Review Question - QID 6097

Action	Numeric Key	Letter Key	Function Key
Choose 1	1
Choose 2	2
Choose 3	3
Choose 4	4
Choose 5	5
Submit Response			Enter
Previous Question			Left Arrow
Next Question		N	Right Arrow
Open/Close Bookmode		C
Open Image			Spacebar

Infantile Idiopathic Scoliosis QID: 6097 (SAE07PE.37)

QID 6097 (Type "6097" in App Search)

A 6-year-old girl has a painless spinal deformity. Examination reveals 2+ and equal knee jerks and ankle jerks, negative clonus, and a negative Babinski. The straight leg raising test is negative. Abdominal reflexes are asymmetrical. PA and lateral radiographs are shown in Figures 15a and 15b. What is the next most appropriate step in management?

Type & Select Correct Answer

Type in at least one full word to see suggestions list

MRI of the spinal axis

68%

555/817

Physical therapy

5/817

A brace for scoliosis

44/817

Observation, with reevaluation in 6 to 12 months

25%

206/817

Posterior spinal fusion from T6 to T12

2/817

Select Answer to see Preferred Response

Review TC In New Tab

The patient has an abnormal neurologic exam as shown by the abnormal abdominal reflexes. Furthermore, she has a significant curve and is younger than age 10 years. These findings are not consistent with idiopathic scoliosis. MRI will best rule out syringomyelia or an intraspinal tumor. Bracing and surgery are not indicated for this small curvature prior to obtaining an MRI scan.