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Scoliosis Facts

Definition a lateral "S" or "C" shaped curvature of the spine, rotational deformity of the spine and ribs, classified as either STRUCTURAL or COMPENSATORY
etiology congenital , acquired or idiopathic
clinical s/s most often in girls, begin with groth spurt bt ages 10 and 13 yrs, not associated with pain or discomfort
patho spine begin s to curve laterally, causes vertebral rotation, ribs in the concave side of the curve are forced together, covex side are spread apart
this causes a norrowed rib cage laterally and the development of the rib hump to compensate, the lateral rotation of the vertebra effects the position and spacing of vertebral disc
dx observation by parent, routine screening and confirmed by radiology
standing assesment symmetry of shoulder , scapulae, rib cage and hips, symmetry of soft tissue curvature at flanks and waist, straightness of the spine, and prominence and alignment of spinal processes
bending forward assesment symmetry of thorax
d-test MRI, CAT scan, bone scan, moir photography, scoliometry, plumb bob
medical management goal is to stop or limit the progression of the curve, max chances of optimal alignment, prevent complication, decrease the potential need for surgical correction
mild cases 10=20 degrees, (up to 10 degrees = norm), exercise to improve posture and muscle tone, maintain flexibility, monitored q 3 months, x-ray done q 6 months , followed until completion of spinal growth
moderate cases curves from 20-40 degrees, bracing to prevent curve from progressing , worn 23 hrs per day, worn until spinal growth complete, electrical stimulation
severe cases curvatures greater than 40 degrees, surgical correction
ns dx risk for noncompliance, act intolerance, imp physical mobility, risk fro impaired skin integrity, knowledge deficit
Created by: meinmethoo