Spine: idiopathic scoliosis bracing: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Spine: idiopathic scoliosis bracing

Sample item

A 12-year-old girl, Risser grade 1, has a Cobb angle of 30 degrees that has progressed from 22 degrees. What is the appropriate management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bracing

Adolescent idiopathic scoliosis with a Cobb angle of 25 to 40 degrees in a skeletally immature patient who is still growing is treated with bracing to halt progression. Observation suits curves under 25 degrees, and surgery is considered for curves over 45 to 50 degrees.

Option by option

  • A. Bracing (correct)

    Correct. A progressing 25 to 40 degree curve in a growing child needs bracing.

  • B. Spinal fusion

    Fusion is for larger curves.

  • C. Bed rest

    Bed rest has no role.

  • D. Observation only

    Observation is for smaller curves.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is A, Bracing. Adolescent idiopathic scoliosis with a Cobb angle of 25 to 40 degrees in a skeletally immature patient who is still growing is treated with bracing to halt progression.

Why is "Spinal fusion" not the answer?

Fusion is for larger curves.

Why is "Bed rest" not the answer?

Bed rest has no role.

Why is "Observation only" not the answer?

Observation is for smaller curves.

What concept does this question test?

It tests Spine: idiopathic scoliosis bracing in Orthopaedics. Observation suits curves under 25 degrees, and surgery is considered for curves over 45 to 50 degrees.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Spine: idiopathic scoliosis bracing?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.