Slide 090 — NM scoliosis

Clean FRCS notes with inline figures

NM scoliosis

•Deformity: Long C curve

Frontal:

•Primary: (erector spinae imbalance)

•Secondary: (compensatory for hip adductor contracture)

•Spinopelvic impingement

Sagittal:

•Most compensation for hip  hyperlordosis

•TL/L more as more mobile

•More listing

•Long fusion

•Assess underlying cause

•Caring problem and function (most important)

•Improving sitting posture

Lonstein and Akbarnia classification

**Fig 1.** Classification / diagrammiddle left

Type / group	Definition / note
1	Level pelvis (S curve)
2	Pelvic obliquity (C curve)

Direct Q&A

Q1 What diagnostic or radiographic findings support NM scoliosis?

NM scoliosis

•Deformity: Long C curve

Frontal:

•Primary: (erector spinae imbalance)

•Secondary: (compensatory for hip adductor contracture)

•Spinopelvic impingement

Sagittal:

•Most compensation for hip  hyperlordosis

•TL/L more as more mobile

•More listing

Q2 How is NM scoliosis classified here?

1: Level pelvis (S curve)

•2: Pelvic obliquity (C curve)

Q3 How is NM scoliosis managed?

NM scoliosis

•Deformity: Long C curve

Frontal:

•Primary: (erector spinae imbalance)

•Secondary: (compensatory for hip adductor contracture)

•Spinopelvic impingement

Sagittal:

•Most compensation for hip  hyperlordosis

•TL/L more as more mobile

•More listing

•Long fusion

•Assess underlying cause

•Caring problem and function (most important)

•Improving sitting posture

Lonstein and Akbarnia classification

Type / group	Definition / note
1	Level pelvis (S curve)

Raw speaker-note hierarchy audit

#	marL	indent	logical	original note line
1	None	None	0	NM scoliosis
2	None	None	0	Deformity: Long C curve
3	None	None	0	Frontal:
4	171450	-171450	1	Primary: (erector spinae imbalance)
5	171450	-171450	1	Secondary: (compensatory for hip adductor contracture)
6	0	0	0	Spinopelvic impingement
7	0	0	0	Sagittal:
8	0	0	0	Most compensation for hip  hyperlordosis
9	0	0	0	TL/L more as more mobile
10	0	0	0	More listing
11	0	0	0	Long fusion
12	0	0	0	Assess underlying cause
13	0	0	0	Caring problem and function (most important)
14	0	0	0	Improving sitting posture
15	None	None	0	Lonstein and Akbarnia classification
16	None	None	0	1: Level pelvis (S curve)
17	None	None	0	2: Pelvic obliquity (C curve)

lvl

marL

indent

logical

original note line

None

NM scoliosis

None

Deformity: Long C curve

None

Frontal:

171450

-171450

Primary: (erector spinae imbalance)

171450

-171450

Secondary: (compensatory for hip adductor contracture)

Spinopelvic impingement

Sagittal:

Most compensation for hip  hyperlordosis

TL/L more as more mobile

More listing

Long fusion

Assess underlying cause

Caring problem and function (most important)

Improving sitting posture

None

Lonstein and Akbarnia classification

None

1: Level pelvis (S curve)

None

2: Pelvic obliquity (C curve)

Improved semantic hierarchy used for the study notes

#	semantic level	section?	rewritten line
1	0		NM scoliosis
2	1		Deformity: Long C curve
3	0	yes	Frontal:
4	1		Primary: (erector spinae imbalance)
5	1		Secondary: (compensatory for hip adductor contracture)
6	1		Spinopelvic impingement
7	0	yes	Sagittal:
8	1		Most compensation for hip  hyperlordosis
9	1		TL/L more as more mobile
10	1		More listing
11	1		Long fusion
12	1		Assess underlying cause
13	1		Caring problem and function (most important)
14	1		Improving sitting posture
15	0	yes	Lonstein and Akbarnia classification
16	1		1: Level pelvis (S curve)
17	1		2: Pelvic obliquity (C curve)

semantic level

section?

rewritten line

NM scoliosis

Deformity: Long C curve

yes

Frontal:

Primary: (erector spinae imbalance)

Secondary: (compensatory for hip adductor contracture)

Spinopelvic impingement

yes

Sagittal:

Most compensation for hip  hyperlordosis

TL/L more as more mobile

More listing

Long fusion

Assess underlying cause

Caring problem and function (most important)

Improving sitting posture

yes

Lonstein and Akbarnia classification

1: Level pelvis (S curve)

2: Pelvic obliquity (C curve)

090. NM scoliosis

Clean FRCS notes with inline figures

NM scoliosis

Frontal:

Sagittal:

Lonstein and Akbarnia classification

Direct Q&A

NM scoliosis

Frontal:

Sagittal:

1: Level pelvis (S curve)

NM scoliosis

Frontal:

Sagittal:

Lonstein and Akbarnia classification

Raw speaker-note hierarchy audit

Improved semantic hierarchy used for the study notes