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Case 76 

Case 76
Chapter:
Case 76
Author(s):

Ellen Chung

DOI:
10.1093/med/9780199758968.003.0076
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date: 23 March 2019

6-year-old with spine deformity.

L1 is a hemivertebra with only the right pedicle present (arrow). This deformity causes acute convex right scoliosis.

Scoliosis is frequently idiopathic. The most common form is the adolescent type, which develops after 10 years of age, usually in girls. The primary curve is convex right thoracic or thoracolumbar and the secondary curve is convex left lumbar, forming an S configuration. Idiopathic scoliosis may also occur in infants. Atypical clinical or radiographic features such as rapid progression, pain, erosion of pedicles, or widening of neural foramina or evidence of dysraphism should prompt further evaluation with MRI. Painful scoliosis may be caused by osteoid osteoma of the spine. Patients with severe neuromuscular disorders often develop gentle C-shaped curvature of the spine....

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