spinous processes rotate –> structural

A

toward the concavity

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6
Q

structural scoliosis is not corrected by

A

positioning or voluntary effort

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7
Q

etiology of structural scoliosis

A

idiopathic

neuromuscular

osteopathic

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8
Q

idiopathic –> structural

A

about 75-80% of all scoliosis develops w/o any known cause

in otherwise normal healthy children

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9
Q

how does idiopathic scoliosis progress

A

w/ skeletal growth

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10
Q

neuromuscular –> structural

A

about 15-20% of structural scoliosis

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11
Q

neuromuscular –> structural –> develops as a result of

A

congenital or acquired dzs

-CP
-myelomeningocele
-muscular dystrophy

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12
Q

osteopathic –> structural

A

congenital or acquired

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13
Q

congenital –> osteopathic –> structural

A

secondary to hemivertebra

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14
Q

aquired –> osteopathic –> structural

A

d/t rickets, fxs or dislocations of spine

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15
Q

complications –> structural

A

cosmesis

pulmonary complications

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16
Q

cosmesis –>structural

A

in the T-spine and causes deformation of the rib cage

problems with self-image or self esteem

17
Q

pulmonary complications –> structural

A

vertebral rotation causes the ribs on the convex side of the curve to push posteriorly

–> causing rib hump
–>narrowing the thoracic cage

18
Q

as the vertebral body rotates towards the convex side

A

spinous process deviates toward the concave side

ribs on this side move anteriorly

causing a “hollow” and widening of the thoracic cage

19
Q

pulmonary complications –> axis of rib rotation

A

may change

efficiency of respiratory muscles can be reduced

overall rib compliance is reduced

20
Q

scoliosis is a

A

restrictive lung problem

21
Q

severity of structural

A

mild

moderate

severe

22
Q

mild structural

A

less than 20 degrees

23
Q

moderate sturctural

A

20-40/50 degrees

24
Q

severe structural

A

40-50 degrees or greater

25
Q

non-structural scoliosis

A

fxnal

reversible lateral curve

tends to be position and dynamic in nature

26
Q

etiology of non-structural

A

LLD

spasms in back muscles

habitual asymmetric postures

27
Q

habitual asymmetric postures –> non structural

A

sitting with weight shifted onto 1 hip

standing w/ weight primarily on 1 leg

28
Q

habitual asymmetric postures results in –> non structural

A

asymmetric flexibility and tightness in soft tissues of the trunk and hips

29
Q

direction of the curve is always identified by the

A

convexity

30
Q

major curve is the

A

most significant curve

31
Q

compensatory curves

A

develop in response to major curves

to position the shoulders level over the pelvic

32
Q

sites

A

develop in the thoracic or lumbar spines individually

may exist in multiple areas

33
Q

shapes

A

long C-curve

S-curve

34
Q

long c-curve

A

usually extends the length of the thoracic and lumbar spine

35
Q

s-curve

A

most common type of curve seen in idiopathic scoliosis

36
Q

s-curve involves

A

major curve and compensatory curve/curves