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Review Question - QID 7609

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QID 7609 (Type "7609" in App Search)
A tall 14-year-old girl with joint laxity has progressive right thoracic scoliosis and is thought to be a surgical candidate. Her neurologic examination is normal. Presurgical screening should include which of the following studies?

CT of the cervical spine

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MRI of the entire spine

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Whole body bone scan

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Echocardiography of the heart

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Preoperative somatosensory testing

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The patient is likely to have Marfan syndrome and cardiac complications are more likely to occur. Therefore, an echocardiogram would be indicated to assess for valvular insufficiency or other cardiac abnormalities. MRI of the spine is indicated in rapidly progressive curves, right-sided curves, those patients with an abnormal neurologic examination, and younger patients. CT of the spine would be indicated in patients with torticollis or if evaluating a congenital spine disorder. Preoperative somatosensory testing is occasionally performed in patients with neurologic conditions in which responses may not be normal and a baseline is needed. A bone scan is not indicated.

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