Adorable baby girl sleeping in co-sleeper crib attached to parents' bed. Little child having a day nap in cot. Sleep training concept. Infant kid in sunny nursery
A 17-year-old female patient who is postmenarchal presents with back pain and increased thoracic kyphosis. Her neurological examination is normal. Radiographs show thoracic kyphosis measuring 50° by the Cobb method. The kyphosis corrects to 20° on radiographs while the patient is hyperextended over a bolster. Which of the following is the best treatment strategy for this patient?
Brace treatment
Bracing can be used in patients with Scheuermann kyphosis who are actively growing. Since the patient is skeletally mature and has an examination consistent with postural kyphosis, bracing is not an option.
Physical therapy for core strengthening
The patient has postural kyphosis with back discomfort, so surgery is not indicated. Physical therapy is the best treatment option.
Anterior spinal fusion
The patient has postural kyphosis with back discomfort, so surgery is not indicated. Physical therapy is the best treatment option.
Posterior spinal fusion
The patient has postural kyphosis with back discomfort, so surgery is not indicated. Physical therapy is the best treatment option.
