medical report using medical terms of patient with scoliosis

by Sonya Jacobs 4 min read

Scoliosis: Review of diagnosis and treatment - PMC

19 hours ago  · The patient was advised to undergo surgery to prevent possible future negative impacts of the long-term signs and symptoms of scoliosis upon her health. Considering this risk, the patient agreed to undergo the surgery, which was performed in one of Germanys leading centres for spinal surgery. The patient was 15 years of age, 30 months ... >> Go To The Portal


What is the primary diagnosis for scoliosis?

Scoliosis with a primary diagnosis (nonidiopathic) must be recognized by the physician to identify the causes, which may require intervention. Patients with congenital scoliosis must be evaluated for cardiac and renal abnormalities. School screening for scoliosis is controversial and is falling out of favour.

What is scoliosis and how is it defined?

Scoliosis is defined as a deviation of the normal vertical line of the spine, consisting of a lateral curvature with rotation of the vertebrae within the curve. Typically, for scoliosis to be considered, there should be at least 10° of spinal angulation on the posterior-anterior radiograph associated with vertebral rotation (1).

What is a scoliosis Handbook?

A 12-page comprehensive handbook intended to educate patients and families of patients about Adolescent Idiopathic Scoliosis. The handbook includes images, a glossary of medical terms and answers to frequently asked questions.

Why was the patient advised to undergo surgery for scoliosis?

The patient was advised to undergo surgery due to the long-term negative impact of signs and symptoms of scoliosis upon her health. The patient agreed to surgery, which was performed in one of Germanys leading centres for spinal surgery.

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What is the medical term for scoliosis?

Idiopathic Scoliosis Video. Scoliosis is a condition involving an abnormal sideways curvature of the spine. It can be caused by congenital, developmental or degenerative problems, but most cases of scoliosis actually have no known cause called idiopathic scoliosis.

How do you document scoliosis?

An X-ray will show the spine from the front and back of the body, clearly revealing its shape and whether there is a curve. This can confirm the presence of scoliosis. A doctor will then use the X-ray to calculate the Cobb angle measurement, which tells whether the curve is mild or severe.

How do you assess a patient with scoliosis?

Scoliosis is usually confirmed through a physical examination, an x-ray, spinal radiograph, CT scan or MRI. The curve is measured by the Cobb Method and is diagnosed in terms of severity by the number of degrees.

What are the nursing diagnosis for scoliosis?

Based on the assessment data, the major nursing diagnoses are: Impaired physical mobility related to restricted movement. Risk for injury related to decreased mobility. Risk for impaired skin integrity related to irritation of brace.

What are the 3 types of scoliosis?

Most experts feel there are three categories of scoliosis. idiopathic, congenital, and neuromuscular. Idiopathic is the most common type of scoliosis. This means that the cause is unknown or that there is no single factor that contributes to the development of the disease.

What is a scoliosis survey?

Brief Summary: This is a survey to help understand the influences related to the decision for Adolescent Idiopathic Scoliosis treatment (observation vs. bracing vs. surgery). The investigator then plans to create a decision aid to help families when making a decision about the treatment choice being presented to them.

When do you assess for scoliosis?

Children can be screened at any age, although idiopathic scoliosis is more commonly discovered during a child's growth spurt (10 to 15 years old). The Scoliosis Research Society recommends that girls be screened twice, at 10 and 12 years of age (grades 5 and 7), and boys once at 12 or 13 years of age (grades 8 or 9).

What is the main cause of scoliosis?

In more than 80 percent of cases, the cause of scoliosis is unknown — a condition called idiopathic scoliosis. In other cases, scoliosis may develop as a result of degeneration of the spinal discs, as seen with arthritis, osteoporosis or as a hereditary condition that tends to run in families.

How do you name the curvature of scoliosis?

Scoliosis can occur in the mediolateral or in the anteroposterior direction. In the mediolateral direction, the curvature is rightward or leftward and is named according to the direction of the convexity of the curve.

What is scoliosis nursing?

By Paul Martin, BSN, R.N. Scoliosis is a lateral curving of the spine with the thoracic area being the most commonly affected. It can be classified as functional or structural. Functional scoliosis is the result of another deformity and is corrected by treating the underlying problem.

What are the complications of scoliosis?

Complications of scoliosis can include:Breathing problems (in severe scoliosis)Low back pain.Lower self-esteem.Persistent pain if there is wear and tear of the spine bones.Spinal infection after surgery.Spine or nerve damage from an uncorrected curve or spinal surgery.Leakage of spinal fluid.

How is scoliosis treated?

There are three proven ways to manage scoliosis — observation, bracing, and surgery. The doctor will recommend one of these methods based on the severity of the scoliosis and the child's physical maturity.

What is Scoliosis?

The term scoliosis is derived from the Greek word skolios (“twisted”) and refers to a sideward (right or left) curve in the spine.

How to determine severity of scoliosis?

Radiographs of the spine in infants are taken with the child held up by the arms; the severity of the scoliosis is established by calculating the rib-vertebral angle difference (RVAD) in the radiographs.

How often does idiopathic scoliosis occur?

Although mild curves occur as often in boys as in girls, idiopathic scoliosis requiring treatment occurs eight times more frequently in girls than in boys.

How rare is scoliosis?

Scoliosis is a rare condition, accounting for fewer than 1% of cases of idiopathic scoliosis in North America; in Europe, the rate is 4%. Males account for 60% of the cases of early-onset scoliosis; 90% of the cases of early-onset scoliosis resolve spontaneously, but the other 10% progress to a severe and disabling condition.

What brace is used for scoliosis?

Braces. The Boston brace or the TLSO brace is more commonly used to treat scoliosis; the brace should be worn constantly, except during bathing and swimming; its fit is monitored closely; it is worn over a T-shirt or undershirt to protect the skin. A Chêneau brace achieving correction from 56° to 27° Cobb angle.

How often should a child with scoliosis be reassessed?

The child with scoliosis must be reassessed every 4 to 6 months.

What is infantile scoliosis?

The term infantile scoliosis is used specifically to describe scoliosis that occurs in children younger than 3 years.

What is a scoliosis brochure?

The Scoliosis Research Society’s patient education brochures offer individuals a quality resource developed by experts in the field. Each brochure covers topics such as causes, symptoms, diagnosis and treatment.

What is a cervical spine handbook?

A 10-page handbook with images that explains what the cervical spine is and what cervical deformity is . The handbook includes signs, causes, treatment options, risks of surgery and more for cervical spinal deformity. The handbook also includes answers to commonly asked questions and a glossary of medical terms.

What is AAOS in children?

AAOS - Scoliosis in Children (English) (Download Only)#N#Co-endorsed by the Scoliosis Research Society#N#A 4-page printable handout explains the anatomic conditions and causes of scoliosis. Discusses warning signs and the importance of early detection. Provides an overview of treatment options.#N#Download a PDF 568KB

What is a kyphosis of the thoracic spine less than the normal range?

a kyphosis of the thoracic spine less than the normal range. Hyperlordosis. a lordosis greater than the normal range. Hypolordosis. a lordosis of the cervical or lumbar spine less than the normal range. Hysterical scoliosis. a deformity of the spine that develops as a manifestation of a conversion reaction.

Which vertebrae deviate laterally from the vertical axis that passes through the patient's sacrum?

in a curve, the disc most deviated laterally from the vertical axis of the patient that passes through the sacrum, i.e. from the central sacral line. in a curve, the vertebra most deviated laterally from the vertical axis that passes through the patient's sacrum, i.e. from the central sacral line.

What is deviation of the pelvic outlet from the vertical in the sagittal plane?

deviation of the pelvic outlet from the vertical in the sagittal plane. Measured as an angle between the line from the top of the sacrum to the top of the pubis, and a horizontal line perpendicular to the lateral edge of the standing radiograph

Which vertebrae are most closely bisected by a vertically directed central sacral line?

the thoracic or lumbar vertebra cephalad to a lumbar scoliosis that is most closely bisected by a vertically directed central sacral line assuming the pelvis is level.

Which line in a frontal radiograph passes through the center of the sacrum?

the vertical line in a frontal radiograph that passes through the center of the sacrum (identified by suitable landmarks preferably on the first sacral segment)

Where is the apical translation measured?

In a decompensated patient, the apical translation should be measured from the central sacral line for the thoracolumbar and lumbar spine, and from the C7 plumb line for the thoracic spine

How to determine mid point of vertebrae?

The mid point of a vertebra body/disc is determined by drawing a cross (X) in the body/disc.

What is a scoliosis X-ray?

Scoliosis is a physical condition characterized by a sideways curvature of the spine greater . than 10 degrees determined by a spinal X-ray. Most cases are idiopathic, which means the cause is unknown. AIS accounts for 85 percent of the cases of idiopathic scoliosis.

How many steps are there in scoliosis screening?

Describe the scoliosis screening process including all five steps.

How old was Stephanie when she was diagnosed with scoliosis?

Stephanie, 16, was screened annually for scoliosis from age 8 until the current time. Her screening results were negative . until age 12, at which time the school nurse found her to have an 8- to 9-degree thoracic spinal curvature using a scoliome-. ter.

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What Is Scoliosis?

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The term scoliosis is derived from the Greek word skolios (“twisted”) and refers to a sideward (right or left) curve in the spine. 1. Scoliosisis not a simple curve to one side but, in fact, is a more complex three-dimensional deformity that often develops in childhood. 2. The term infantile scoliosisis used specifically to describe scolios…
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Types

  • There are two types of scoliosis: 1. Structural.Structural scoliosis involves rotated and malformed vertebrae. 2. Functional. Functional scoliosis, the more common type, can have several causes: poor posture, musclespasm caused by trauma, or unequal length of legs.
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Pathophysiology

  • Most cases of structural scoliosis are idiopathic; a few are caused by congenital deformities or infection. 1. Most of the curves in the spine develop during the first year of life, and strong correlation has been found between the nursing posture of the infantand development of the curve. 2. It is less common in the United States than in Europe, where babies are nursed in the s…
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Statistics and Incidences

  • Many states require regular examination of students for scoliosis, beginning in the fifth or sixth grade. 1. Scoliosis is a rare condition, accounting for fewer than 1% of cases of idiopathic scoliosis in North America; in Europe, the rate is 4%. 2. Males account for 60% of the cases of early-onset scoliosis; 90% of the cases of early-onset scoliosis resolve spontaneously, but the ot…
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Causes

  • Although the exact cause of scoliosis is not known, hypotheses have been proposed on the basis of epidemiologic evidence. 1. Mechanical factors. One theoryholds that the mechanical factors during intrauterine life are responsible for the higher incidence of plagiocephaly, developmental dysplasia of the hip, and scoliosis on the same side of the body. 2. Genetic and external factors.…
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Clinical Manifestations

  • Infantile scoliosis usually is detected during the first year of life either by the parents or by the pediatrician during routine examination of the infant. 1. Thoracic curve.Usually, a single long thoracic curve to the left is present; less often, a thoracic and lumbar double curve is noted. 2. Asymmetry.Observe asymmetry of the shoulders, shoulder blades, or hips. 3. Unequal distance …
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Assessment and Diagnostic Findings

  • Diagnosis is made based on screening examination. 1. Radiography.Radiographs of the spine in infants are taken with the child held up by the arms; the severity of the scoliosis is established by calculating the rib-vertebral angle difference (RVAD) in the radiographs. 2. Computed tomography (CT).Computed tomography can be used to get a detailed picture of the scoliosis curve. 3. Magn…
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Nursing Management

  • Nurses play an important role in the management of a child with scoliosis, especially for the postoperative care.
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Practice Quiz: Scoliosis

  • Here’s a 5-item quiz about the study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. Veronica is a 14-year-old girl who wears a brace for structural scoliosis; which of the following statements indicate effective use of the brace? A. “I sure am glad that I only have to wear this awful thing at night.” B. “I’m really glad that I can take this thing off w…
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