DXI - midterm complete questions and
solutions
Any lateral curvature greater than ____ degrees in the ____ plane is considered
scoliosis CORRECT ANSWERS 10; coronal
the most common curve is to the ____ . CORRECT ANSWERS right
define structural scoliosis CORRECT ANSWERS lateral curvature of the spine that fails
to correct on lateral bending
what are the different types of structural scoliosis? CORRECT ANSWERS idiopathic,
congenital, neuromuscular, and neurofibromatosis
what is the most common type of structural scoliosis? what %? CORRECT ANSWERS
idiopathic (80%)
idiopathic:
a. etiology
b. curvature
c. types CORRECT ANSWERS a. unknown etiology
b. majority of thoracic curves are to the right, but if the curve is to the left than there is a
higher incidence of underlying pathology
c. infantile - (birth - 3 yrs)
juvenile (3-10 years of age), adolescent (10+)
What is the most common type of idiopathic scoliosis? CORRECT ANSWERS
adolescent
which type of idiopathic scoliosis is more prevalent in females by a 4:1 ratio? 9:1?
CORRECT ANSWERS 4:1, juvenile
9:1, adolescent
when is idiopathic scoliosis usually a left thoracic curvature? CORRECT ANSWERS
when it is progressive in infantile scoliosis
which type of idiopathic scoliosis is most rare in the US? CORRECT ANSWERS
infantile
what is the most common curvature in adolescent idiopathic scoliosis? what ages are
the most critical time for most rapid progression? CORRECT ANSWERS right thoracic
curvature
12-16
, what is the Hueter-volkmann principle? what type of scoliosis is this most commonly
associated with? CORRECT ANSWERS with greater curvatures, wedge deformities of
the vertebral bodies may occur within the apex of the curve on the concave side which
impairs growth
-the wedge deformities persist into adult life
what is congenital scoliosis? what are some examples? CORRECT ANSWERS caused
by anomalies of the vertebrae or ribs
ex: hemivertebrae, congenital blocked segments, spina bifida, and rib synostosis
what other disfunctions are very common to accompany congenital scoliosis?
CORRECT ANSWERS genitourinary abnormalities or anomalies
what is the most common neuropathy associated with neuromuscular scoliosis?
CORRECT ANSWERS poliomyelitis
what is the common appearance of neuromuscular scoliosis? CORRECT ANSWERS a
long C shaped curve extending from the sacrum to the upper cervical region
when is scoliosis suspicious for an underlying intraspinal pathology? CORRECT
ANSWERS when the curvature is 15 degrees or higher before the age of 11
or if it is a left sided thoracic curvature
what is the cause and shape of myopathic scoliosis? CORRECT ANSWERS long C
shaped curve
-most common cause is muscular distrophy
what is neurofibromatosis? CORRECT ANSWERS genetic disorder that causes tumors
to form on nerve endings
what is the most common bony abnormality? CORRECT ANSWERS scoliosis, present
in 10-50% of patients
what is not structural scoliosis? CORRECT ANSWERS spinal curvatures that have no
structural alterations, correct on lateral bending
what would unequal leg length and antalgic posture most likely be associated with?
CORRECT ANSWERS nonstructural scoliosis
define mensuration CORRECT ANSWERS measurement of the spinal curvature
how is cobbs method done? CORRECT ANSWERS on AP radiographs. line is drawn
from superior endplate of the superior vertebrate and another line is drawn along the
inferior endplate of the inferior vertebrae
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