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Paediatrics
intermediate
X-Type

Congenital Scoliosis - Classification and VACTERL Screening

Pediatric Spine

A 2-year-old girl is referred with a spinal deformity noted at birth. Plain radiographs demonstrate a thoracolumbar curve with a hemivertebra on the convex side and an unsegmented bar on the concave side. The paediatrician asks about recommended screening investigations and prognosis. Regarding congenital scoliosis:

Mark each as TRUE or FALSE

A

Congenital scoliosis results from vertebral malformations during the first 6 weeks of gestation duri...

B

Associated anomalies occur in approximately 60% of patients requiring systematic screening; renal an...

C

Bracing is highly effective for congenital scoliosis and should be the primary treatment; block vert...

D

Progression rates vary by defect type: block vertebra (less than 1 degree per year, benign), fully s...

E

Surgical goals include stopping progression while preserving spinal growth and thoracic volume; thor...

Answer the questions to see explanations

Click T (True) or F (False) for each option