Round # 16

• Clinical History
• Radiographs
• Description of Radiographic Findings

Clinical History

A 16 y.o girl comes to the office accompanied by her mother. They both report that over the last few years, the teenager has developed a progressive hunchback with intermittent mid-thoracic pain. The patient reports that the deformity has become cosmetically unacceptable to her, and that she wants it corrected. She is otherwise in excellent health, and specifically denies any fevers, chills, sweats, skin rashes, abdominal pain, peripheral arthritis, or nocturnal back pain.

Physical examination reveals a healthy young woman with a pronounced thoracic kyphosis, anteriorly positioned shoulders, and a slight forward protrusion of the head. Her hamstring muscles are tight as well. Her deformity remains fixed through flexion and extension, and there is no spinal tenderness to palpation. A routine laboratory evaluation is unremarkable. PA and lateral spine films are obtained.

Radiographic Films

Film 1

Film 2

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