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Orthopaedics
Scheuermanns Kyphosis (AO Based)
Built from AO Surgery Reference: Spine Trauma, Degenerative, Tumors and Deformities (AO Foundation)
What’s inside
2 sections · 85 slides
Overview
- Introduction
- Definition of Scheuermann kyphosis
- Definition of Scheuermann kyphosis
- What decides treatment
- What decides treatment
- Diagnostic criteria and differentials
- Diagnostic criteria compared
- Diagnostic criteria compared
- Differential diagnosis
- Differential diagnosis
- Clinical evaluation
- Assessment of spinal alignment
- Assessment of spinal alignment
- Scheuermann versus postural kyphosis
- Scheuermann versus postural kyphosis
- Muscles, skin and skeletal maturity
- Muscles, skin and skeletal maturity
- Gait and neurological examination
- Gait and neurological examination
- Imaging
- Standing radiographs
- Standing radiographs
- Cobb angle, flexibility and MRI
- Cobb angle, flexibility and MRI
- Imaging work-up sequence
- Imaging work-up sequence
- Treatment selection
- Treatment options
- Treatment options
- Indications for surgery
- Indications for surgery
- Decision logic for treatment
- Anterior release versus osteotomy
- Nonoperative treatment
- Physical therapy and bracing goals
- Brace selection
- Brace selection
- Brace wearing protocol
- Surgical planning and preparation
- Preoperative planning
- Selection of fusion levels
- Selection of fusion levels
- Prone positioning for posterior surgery
- Prone positioning for posterior surgery
- Lateral position for anterior release
- Lateral position for anterior release
- Anesthesia, blood loss and antibiotics
- Spinal cord monitoring
- Response to neuromonitoring signal change
- Surgical approaches
- Posterior approach
- Posterior approach
- Anterior thoracoscopic release: principles
- Anterior thoracoscopic release: principles
- Thoracoscopic portals and closure
- Thoracoscopic portals and closure
- Minimally invasive left thoracic approach
- Minimally invasive left thoracic approach
- Mini-open approach: portals and dissection
- Mini-open approach: portals and dissection
- Operative technique
- Anterior release: steps
- Anterior release: steps
- Pedicle screw strategy
- Pedicle screw strategy
- Thoracic pedicle screw entry points
- Thoracic pedicle screw entry points
- Lumbar pedicle screw insertion
- Lumbar pedicle screw insertion
- Hooks and sublaminar wires
- Hooks and sublaminar wires
- Ponte osteotomy: steps
- Ponte osteotomy: steps
- Reduction of the deformity
- Reduction of the deformity
- Fusion and final checks
- Fusion and final checks
Aftercare and complications
- Aftercare
- Chest tube care after anterior release
- Postoperative complications
- Take-home messages
- References (1 of 2)
- References (2 of 2)
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