Introduction to Courtney
19-year-old Courtney explains her background.
Courtney's Health History
At 13, Courtney was first seen by the Orthopedic Doctor after Pediatrician detected mild scoliosis by exam (Adams Forward Bend Test). At that time:
- No chronic back pain
- Mild scapular pain – Resolved with Physical Therapy
- X-ray- Thoracic curve 21: Risser 2 (skeletal growth not complete)
Impression
Mild Scoliosis
Xray
- Thoracic curve 21
- Risser 2 (skeletal growth not complete)
Image
http://www.chop.edu/stories/scoliosis-courtney-s-story
Plan
Observation and follow-up; Physical Therapy recommended for scapular pain (unrelated scoliosis)
One Year Later
First Visit
- No spine pain, no limitation of activities
- Thoracic curve 33
- Impression: Moderate progression
Plan
- Brace 20 hours a day
Second Visit
One month later:
- Brace uncomfortable, not wearing
Plan
- Refit brace
Third Visit
Six months later:
- See’s surgeon for 2nd opinion
- Discomfort with brace – not wearing
- No discomfort without brace, dancing 4-5 hours/day
- Thoracic curve 53; Risser 4 (skeletal growth complete)
- Moderate to severe scoliosis
Plan
Surgery recommended
