Clinical diagnosis of a patient with spinal deformity
Formulation of expanded diagnosis in spine surgery is of particular importance. This allows for most timely solving the issue of the treatment choice and determining the amount of intervention. A single technique for diagnosis formulation is one of the first steps to establish a national registr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2017-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/165/305 |
| Summary: | Formulation of expanded diagnosis in spine surgery is of particular importance. This allows for most timely solving the issue of the treatment
choice and determining the amount of intervention. A single technique for diagnosis formulation is one of the first steps to establish a
national registry of patients with scoliosis, the significance of which needs no justification. The paper presents a methodology for the
formulation of a clinical diagnosis in patients with spinal deformities of different etiologies: idiopathic scoliosis, congenital scoliosis and
kyphosis, syndromic scoliosis, myopathic deformities of the spine, and Scheuermann’s disease. In authors’ view, diagnosis should include
information on the following characteristics: etiology, side of convexity, localization, structurality and rigidity of the primary curve, degree
of deformity compensation, nature of progression and magnitude, sagittal contour of the spine, location of secondary curve, peculiarities
of the rib hump, neurological symptoms, pain, age group, comorbidities (vertebral and non-vertebral), and previous surgeries on the spine.
In congenital deformities, the abnormalities, both vertebral (intra- and extracanal) and non-vertebral should be noted. |
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| ISSN: | 1810-8997 2313-1497 |