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Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.
A thin 8-year-old patient presents for scoliosis follow-up. The patient denies experiencing any back pain and has been participating in sports. Neurologic exam of the lower extremities is normal. Lightly brushing each abdominal quadrant does not cause the umbilicus to move in any direction. Radiographs from 1 year ago are shown in Figures A and B. Radiographs from today are shown in figures C and D. What is potentially concerning and what is the best next step?
Curve progression; correction with growing rods
Pulmonary compromise; posterior spinal fusion
Curve progression; 24-hour per day bracing
Spinal cord abnormalities; MRI of the entire spine
Progressive pelvic tilt; anterior and posterior spinal fusion
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A 7 year-old boy is referred to your office for evaluation of scoliosis. All of the following are indications to obtain a screening MRI EXCEPT:
Age younger than 11
Absence of thoracic apical segment lordosis on clinical exam
Right thoracic curve on AP radiograph
Hyperreflexia and decreased sensation over bilateral forearms and flanks