Scoliosis - Leik book

Question 1

Adolescent Idiopathic Scoliosis

Answer 1

Lateral curvature of the spine that may be accompanied by spinal rotation. More common
in girls (80% of patients). Painless and asymptomatic.

Question 2

Scoliosis screening test

Answer 2

Adam’s Forward Bend Test

Question 3

Adam’s Forward Bend Test

Answer 3

Bend forward with both arms hanging free. Look for asymmetry of spine, scapula, thoracic,
and lumbar curvature. Check height. Measure the Cobb angle (degree of spinal curvature).
Full-spine x-rays are used to measure degree of curvature.

Question 4

Cobb angle

Answer 4

degree of spinal curvature

PA spinal xray used to measure Cobb angle

Question 5

Curves less than 20 degrees

Answer 5

Observe and monitor for changes in spinal curvature

Question 6

Curves of 20 to 40 degrees:

Answer 6

Bracing (i.e., Milwaukee brace)

Question 7

Curves greater than 40 degrees:

Answer 7

Surgical correction with Harrington rod used on

spine and other options

Question 8

refer

Answer 8

Refer all patients with scoliosis to a pediatric orthopedic specialist

Question 9

Scoliosis treatment needed for a 10-degree curve

Answer 9

observe for worsening