Scheuermann's
Juvenile
____________________
-
(
AVN
,
trauma
)
S
/
S
:
Teenage
male
,
pain
with
activity
,
rounded
shoulder
and
posture
Dx
:
Xray
(
end
plate
____________________
)
,
increased
hyphosis
,
MRI
,
CT
scan
(
lab
is
normal
)
Tx
:
1
activity
,
____________________
brace
,
PT
(
stim
,
HVG
,
ultrasound
,
mild
adjustments
"
extension
"
)
C
.
Osteoporosis
1º
(
Aged
population
)
increase
____________________
,
spontaneous
mid
-
thoracic
____________________
2º
(
Multiple
causes
/
ages
)
,
asymptomatic
until
fracture
Dx
:
Xray
(
30%
bone
loss
)
,
dual
photon
absorptionmetry
,
quantitative
CT
,
normal
lab
values
Tx
:
Gentle
adjustments
,
1º
nutrition
(
calcium
and
Vitamin
D
)
,
increase
____________________
bearing
activity
D
.
Compression
Fractures
Most
common
levels
overall
.
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____________________
-
L2
levels
Most
common
levels
with
osteoporosis
(
kyphosis
)
in
the
elderly
.
.
.
.
.
.
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.
T4
-
____________________
level
s
