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Scoliosis

FAB - Scoliosis

QuestionAnswer
In a normal spine, what is the normal lateral curvature? 5 degrees
What % of ppl is lateral curve to the right? 85%
What is definition of scoliosis? Any lateral deviation of spine of more than 10 degrees
What is degree range for mild scoliosis? 10-20 degrees
What are the 2 shapes of scoliosis? C-shaped or S-shaped
What are the 2 categories of scoliosis? Functional & Structural
What is the cause of functional scoliosis? Effects of soft tissue, muscles, tendons, ligaments
Adams test Flex at waist. If lat. curve straightens out, then functional. If not, then structural.
What causes structural scoliosis? bony changes
What is the Lateral Bending test? After Adams test, for structural scoliosis; Pt lateral bends, scoliotic curve increases.
What are 2 types of structural scoliosis? Developmental & Acquired
What causes developmental, structural scoliosis? Bony abnormality which occures during development
Up to what age can developtmental scoliosis be seen? 20 yrs old
What are the common bony abnormalities that can be seen in developmental scoliosis? Hemivertebra, spina bifida, posterior element defect
What is Posterior element defect? When parts of the posterior elements (lamina, pedicles) of the vertebra do not develop completely.
What are 5 causes for acquired scoliosis? Trauma; neuromuscular dystrophy; infection; Idiopathic
What is the more common cause of structural scoliosis? Idiopathic.
How does the coupled motion change in scoliosis? Coupled motion of rotation and lateral bending REVERSES
Where does the reversal of coupled motion occur? only within scoliotic region & only with structural scoliosis
Lovett positive association Seldom symptomatic and least offending
Lovett negative association Severe pain
Lovett Static association Symptomatic w/ moderately severe pain
Lovett Failure association Profile of lumbar spine disc prolapse
Lovett positive SP orientation SPs are on side of concavity and on high side of sacrum
Lovett Negative SP orientation SPs are on side of convexity and on low side of sacrum
Lovett Static SP orientation SPs are in midline on side of convexity; Sacrum is off 20 degrees
Lovett Failure SP orientation SPs are in midline; Sacrum is off 20 degrees
Lovett Excess SP orientation SP are on side of concavity and on high side o sacrum
Lovett Reverse SP orientation SPs are in midline, Lumbar spine goes in opposite direction; Sacrum is off 20 degrees.
Created by: thenathan
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