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CASE REPORT
Back Pain & Scoliosis in 16F
https://upload.orthobullets.com/cases/102542/1042bceb-e0d0-459b-b30f-db868085a38c_image1.jpg https://upload.orthobullets.com/cases/102542/6bd6cd5a-1d8c-41f2-a635-b11ff7b91991_image2.jpg
A
David L. Skaggs MD
Cedars-Sinai Spine
Cedars-Sinai Orthopaedics
Cedars-Sinai Orthopaedics
VIEW EXPERT OPINIONS
HPI
A 16-year-old female, previously healthy, presents with thoracolumbar back pain and waste asymmetry. The pain has slowly progressed over the last 3 ye... ars. The pain occurs daily, but is worse at night and wakes her up on a regular basis. She describes it as a 9 of 10 in severity at night. She has lost interest in most activities and has stopped playing sports. For treatment she takes Tylenol and NSAIDS (Aleve, ibuprofen) almost daily. She reports the NSAIDs are effective reducing the pain. She has previously seen several physicians and has been told her MRI was normal.
4551   votes
1
(P: 194075) In addition to radiographs, what advanced imaging studies would you obtain to guide management?
None - Radiographs are sufficient
9%
39/399
CT Alone
8%
33/399
MRI Alone
17%
69/399
Bone Scan Alone
2%
11/399
CT + MRI
21%
86/399
CT + Bone Scan
12%
51/399
MRI + Bone Scan
7%
30/399
CT + MRI + Bone Scan
16%
64/399
Outside my area of expertise - best if I don't vote
4%
16/399
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Derek Moore MD
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Agree - awesome teaching case. Question #1: Are you 100% sure this is an OO. Should we send the mes... more
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I think it should always be considered for consultation first from an orthopedic oncologist then a d... more
Joseph Schwab MD
Derek Moore, MD In most cases, I recommend biopsy. However, osteoma has such a classic appearance t... more
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Adolescent Idiopathic Scoliosis
PMID: 21048184 J Bone Joint Surg Am. 2010 Nov 03;92(15):2616; author reply 2616-7.
E
post

Brace wear control of curve progression in adolescent idiopathic scoliosis.

Charles T Price
Brace wear control of curve progression in adolescent idiopathic scoliosis.
Pubmed
Journal



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    Brace wear control of curve progression in adolescent idiopathic scoliosis.
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