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Review Question - QID 6151

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QID 6151 (Type "6151" in App Search)
What is the most important sign of impending modulation with rapid progression of a spinal deformity in neurofibromatosis?

Apical curve rotation

12%

65/530

Anterior vertebral body erosions

6%

30/530

Cervical spine involvement

4%

21/530

Penciling of three or more ribs

48%

253/530

Curve magnitude of more than 50 degrees

30%

160/530

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Rib penciling is the only singular factor; 87% of the curves progressed significantly in patients with three or more penciled ribs. Modulation in neurofibromatosis scoliosis implies the change from an idiopathic type to a dysplastic type of curve with rapid progression and the need for aggressive stabilization by fusion.

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