Clean FRCS notes with inline figures
•AIS
•Treatment option
•Observe
•Brace (above T7 milwaukee/ boston)
•Operation
Brace:
•Indication: >20 in skeletal immatured patient
•3 point fixation
•Till skeletal maturity with gradual wean off
Assessment: compliance, complication, progression of curve
•Cx: sore, esophagitis, stiffness
•Operation
•Indication: >40 immature, >50 mature
Principle:
•Stop progression + correct deformity
•Include all structural cure, achieving solid fusion block with minimal tilting and shift
•Level depends on instrumentation, usually take reference to end vertebrae (mild tilted)/ stable vertebrae (vertebrae bissected by mid sacral line (CSVL)
•Classical: luque rod, harrington rod (cannot control rotation), pedicle screws with rod