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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

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.

     

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