HUMB2009 Lecture Notes - Lecture 4: Cobb Angle, Scoliosis, Gait Abnormality

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Scoliosis: abnormal lateral curvature of the spine twisted with a cobb angle bigger than 10 . Symptoms: asymptomatic or uneven shoulders, one shoulder blade that appears more prominent than the other, uneven waist, one hip higher than the other. Spina bifida: posterior defect of spinal canal due to the lack of fusion. Depends on severity: back pain, bladder or bowel incontinence, paraplegia spinal or lower limb deformities. Spina bifida occulta (mild): no involvement of nerves. Splitting of bony neural canal at the l5/s1 level. Large defects are associated with spinal cord abnormalities. May lead to a variety of muscular abnormalities, lack of bladder or bowel control. Able to site slight dimpling of the skin or tuft or hair over the vertebral defect indicating the site of lesion. *image shows greatly increased interpedicular distance of lumbar vertebrae. Meningocele (herniation of meninges): the protective membranes (meninges) push out through the vertebrae.

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