Module 70, General Orthopaedist Level

This 7 year old male presented to the cerebral palsy clinic with mild development delay, hyperactivity, and kyphosis. On physical examination he was slightly small for age (5th percentile weight for age, 10th percentile height for age) and had hyperactivity. He had no clonus or spasticity but a slightly clumsy gait.

Question 70A

Based on the above x-ray and history and physical examination, the next step in the work up should be to obtain an MRI scan of the spine.

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Question 70B

Based on the above x-ray and history and physical examination, an MRI scan of the brain should be obtained.

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Question 70C

The treatment for this kyphosis should be a custom molded plastic TLSO.

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Question 70D

The kyphosis is a very likely cause of the clumsy gait pattern.

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Question 70E

At age seven this boy would be too young to consider a posterior spine fusion.

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