Flashcards in Scoliosis Questions Deck (20)
What type of curve can be corrected with lateral flexion?
Compensatory curves and Non-structural curves
How does a grade 5 Risser Sign present?
Complete capping of the apophyseal plate of the ilium indicates a Risser grade 5
The risser sign progresses _______ to ________.
lateral to medial
What are the three types of adolescent ideopathic scoliosis?
Idiopathic, Neuromuscular, congential
How does congenital scoliosis present?
Vertebra may fail to form (hemivertebra, wedge vertebra)
Failure to segment (unilateral and bilateral bar presentation)
What may be the main contributor to non-structural curvature?
Leg length discrepancy
Which neuromuscular pathologies may present with neuromuscular scoliosis?
Spinal Muscular Atrophy (SMA)
Duchenne Muscular Dystrophy
What factors must be considered when treating neuromuscular scoliosis?
Loss of volitional control=kinesthetic reminder is not indicated
What goals are associated with neuromuscular scoliosis treatment?
Spinal alignment to improve respiration and support
Spinal support to allow free movement of the arms
Prevent further spinal deformity
What percentage of scoliosis cases are idiopathic?
What is the ratio of female to male scoliosis occurance?
What is the most common AIS presentation?
Right thoracic, left lumbar
How long can AIS be treated after menarche?
Thoracic and double major curves progress less than single lumbar or thoracolumbar curves. True or False?
What are the parameters of AIS that we can manage with spinal orthoses?
Risser sign of 0,1, or 2
What is the most proximal apex of a curve that can be managed with a TLSO?
Literature varies from T6 to T8
What treatment options are available if a curve is above T6,7 or 8?
What biomechanical principles are utilized in AIS managemet?
Stimulus to withdraw (kinesthetic reminder)
What percentage of curve correction is considered an effective treatment outcome?