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Examination of a 13-year-old boy with asymptomatic poor posture reveals increased thoracic kyphosis that is fairly rigid and accentuates during forward bending. The neurologic examination is normal. Spinal radiographs show 10 degrees of scoliosis at Risser stage 2, and there is no evidence of spondylolisthesis. A standing lateral view of the thoracic spine is shown in Figure 41. The kyphosis corrects to 50 degrees. Management should consist of
a Charleston bending brace at night.
an extension-type spinal orthosis.
posterior spinal fusion with instrumentation.
anterior spinal release and posterior spinal instrumentation.
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A 13 year-old boy is brought to your office because his mother is concerned about his poor posture. A lateral radiograph shows thoracic kyphosis of 38 degrees. This likely represents:
Normal range of thoracic kyphosis
Adolescent idiopathic scoliosis