Scoliosis
Gordon Bass
Description
Collection
Title:
Scoliosis
Creator:
Gordon Bass
Date:
3/15/2004
Text:
We were asked to evaluate a patient today and I would appreciate your
input.
Patient is a 54 year old male with what appears to be a 40 degree left
thoracolumbar curve. The apex appears to be t 12. Curve and spine are
not very flexible in lateral bending or flexing superior to the hips.
Visually there is a prominent rib hump. The PT has levelled his hips by
placing a 3/8 heel wedge in the left shoe. No film was available at
the eval.
What is unique with this gentleman is that he is quite thin----153 # at
6'1 and more pressing is that there is barely enough soft tissue at the
waist grove bilaterally for me to wedge my fingers between the iliac
crest and the inferior rib. This was even the situation with the
patient in a supine position.
The gentleman is knowledgable with respect to his condition and the
prospects concerning orthotic intervention.
My question is how would you orthortically
treat this patient. Again patient is aware of the progression potential
and that this may be just a temporary measure. He is not a surgical
candidate.
Gordon Bass CPO
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input.
Patient is a 54 year old male with what appears to be a 40 degree left
thoracolumbar curve. The apex appears to be t 12. Curve and spine are
not very flexible in lateral bending or flexing superior to the hips.
Visually there is a prominent rib hump. The PT has levelled his hips by
placing a 3/8 heel wedge in the left shoe. No film was available at
the eval.
What is unique with this gentleman is that he is quite thin----153 # at
6'1 and more pressing is that there is barely enough soft tissue at the
waist grove bilaterally for me to wedge my fingers between the iliac
crest and the inferior rib. This was even the situation with the
patient in a supine position.
The gentleman is knowledgable with respect to his condition and the
prospects concerning orthotic intervention.
My question is how would you orthortically
treat this patient. Again patient is aware of the progression potential
and that this may be just a temporary measure. He is not a surgical
candidate.
Gordon Bass CPO
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Gordon Bass, “Scoliosis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/222802.
