scoliosis by: kalene getz. case study: chief complaint- developing pain at her upper back. during...
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ScoliosisBY: KALENE GETZ
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Case Study:
Chief complaint- developing pain at her upper back.
During examination, a positive tenderness at the thoracic vertebrae, and a limitation on bending forward was noted.
Mild case of Scoliosis
Personal/ social history- very active in sports, no history of hospitalization, and no surgical procedure.
Family history- mother had hypertension, diabetes, and mild scoliosis. Father has bronchial asthma.
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What is Scoliosis?
A lateral curvature in the normally straight vertical line of the spine ("Scoliosis of the Spine: Image, Causes, Symptoms, and Treatments").
Curvature goes unnoticed by many. One way it goes unnoticed is the grueling intenseness of sports.
Detected during school screening exams, and or physicals done by a physician that comes to school. Diagnosis of scoliosis and the determination of the type are made by
a careful bone exam and an x-ray to evaluate the magnitude of the curve ("Scoliosis of the Spine: Image, Causes, Symptoms, and Treatments").
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Curvatures
• 3 different degrees of scoliosis: mild, moderate, and severe.
• Mild- less than 25°, may have tilted head or uneven shoulders("What is Scoliosis? Mild, Moderate, Severe").
• Moderate- curve of 26-40°, may or may not be associated with pain, may feel “clumsy” ("What is Scoliosis? Mild, Moderate, Severe").
• Can start to affect the way you do things.
• Severe- curve is above 40° and has a 90% risk of progression. Spine may be visualized as a "C" or "S" shape beneath the skin ("What is Scoliosis? Mild, Moderate, Severe").
Mild Scoliosis
Moderate Scoliosis Severe Scoliosis
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Treatments
Braces:
The type will depend on the location of the curvature.
How severe it is.
As a patient is still in their growing stages it is better for them to be put into braces to let the spine straighten out on its own.
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Treatment continued…
Surgery: Suggested for patients with curvatures over 50 degrees.
If braces have failed
Inserting a steel rode to help support the vertebrae.
Bone grafts to make the bone stronger and give better support to the fused vertebrae ("Scoliosis - Symptoms, Diagnosis, Treatment of Scoliosis - NY Times Health Information").
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ReferencesA.D.A.M. "Scoliosis Treatment - Scoliosis Health Information - NY Times Health." The New York Times - Breaking News, World News & Multimedia. N.p., 26 Oct. 2014. Web. 25 Oct. 2014. "Scoliosis - Symptoms, Diagnosis, Treatment of Scoliosis - NY Times Health Information." The New York Times - Breaking News, World News & Multimedia. N.p., n.d. Web. 26 Oct. 2014. "Scoliosis of the Spine: Image, Causes, Symptoms, and Treatments." WebMD - Better information. Better health. N.p., n.d. Web. 27 Oct. 2014. "What is Scoliosis? Mild, Moderate, Severe." Scoliosis Treatment- Non-Surgical, Non-Bracing Treatment of Scoliosis in Miami and South Florida - South Florida Scoliosis Center - CLEAR Certified. N.p., n.d. Web. 25 Oct. 2014.