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SCOLIOSIS A NURSING OVERVIEW. Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics. SCOLIOSIS-CLASSIFICATION. IDIOPATHIC CONGENTIAL NEURO-MUSCULAR MISCELLANEOUS. NATURAL HISTORY of SCOLIOSIS. Scoliosis is a clinical sign. Tanner Staging. Risser Sign.
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SCOLIOSISA NURSING OVERVIEW Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics
SCOLIOSIS-CLASSIFICATION • IDIOPATHIC • CONGENTIAL • NEURO-MUSCULAR • MISCELLANEOUS
NATURAL HISTORY of SCOLIOSIS • Scoliosis is a clinical sign
Non Surgical Management • Observation • Bracing
KYPHOSIS • Congenital Kyphosis • Scheuermann’s Disease
TREATMENT Physical Therapy NSAID’s Bracing Surgical
POSTURAL KYPHYOSIS • “Round back” • Not Rigid • Back ache • Slouching
TREATMENT • P.T. • Exercises- Superman • Sports
NEUROMUSCULAR • Cerebral palsy • Muscular dystrophy • Myelomeningocele
MISCELLANEOUS • Marfan Syndrome • Neurofibromatosis • Spine tumors • Degenerative scoliosis
COMPLICATIONS • Spinal cord or nerve root injury • Infection • Pseudoarthrosis • Crankshaft phenomenon • Implant failure
SUMMARY • Scoliosis is a diagnosis of exclusion • Progression is related to growth in idiopathic and neuromuscular • Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! • Surgery is for large curves in growing children or progressive conditions