22ndFebruary,
2023
MEDICAL
REPORT
O.B.K , 10 YEARS, MALE
WCA/6043/2023
Diagnosis: Primary Scoliosis
10year old boy referred from Camek orthopedic
hospital on account of limb inequality and obvious gait abnormality which was
noticed by parent a couple of months back become of increase concern to them.
However, there have not been associated with pain or
difficulty in walking or any engagement. He also plays football in school.
There is no associated bowel or urinary bladder obstruction. The rest of
systemic review are normal.
Neurological findings are normal functions in lower
limbs (Power, tone, reflex, sensations). The only positive finding symptoms is
in the spine where middle thoracic spine is seen to be obviously taking a
curvature towards the right side. But no associated gibbos. The left lower limb
is also noted to be slightly shorter.
The above features suggest scoliosis. However, further
investigation is required to achieve diagnosis.
XRAY Spine shows primary scoliosis centered on
thoracic spine and then compensatory scoliosis centered on lumbar spine.
Details
of this scoliotic deformity is however better find on CT or MRI.
MRI
Thoracolumbar spine did not reveal any cord or cauda equine compression.
CT whole spine confirmed details of
the scoliotic anatomy
Plan: Conservative
management as discussed with parents.
To commence TLSO Brace as soon as
possible.
Kindly revert for further
clarifications if need be.
Sincerely yours,
Dr.
Halima Ibrahim
For
Team Wellington Clinics