Thoracic Spine Flashcards Preview

Foundations III-Musculoskeletal/Rheum > Thoracic Spine > Flashcards

Flashcards in Thoracic Spine Deck (6)
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1

Reasons for changes in thoracic kyphosis?

Congenital

Developmental

Postural

Degenerative

2

Presentation of Scheuermann’s Kyphosis?

usually age 12-15, M >F

rapid bone growth

Front sections of vertebra grow slower leading to wedge shaped vertebra

Rigid deformity / structural kyphosis

3

Dx criteria for Scheuermann’s Kyphosis? What else is assessed?

Anterior wedging
≥5° in at least three adjacent vertebral bodies

Cobb angle: used to assess the severity of the deformity

4

Tx of Scheurmann's kyphosis?

Stretching / strengthening

Bracing if kyphosis exceeds 55-60° until skeletally mature

surg: rarely utilized

5

What are some indications for surg for scheuermann's kyphosis?

-Skeletal maturity
-Pain unresponsive to conservative care
-Rigid deformity
-Kyphosis > 75°
-Unacceptable appearance

6

Pt complains of constant pain, worsened with deep breath and pushing on breastbone.... whats top on your ddx?

costocondritis