Scoliosis
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Scoliosis

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Questions and Answers

What is the estimated total cost of low back pain in the United States per year?

  • Around $50 billion
  • Approximately $200 billion
  • Less than $50 billion
  • Greater than $100 billion (correct)
  • After what age do complaints of back pain begin to increase in prevalence in men?

  • 35 years
  • 45 years
  • 50 years (correct)
  • 40 years
  • What is the most common symptom associated with sciatica?

  • Numbness or paraesthesia in the lower limbs
  • Stiffness predominantly in the morning
  • Urinary retention or incontinence
  • Radiating pain from buttock to the thigh & calf (correct)
  • What is the possible cause of urinary retention or incontinence in the context of low back pain?

    <p>Pressure on cauda equina</p> Signup and view all the answers

    What is the most common cause of structural kyphosis?

    <p>Osteoporosis</p> Signup and view all the answers

    What is the characteristic feature of Scheuermann’s disease?

    <p>Irregular or fragmented end plate appearance in X-Ray lateral view</p> Signup and view all the answers

    What treatment is generally recommended for curves up to 40 degrees in adolescents?

    <p>Back strengthening exercises &amp; postural training</p> Signup and view all the answers

    What is the cause of kyphosis in elderly individuals?

    <p>Degenerative changes of the spine</p> Signup and view all the answers

    What is the characteristic feature of kyphosis in Scheuermann’s disease?

    <p>Anterior wedging of severe vertebral bodies</p> Signup and view all the answers

    What might be a type of Osteochondritis of the vertebral epiphyseal endplate in Scheuermann’s disease?

    <p>Irregular or fragmented end plate appearance in X-Ray lateral view</p> Signup and view all the answers

    What is the characteristic presentation of Scheuermann’s disease in girls?

    <p>Twice as common as in boys</p> Signup and view all the answers

    What condition may cause kyphosis if it occurs in the thoracic spine during puberty?

    <p>Scheuermann’s disease</p> Signup and view all the answers

    What are the clinical features of scoliosis?

    <p>Deformity and backache</p> Signup and view all the answers

    Which imaging techniques are used for the diagnosis of spinal deformities?

    <p>X-ray, CT scan, MRI, and radioisotope scanning</p> Signup and view all the answers

    What is the most appropriate management approach for postural kyphosis?

    <p>Postural exercises</p> Signup and view all the answers

    Which conditions may be associated with neuropathic and myopathic scoliosis?

    <p>Poliomyelitis and cerebral palsy</p> Signup and view all the answers

    What are the different types of idiopathic scoliosis mentioned in the text?

    <p>Adolescent, juvenile, and infantile</p> Signup and view all the answers

    What is the aim of the management of scoliosis?

    <p>To prevent severe deformity and stop further progression</p> Signup and view all the answers

    Which positions are used in the clinical examination of spinal deformities?

    <p>Standing, prone, and supine</p> Signup and view all the answers

    What may be required for the management of congenital scoliosis?

    <p>Surgical fusion</p> Signup and view all the answers

    What is the characteristic of abnormal kyphosis mentioned in the text?

    <p>It may be postural and voluntarily correctable</p> Signup and view all the answers

    What are the different causes of scoliosis mentioned in the text?

    <p>Idiopathic, osteopathic, neuropathic, and connective tissue disorders</p> Signup and view all the answers

    What is the type of curvature seen in scoliosis?

    <p>Lateral curvature of the spine</p> Signup and view all the answers

    What type of examination is performed to assess muscle power and sensation in spinal deformities?

    <p>Full neurological exam</p> Signup and view all the answers

    Low back pain accounts for more patient visits to the physician’s office per year in the United States than any other health condition.

    <p>True</p> Signup and view all the answers

    The estimated total cost of low back pain in the United States per year is less than $100 billion.

    <p>False</p> Signup and view all the answers

    Symptoms of low back pain include numbness or paraesthesia in the upper limbs.

    <p>False</p> Signup and view all the answers

    Sciatica is a radiating pain from buttock to the thigh & calf, following the distribution of the sciatic nerve.

    <p>True</p> Signup and view all the answers

    Kyphosis is always correctable

    <p>False</p> Signup and view all the answers

    Scheuermann’s disease is a growth disorder of the spine that only affects boys

    <p>False</p> Signup and view all the answers

    Kyphosis in adults is primarily due to degenerative changes of the spine

    <p>True</p> Signup and view all the answers

    Structural kyphosis is associated with changes in the shape of the vertebrae

    <p>True</p> Signup and view all the answers

    The cause of Scheuermann’s disease is known to be a type of Osteochondritis of the vertebral epiphyseal endplate

    <p>False</p> Signup and view all the answers

    Curves up to 40 degrees in adolescents with scoliosis always require surgical correction

    <p>False</p> Signup and view all the answers

    Senile kyphosis is primarily due to senile osteoporosis

    <p>True</p> Signup and view all the answers

    Compensatory kyphosis is always secondary to a fixed flexion deformity of the hip joint

    <p>False</p> Signup and view all the answers

    True or false: Clinical examination of spinal deformities includes sitting, standing, and lying down positions to assess scar, pigmentation, abnormal hair, spine shape, muscle power, and sensation?

    <p>False</p> Signup and view all the answers

    True or false: Different tests like leg raising and full neurological exam are not performed as part of the clinical examination of spinal deformities?

    <p>False</p> Signup and view all the answers

    True or false: Imaging techniques like X-ray, CT scan, and MRI are used for the diagnosis of spinal deformities?

    <p>True</p> Signup and view all the answers

    True or false: Scoliosis is exclusively caused by idiopathic factors?

    <p>False</p> Signup and view all the answers

    True or false: Management of scoliosis depends on the type and may involve observation, bracing, or surgery?

    <p>True</p> Signup and view all the answers

    True or false: Abnormal kyphosis is not voluntarily correctable?

    <p>False</p> Signup and view all the answers

    True or false: Treatment for postural kyphosis may involve surgical intervention?

    <p>False</p> Signup and view all the answers

    True or false: Infantile scoliosis has the same management approach as juvenile scoliosis?

    <p>False</p> Signup and view all the answers

    True or false: Congenital scoliosis is not due to vertebral anomalies?

    <p>False</p> Signup and view all the answers

    True or false: Neuropathic and myopathic scoliosis are not associated with specific conditions like poliomyelitis and cerebral palsy?

    <p>False</p> Signup and view all the answers

    True or false: The aim of the management of scoliosis is to only prevent severe deformity?

    <p>False</p> Signup and view all the answers

    True or false: The prognosis and treatment of scoliosis do not depend on the type and severity of the condition?

    <p>False</p> Signup and view all the answers

    Kyphosis is a growth disorder of the spine in which the vertebrae become slightly wedged shaped. If this occurs in thoracic spine will cause mild ______.

    <p>kyphosis</p> Signup and view all the answers

    Curves up to 40 degrees needs no treatment except back strengthening exercises & postural ______.

    <p>training</p> Signup and view all the answers

    Kyphosis of elderly due to degenerative changes of the spine and narrowing of the intervertebral spaces may cause the senile ______

    <p>kyphosis</p> Signup and view all the answers

    Structural kyphosis: is fixed , and associated with changes in the shape of the ______.

    <p>vertebrae</p> Signup and view all the answers

    Kyphosis in adults: Kyphosis of elderly due to degenerative changes of the spine and narrowing of the intervertebral spaces may cause the senile ______

    <p>kyphosis</p> Signup and view all the answers

    The term (Kyphos or Gibbus) means a sharp posterior angulation due to localized collapse or wedging of one or more ______.

    <p>vertebrae</p> Signup and view all the answers

    It might be due to fracture, congenital anomaly or TB of those ______.

    <p>vertebrae</p> Signup and view all the answers

    Curves up to 40 degrees needs no treatment except back strengthening exercises & ______ training.

    <p>postural</p> Signup and view all the answers

    Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for ______

    <p>diagnosis</p> Signup and view all the answers

    Clinical features of scoliosis include deformity and ______, and diagnostic features include X-rays and special tests

    <p>backache</p> Signup and view all the answers

    Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and ______ of the condition

    <p>severity</p> Signup and view all the answers

    Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily ______

    <p>correctable</p> Signup and view all the answers

    Different types of idiopathic scoliosis include adolescent, juvenile, and ______, each with specific management approaches

    <p>infantile</p> Signup and view all the answers

    Congenital scoliosis is due to vertebral anomalies and may require surgical ______

    <p>fusion</p> Signup and view all the answers

    Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, ______, or surgery

    <p>bracing</p> Signup and view all the answers

    Treatment for postural kyphosis may involve postural ______

    <p>exercises</p> Signup and view all the answers

    Management of scoliosis depends on the type and may involve observation, ______, or surgery

    <p>bracing</p> Signup and view all the answers

    Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, ______, and connective tissue disorders

    <p>neuropathic</p> Signup and view all the answers

    Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and ______

    <p>sensation</p> Signup and view all the answers

    Different tests like leg raising, full neurological exam, and peripheral pulse examination are ______

    <p>performed</p> Signup and view all the answers

    Low back pain accounts for more than 15 million patient visits to the physician’s office per year in the United States, second only to the number of patient visits for respiratory infections. Complaints of back pain begin around age 35 years and increase in prevalence up to age 50 years in men and age 60 years in women. Symptoms: Pain, stiffness and deformity of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. ______ Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.

    <p>Sciatica: it is a radiating pain from buttock to the thigh &amp; calf , more or less in the distribution of the distribution of the sciatic nerve.</p> Signup and view all the answers

    The total cost of low back pain in the United States is ______ than $100 billion per year; one third are direct costs for care, with the remaining costs resulting from decreased productivity, lost wages, and absenteeism. Low back pain accounts for more than 15 million patient visits to the physician’s office per year in the United States, second only to the number of patient visits for respiratory infections. Complaints of back pain begin around age 35 years and increase in prevalence up to age 50 years in men and age 60 years in women. Symptoms: Pain, stiffness and deformity of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.

    <p>greater</p> Signup and view all the answers

    The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.______. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.

    <p>aggrevating factor</p> Signup and view all the answers

    Pain, stiffness and ______ of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.

    <p>deformity</p> Signup and view all the answers

    Study Notes

    Clinical Examination and Management of Spinal Deformities

    • Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
    • Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
    • Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
    • Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
    • Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
    • Management of scoliosis depends on the type and may involve observation, bracing, or surgery
    • Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
    • Treatment for postural kyphosis may involve postural exercises
    • Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
    • Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
    • Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
    • Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition

    Clinical Examination and Management of Spinal Deformities

    • Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
    • Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
    • Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
    • Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
    • Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
    • Management of scoliosis depends on the type and may involve observation, bracing, or surgery
    • Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
    • Treatment for postural kyphosis may involve postural exercises
    • Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
    • Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
    • Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
    • Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition

    Clinical Examination and Management of Spinal Deformities

    • Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
    • Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
    • Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
    • Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
    • Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
    • Management of scoliosis depends on the type and may involve observation, bracing, or surgery
    • Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
    • Treatment for postural kyphosis may involve postural exercises
    • Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
    • Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
    • Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
    • Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition

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    Description

    Test your knowledge of clinical examination and management of spinal deformities with this quiz. Explore the different types of scoliosis, diagnostic features, imaging techniques, and treatment options including observation, bracing, and surgery.

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