|
Year |
2003 |
|---|---|
|
Question Number |
186. |
|
Category |
Pediatric Orthopaedics |
Question
An otherwise healthy 5-month-old boy has a spinal deformity. MRI scans of the brain and spinal cord and his neurologic examination are normal. The radiograph shown in Figure 65 reveals a left apex curve of 20 degrees and a rib vertebral angle difference of 12 degrees. Management should consist of
1- immediate surgery, including anterior and posterior hemiepiphyseodesis
2- immediate surgery using an subcutaneous "growth rod" technique
3- immediate bracing using a thoracolumbosacral orthosis
4- observation, anticipating progression and early anterior and posterior fusion
5- observation, anticipating spontaneous correction of the curve
Figures
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