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    Nope, never a bending x-ray. His view is that...

    Nope, never a bending x-ray. His view is that unless you are at the point where surgery is on the table, better not to subject them to the extra radiation.
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    This is actually an interesting question. She is...

    This is actually an interesting question. She is an S-curve, and initially they thought it was a true double curve because both were about the same at diagnosis. But because the top curve is now...
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    Also, one thing that the doc did say that I...

    Also, one thing that the doc did say that I hadn't heard before: her rotation is a lot less than he'd expect in a 40 degree curve. He said that he'd normally expect 20+ degrees, but hers is only 8-9...
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    Yep, she was at 39 in May 2020 when she started...

    Yep, she was at 39 in May 2020 when she started weaning off of bracing, and also 39 in November 2020, so she barely slipped under that wire. She also may have been Risser 2 when she started -- that...
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    Yearly check-up

    Doc measured 40T/32L. He remeasured the last one from November 2020 since he used T8 and not T9 (which is slightly more crooked) on that one and came up with 39T/32L -- so he said the slight...
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    They play in masks. There really hasn't been...

    They play in masks. There really hasn't been much evidence of spread on the court, which surprises me a little. What I've been told is that the public health types think that the masks really help,...
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    You know, I will say that I've been impressed...

    You know, I will say that I've been impressed with how the high school has done hybrid learning. It's mostly a question of scheduling -- making sure that the kids have enough work to do offline on...
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    I mean a freshman in high school! But it sucks...

    I mean a freshman in high school! But it sucks for them too. My spouse feels bad because she's not getting to do the things that "normal" 14-15 yo girls get to do when they start high school -- go...
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    Non-scoli update.

    Freshman year is going as well as could be hoped for under the circumstances. In-person school two days a week (two homework days and one remote learning day), and her HS basketball team is giving...
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    Yikes!

    Sorry to hear about the accident, Sharon. I have to confess that I'm terrified by horses. Anything that much bigger than me scares me unless it's safely in a zoo.

    I think all of her scans have...
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    1.75 inches in the past year. Mostly up from...

    1.75 inches in the past year. Mostly up from what I can tell. Maybe the brace did something?

    She's listed as a 5'9" shooting guard, and that's just because she doesn't want to be too tall...
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    Six month update

    Her back actually improved a bit. The doc measured 37T/32L -- but he measured from the wrong vertebrae on the top curve! But but when I measure from the right one I get about the same (I get...
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    This interesting. Curious about PT in the two...

    This interesting. Curious about PT in the two groups -- my understanding is that European patients are a lot more likely to be doing PT to supplement the bracing.

    One slight nit -- as I read the...
  14. I just had to jump in here. Kids who hit...

    I just had to jump in here. Kids who hit maturity with curves in the 30s don't progress at "maybe 2 degrees per year" as adults. Kids below 35 degrees or so usually don't progress, or if they do,...
  15. I'm not going to say where specifically. It's a...

    I'm not going to say where specifically. It's a standard Boston TLSO brace. After the in-brace scan the orthotist put extra pads in top and bottom so it may have gotten slightly more correction.
    ...
  16. I'll just report my kid's bracing results over 10...

    I'll just report my kid's bracing results over 10 months without comment. All measurements are mine. I finally got in back to work the other day so I can play with her last scans to my heart's...
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    I talked to our doc about this in one of our...

    I talked to our doc about this in one of our first visits. He said that from what he's seen the kids that get growth modulation from tethers have retained that correction ten years later. It's why...
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    So I don't actually know the answer to this. I'd...

    So I don't actually know the answer to this. I'd guess it probably depends on the lumbar level -- L1 is high enough that I'd suspect they do, whereas L4-L5 not. But I don't know. I do know that...
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    This is secondhand, but I have heard that the...

    This is secondhand, but I have heard that the docs who have been doing tethering the longest will only do three procedures in a lifetime because it's too traumatic to come in from the side and...
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    Nope, he didn't say what the "fix" would be. ...

    Nope, he didn't say what the "fix" would be. Just that many women with this type and size of curves start noticing them in their early/mid 30s, but at that point they have or are having small...
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    Yes, he said two more xrays in 6 and 12 months to...

    Yes, he said two more xrays in 6 and 12 months to see where exactly it "settles" at 100% maturity, and then one more after that when she's 17 or 18 to see what it's been up to.

    It's funny. He...
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    Thanks! He specifically noted how balanced the...

    Thanks! He specifically noted how balanced the curves were and how her rotation made her look like her curves were a lot smaller than they really are. He said that he wouldn't be able to tell that...
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    Six month update

    Doc had curves at 39T/37L. I have about the same (38T/36L). Slight progression (1-2 degrees), but well within measurement variance. Both hips now Risser 4. Left hip completely capped. Right hip...
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    Oh, I was unclear. I'm not saying 50% need...

    Oh, I was unclear. I'm not saying 50% need revision -- I was saying that docs might understate the chances for those particular kids who have a relatively high chance. I was just using a 50% case...
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    I think a lot of ped-orthos are up front that...

    I think a lot of ped-orthos are up front that there is no guarantee that the lumbar won't eventually have to be fused unless they can get it straight (the figure I've seen is they shoot for less than...
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