Rissers localiser cast is used in the conservative management of? (AIIMS May 2012)
a. Risser Localiser cast is for
b. Dorsal Scoliosis
c. Risser localiser cast is used in the idiopathic variety of scoliosis most common in the dorsal spine.>dorsolumbar scoliosis
d. Most common type of scoliosis is the Idiopathic Scoliosis which is classified by age into Infantile type(birth to 3 yrs),Juvenile type(4 to 9 yrs) and Adolescent type (10 to 20 yrs).
e. Risser sign is a method used to determine skeletal maturity of the patient depending on the extent of fusion of the iliac apophysis.
f. Cobbs method is a radiological measurement to determine the extent of scoliosis. This is calculated on an AP view of the spine. The angle derived is the Cobbs' angle. Rissres cast and brace (milwaukee) are for prevention of progression of deformity rather than correct the deformity.
g. Indications for surgery are progressive deformity / uncontrollable pain on conservative management/cardiorespiratory compromise/cosmetic deformity.