Idiopathic scoliosis is a diagnosis of exclusion.
Screening
Scoliosis screening recommended for children between 10 and 14 years
Many states have school screening programs.
Adams forward bend te...
Observation
Curves <25 degrees
Immature patients (Risser 0, 1, 2) should be ree...
Overall good for most patients
Risk of curve progression related to patient’s maturity (Risser sign, menarcheal status) and to size of curve
Curves <20 to 25 degrees have low ri...
Dormans JP. Establishing a standard of care for neuromonitoring during spinal deformity surgery. Spine (Phila Pa 1976). 2010;35(25):2180–2185. [View Abstract on OvidInsights]
D...
737.30 Scoliosis [and kyphoscoliosis], idiopathic
737.10 Kyphosis (acquired) (postural)
737.20 Lordosis (acquired) (postural)
737.32 Progressive infantile idiopathic scoliosis
737.31 Resolving i...
Q: How long do you observe a patient with spinal asymmetry before ordering a radiograph?
A: It depends on the presence or absence of abnormalities on the physical exam. If any of the signs mentione...
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<bold>Figure 26.7</bold> Scoliosis checkup. (<bold>A</bold>) Viewing from the back, the examiner checks the symmetry of the girl's shoulders. She will also look for a prominent shoulder blade, an unequal distance between the girl's arms and waist, a higher or more prominent hip, and curvature of the spinal column. (<bold>B</bold>) With the child bending over and touching her toes, the examiner checks for a curvature of the spinal column.
<bold>Figure 26.7</bold> Scoliosis checkup. (<bold>A</bold>) Viewing from the back, the examiner checks the symmet...
Scoliosis. Scoliosis is the abnormal lateral and rotational curvature of the vertebral column.
<bold><italic>FIGURE 9-44.</bold></bold> Lumbar spondylolysis. Imaging of the lumbar spine in four separate patients with low back pain, two with L4 spondylolysis <bold>(A,B,C,D,E)</bold> and two with L5 spondylolysis <bold>(F,G,H,I,J,K)</bold> demonstrates the multimodality approach to imaging when assessing for spondylolysis/spondylolisthesis. Conventional lumbar radiographs, including lateral and bilateral obliques (A,B,C) nicely demonstrate the bony break (<italic>arrows in A</bold>) within the region of the bilateral L...
<bold><italic>FIGURE 9-44.</bold></bold> Lumbar spondylolysis. Imaging of the lumbar spine in four separate patien...
Scoliosis is a lateral deviation of the spine. View of a right thoracic scoliosis as the convexity of the curve is to the right.
Causes of Low Back Pain Sagittal View Labeled
Figure 2-22 <bold>COBB'S METHOD OF SCOLIOSIS EVALUATION.</bold> The angle measured is shown (<italic>double-headed arrow</bold>).
Figure 2-22 <bold>COBB'S METHOD OF SCOLIOSIS EVALUATION.</bold> The angle measured is shown (<italic>double-headed arrow...
Figure 2-23 <bold>RISSER-FERGUSON METHOD OF SCOLIOSIS EVALUATION.</bold> The angle measured is shown (<italic>double-headed arrow</bold>).
Figure 2-23 <bold>RISSER-FERGUSON METHOD OF SCOLIOSIS EVALUATION.</bold> The angle measured is shown (<italic>double-he...
Figure 4-20 <bold>AP FULL SPINE.</bold> The right primary thoracicscoliosis is stabilized with a short-segment Harrington's rod.<bold><italic>COMMENT:</bold></bold> Technical problems, especially in obtaining adequate collimation, make it diffficult to reduce patient dose and exclude radiosensitive tissues such as the breast, thyroid,and gonads when obtaining a full spine projection.
Figure 4-20 <bold>AP FULL SPINE.</bold> The right primary thoracicscoliosis is stabilized with a short-segment Harrington's ro...
<bold><italic>Figure 12.9</bold></bold>. <bold>A.</bold> Marked thoracic scoliosis. Forward flexion accentuates the finding <bold>(B).</bold>
<bold><italic>Figure 12.9</bold></bold>. <bold>A.</bold> Marked thoracic scoliosis. Forward flexion ac...
Fig. 2. The sitting balance of this patient with cerebral palsy was affected not only by scoliosis but also by "windswept" hip contractures: adduction-extension on the left and flexion-abduction on the right.
Fig. 2. The sitting balance of this patient with cerebral palsy was affected not only by scoliosis but also by "windswept" hip contracture...
Fig. 8 Fifteen-year-old girl with Charcot-Marie-Tooth disorder and progressive 52-degree scoliosis, as well as increased kyphosis <bold>(A,B)</bold>. Posterior fusion of the thoracic curve was performed <bold>(C,D)</bold>.
Fig. 8 Fifteen-year-old girl with Charcot-Marie-Tooth disorder and progressive 52-degree scoliosis, as well as increased kyphosis <bold...
<bold>Figure 33-1</bold> Scoliosis.