Adolescent Idiopathic Scoliosis — Management
Lenke classification guides fusion levels using curve type, lumbar modifier, and sagittal modifier. Bracing is effective in skeletally immature (Risser 0–2) with 25–40° curves when worn adequately. PSF with pedicle screws is gold standard for surgical AIS; selective fusion aims to preserve motion segments. Assess sagittal profile to avoid hypokyphosis and junctional problems. Psychosocial support and cosmesis discussion are important in counseling.
Practised by MCQ
10What is the primary criterion for determining the risk of curve progression in Adolescent Idiopathic Scoliosis...
mcqIn which Risser grade is a patient considered to have the highest risk of progression in AIS?
mcqAccording to the Lenke classification, which type is characterized by a main thoracic curve only?
mcqWhat is the most effective conservative treatment for skeletally immature patients with a Cobb angle of 30°?
mcqWhat is the gold standard surgical treatment for Adolescent Idiopathic Scoliosis?
mcqWhich modifier in the Lenke classification assesses the relationship of the lumbar curve to the central sacral...
mcqWhat is a significant psychosocial consideration when managing a patient with AIS?
mcqWhich of the following is true regarding curve patterns in Adolescent Idiopathic Scoliosis?
mcqWhat is the primary goal of selective fusion in surgery for AIS?
mcqWhich of the following statements about pulmonary compromise in AIS is correct?