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Review Question - QID 7280

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QID 7280 (Type "7280" in App Search)
Brace treatment is recommended for adolescent idiopathic scoliosis when which of the following findings is present?

Any patient with a curve of greater than 25 degrees

20%

11/54

Boys with a curve of greater than 20 degrees

0%

0/54

Premenarchal girls with a curve of greater than 30 degrees

46%

25/54

More than 5 degrees of progression in a growing child with a 20-degree curve

30%

16/54

A girl who is Risser 4 with a 30-degree curve

4%

2/54

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Brace treatment is recommended for a patient with substantial growth potential (Risser 2), any curve of greater than 30 degrees, or for a patient with a curve of greater than 20 to 25 degrees with more than 5 degrees of documented progression. Skeletally immature patients who have a curve of greater than 25 degrees are not considered for bracing. If a boy has a curve of 20 degrees, progression would be necessary to recommend bracing. A premenarchal girl with the curve of greater than 45 degrees is best treated with early surgical intervention, as progression is extremely likely. A girl who is Risser 4 with a 30-degree curve on presentation should be observed.

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