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Orthopaedic

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Pediatric Orthopedics

Question
60 out of 84
 

Which of the following is least associated which congenital scoliosis (AIIMS Nov 2012)



A Hemivertebrae

B Wedge vertebrae

C Block vertebrae

D Unsegmented bar

Ans. C

Block vertebrae Ref: Campbells 11th edition

Classification of Congenital Scoliosis

Failure of formation

Partial failure of formation (wedge vertebra)

Complete failure of formation (hemivertebra)

Failure of segmentation

Unilateral failure of segmentation (unilateral unsegmented bar)

Bilateral failure of segmentation (block vertebra)

a. The skin of the back should be carefully examined for signs such as hair patches, lipomata, dimples, and scars, which may indicate an underlying anomalous vertebra. The neurological evaluation should be thorough.

b. Many children with congenital scoliosis have other anomalies. 18% of these patients can have urological anomalies, congenital heart disease is seen in 7% of these patients.

c. Unsegmented bar has more severe progression than hemivertebra. Least severe progression is block vertebra.

d. Dorsolumbar scoliosis is more severe than lower thoracic which is more severe than upper thoracic

e. Because 75% of congenital curves are progressive and only 5% to 10% can be treated with bracing, surgery remains the fundamental treatment.

Pediatric Orthopedics Flashcard List

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