Last updated on: January 23rd, 2024

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You’re looking at a multiple-choice question from QBank Prepper (the newest of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Skeletal disorders 1

A 9-year-old girl presents with a 6-month history of progressive mid-back pain, worse with exercise, and relieved with rest. She has no history of trauma. On physical examination, she has a rigid kyphosis with a sharp angulation when she bends over. The curvature does not flatten with forward bending, extension, or lying supine. She has no neurological findings. X-rays of the spine reveal vertebral wedging and narrowing of the intervertebral disc spaces, with an angular deformity of the thoracic spine and a Cobb angle of 71°. Which of the following is the most appropriate next step in management?

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