Kyphosis - posterior curvature of the thoracic spine; common in elderly
Scoliosis
Confirmatory test: X-ray
Scoliosis
Common in: Female teenagers
Scoliosis
PRIORITY: Pulmonary impingement
Scoliosis
Last resort: Surgery with Harrington Rod Insertion
Scoliosis
Prior to Harrington Rod Insertion: Milwaukee Brace lessen the curvature prior to surgery
Milwaukee Brace Management
Worn for: 23 hours per day
Rest of the day: 1 hour for hygiene and swimming (best exercise)
AVOID CLAMP = skin breakdown
Cream
Lotion
Alcohol
Moisturizer
Powder
Scoliosis: Diagnostic Test
Adam's Forward Bend Test
The patient bends forward at the waist, with arms hanging down, allowing the clinician to observe for asymmetry, such as a rib hump or scapular prominence.
