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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
The parents of a 14-month-old boy bring their child into your office. They state the child has reached developmental milestones at appropriate ages, but noticed he was leaning to one side when standing or walking. A radiograph was obtained demonstrating a non-flexible 40-degree curve with multiple vertebral anomalies, highlighted by a convex segmented hemivertebra associated with a concave unilateral bar. After ensuring that the patient has no other associated anomalies in other organ systems, an MRI of the spine revealed no intraspinal abnormalities. What treatment would you recommend to the family?
Continued observation with annual follow up
Instrumentation with growing rods without fusion
Excision of the hemivertebra with short segment posterior instrumented fusion
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Figure A demonstates different anatomic patterns in congenital scoliosis. Which pattern has the worst prognosis and is an indication for surgery.
A 2-year-old girl presents to the office for evaluation of spinal deformity. A radiograph is shown in Figure A. What additional work-up should be done?
Bone scan with SPECT images
HPI - 18 month old girl with scoliosis
The curve measures 63 degrees and has been stable for 6 months. How would you treat this at this time?