Scoliosis & Short Leg Syndrome

Question 1

What is the cobb angle?

Answer 1

Measures the degree of scoliosis

Question 2

How is Mild scoliosis defined?

Answer 2

Cobb angle b/w 5-15

Question 3

How is Moderate scoliosis defined?

Answer 3

Cobb angle b/w 20-45

Question 4

How is Severe scoliosis defined?

Answer 4

Cobb angle > 50

Question 5

At what Cobb angle is respiratory function compromised?

Answer 5

Cobb angle > 50

Question 6

At what Cobb angle is cardiovascular function compromised?

Answer 6

Cobb angle > 75

Question 7

When is surgery indicated for scoliosis?

Answer 7

Severe scoliosis (Cobb angle > 50)

Question 8

When is a spinal orthotic brace indicated for scoliosis?

Answer 8

Moderate scoliosis (Cobb angle b/w 20-45)

Question 9

What is the most common cause of anatomical leg length discrepancy?

Answer 9

Hip Replacement

Question 10

What is the treatment for short leg syndrome where the difference in femoral head heights is > 5 mm?

Answer 10

Heel Lift

Allows leveling of the sacral base

Heel lift is a gradual procedure with increased lift every 2 weeks.

Question 11

What is the approach to Heel Lift treatment in an case of acute short leg syndrome d/t trauma?

Answer 11

Heel lift the entire difference all at once, not incrementally