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Clinical details

Clinical details

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Clinical details

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  1. Clinical details • 14 years / Girl • Deformity noticed 3 months back • Right shoulder up • Menarchy – 6 months • Risers stage – 0 • Crossed Peak height velocity • Abdominal reflex – B/L symmetrical • Neurology - Normal

  2. Radiography • Right sided convexity • Right shoulder up • Double thoracic curve • Main thoracic • Apex – D 9 • UEV – D 6 • LEV – D 12 • Cobb – 55 degrees correctible to 30 degrees • Proximal thoracic • Apex – D ¾ disc • UEV – D1 • LEV – D 6 • Cobb – 30 degrees – Rigid • Stable vertebra – L 1 • Lumbar Modifier – A • Sagittal modifier - N

  3. Lenke • Double Thoracic – Type II • Lumbar modifier – A • Sagittal modifier – N II A N

  4. Strategic vertebra • D 1 – UVE of PT • D ¾ - Apex of PT • D 6 – LEV of PT / UEV of MT • D 9 – Apex of MT • D 12 – LEV of MT • L 1 – Stable • D 12 / L 1 disc is mobile • D 1 is Junctional

  5. Instrumentation Vertebrae • D 2 • D 4 • D 6 • D 9 • D 12

  6. 1 6 9 12 5

  7. 1 6 9 12 1 5

  8. 6 9 12 1 5

  9. 2 6 9 12 1 5

  10. 1 6 9 12 5