SlideShare una empresa de Scribd logo
1 de 39
Scheuermann’s Disease and Sagittal Plane Deformity Donald S. Corenman, M.D., D.C. Steadman Clinic- Vail, CO Neckandback.com
What is the sagittal plane ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sagittal Profile ,[object Object],[object Object],[object Object],[object Object],[object Object]
Weight Bearing of 3 Columns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Creep Behavior of Normal vs Degenerative Discs ,[object Object]
Compensatory Posterior Pelvic Rotation ,[object Object],[object Object],[object Object]
Compensatory Anterior Pelvic Rotation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pelvic Rotation ,[object Object],[object Object]
Hyperkyphosis/ Scheuermanns’-  Compensatory Mechanisms and Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Alignment ,[object Object],[object Object],[object Object]
Causes of Abnormal Sagittal Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Flat Back Posture ,[object Object],[object Object],[object Object]
Sagittal Profile of Lumbar Stenosis ,[object Object],[object Object],[object Object]
Flat Back Compensations ,[object Object],[object Object]
Preop DDD with Flat Back Syndrome
Postop Sagittal Balance
Female age related kyphosis
Senile Kyphosis ,[object Object],[object Object],[object Object]
New Insufficiency Fracture in Senile Osteoporosis with Kyphosis
Postural Hyperkyphosis ,[object Object],[object Object],[object Object],[object Object]
Scheuermann’s Kyphosis
Normal Vertebral Development ,[object Object],[object Object],[object Object]
8 yr old vertebra ,[object Object]
Ring Apophysis at 10 years ,[object Object]
Compressive Forces on Endplate of Normal Disc ,[object Object]
Forces causing cantilever bending ,[object Object]
Metabolic  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scheuermann’s Disease ,[object Object],[object Object],[object Object],[object Object]
Scheuermann’s associated conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thoracic vs Thoracolumbar type ,[object Object],[object Object],[object Object]
Scheuermann’s Clinical Onset ,[object Object],[object Object],[object Object],[object Object]
Appearance of Normal vs Scheuermanns
Sagittal Balance vs Scheuermanns
Scheuermann’s Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endplate Failure with Schmoral’s nodes ,[object Object],[object Object],[object Object]
Natural History of Scheuermanns ,[object Object],[object Object],[object Object],[object Object]
Thoracic Scheuermanns Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risser Sign ,[object Object],[object Object]
Scheuermanns Treatment Goals ,[object Object],[object Object],[object Object]

Más contenido relacionado

La actualidad más candente

Congenital vertical talus
Congenital vertical talusCongenital vertical talus
Congenital vertical talusYasser Alwabli
 
Patella dislocation by DR.NAVEEN RATHOR
Patella dislocation by DR.NAVEEN RATHORPatella dislocation by DR.NAVEEN RATHOR
Patella dislocation by DR.NAVEEN RATHORDR.Naveen Rathor
 
Carpal instability - Orthopedic
Carpal instability - OrthopedicCarpal instability - Orthopedic
Carpal instability - OrthopedicFahad AlHulaibi
 
Shoulder joint instability
Shoulder joint instabilityShoulder joint instability
Shoulder joint instabilityPrasanthmuddada
 
Shoulder Instability
Shoulder InstabilityShoulder Instability
Shoulder InstabilityAtif Shahzad
 
Shoulder impingement syndrome
Shoulder impingement syndromeShoulder impingement syndrome
Shoulder impingement syndromeRatan Khuman
 
Meniscal injury
Meniscal injuryMeniscal injury
Meniscal injurymanoj das
 
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment Dr.Md.Monsur Rahman
 
L13 ankle ligament injuries
L13 ankle ligament injuriesL13 ankle ligament injuries
L13 ankle ligament injuriesClaudiu Cucu
 
Perthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHORPerthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHORDR.Naveen Rathor
 
Patellofemoral pain syndrome (pfps)
Patellofemoral pain syndrome (pfps)Patellofemoral pain syndrome (pfps)
Patellofemoral pain syndrome (pfps)Venus Pagare
 
Recurrent patellar dislocation
Recurrent patellar dislocationRecurrent patellar dislocation
Recurrent patellar dislocationboneheallerortho
 

La actualidad más candente (20)

Congenital vertical talus
Congenital vertical talusCongenital vertical talus
Congenital vertical talus
 
Patella dislocation by DR.NAVEEN RATHOR
Patella dislocation by DR.NAVEEN RATHORPatella dislocation by DR.NAVEEN RATHOR
Patella dislocation by DR.NAVEEN RATHOR
 
Carpal instability - Orthopedic
Carpal instability - OrthopedicCarpal instability - Orthopedic
Carpal instability - Orthopedic
 
Shoulder joint instability
Shoulder joint instabilityShoulder joint instability
Shoulder joint instability
 
Shoulder Instability
Shoulder InstabilityShoulder Instability
Shoulder Instability
 
Shoulder impingement syndrome
Shoulder impingement syndromeShoulder impingement syndrome
Shoulder impingement syndrome
 
Meniscal injury
Meniscal injuryMeniscal injury
Meniscal injury
 
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment
 
L13 ankle ligament injuries
L13 ankle ligament injuriesL13 ankle ligament injuries
L13 ankle ligament injuries
 
Hallux valgus UG lecture
Hallux valgus UG lectureHallux valgus UG lecture
Hallux valgus UG lecture
 
Perthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHORPerthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHOR
 
Pes planus
Pes planusPes planus
Pes planus
 
Tennis elbow(le)
Tennis elbow(le)Tennis elbow(le)
Tennis elbow(le)
 
Spondylolisthesis
SpondylolisthesisSpondylolisthesis
Spondylolisthesis
 
Patellofemoral pain syndrome (pfps)
Patellofemoral pain syndrome (pfps)Patellofemoral pain syndrome (pfps)
Patellofemoral pain syndrome (pfps)
 
Spondylolisthesis
Spondylolisthesis Spondylolisthesis
Spondylolisthesis
 
Hip biomechanics
Hip biomechanicsHip biomechanics
Hip biomechanics
 
Lumbar canal stenosis
Lumbar canal stenosisLumbar canal stenosis
Lumbar canal stenosis
 
Recurrent patellar dislocation
Recurrent patellar dislocationRecurrent patellar dislocation
Recurrent patellar dislocation
 
Sprengel deformity
Sprengel deformitySprengel deformity
Sprengel deformity
 

Destacado

Case Review #9: 19 year old female with Scheuermann's Disease
Case Review #9: 19 year old female with Scheuermann's DiseaseCase Review #9: 19 year old female with Scheuermann's Disease
Case Review #9: 19 year old female with Scheuermann's DiseaseRobert Pashman
 
Case Review #1: 13 year old female with Scheurmanns Kyphosis
Case Review #1: 13 year old female with Scheurmanns KyphosisCase Review #1: 13 year old female with Scheurmanns Kyphosis
Case Review #1: 13 year old female with Scheurmanns KyphosisRobert Pashman
 
Exaggerated thoracic kyphosis and compensatory lumbar lordosis
Exaggerated thoracic kyphosis and compensatory lumbar lordosisExaggerated thoracic kyphosis and compensatory lumbar lordosis
Exaggerated thoracic kyphosis and compensatory lumbar lordosisMiriam Clavel
 
Case Review #3: 17 year old male with Scheurmann's Kyphosis
Case Review #3: 17 year old male with Scheurmann's KyphosisCase Review #3: 17 year old male with Scheurmann's Kyphosis
Case Review #3: 17 year old male with Scheurmann's KyphosisRobert Pashman
 
Portals in a'scopy
Portals in a'scopyPortals in a'scopy
Portals in a'scopyRaj Kishore
 
Case Review #26: 73 year old female with Kyphoscoliosis
Case Review #26: 73 year old female with KyphoscoliosisCase Review #26: 73 year old female with Kyphoscoliosis
Case Review #26: 73 year old female with KyphoscoliosisRobert Pashman
 
NEUROLOGICAL EXAMINATIONS
NEUROLOGICAL EXAMINATIONSNEUROLOGICAL EXAMINATIONS
NEUROLOGICAL EXAMINATIONSMa Wady
 
Chapter 3 ct cot song - page 129 - 147
Chapter 3   ct cot song - page 129 - 147Chapter 3   ct cot song - page 129 - 147
Chapter 3 ct cot song - page 129 - 147Tưởng Lê Văn
 
Congenital kyphosis
Congenital kyphosisCongenital kyphosis
Congenital kyphosissaurabh rai
 
Case Review #6: 53 year old woman with Adult Scoliosis
Case Review #6: 53 year old woman with Adult ScoliosisCase Review #6: 53 year old woman with Adult Scoliosis
Case Review #6: 53 year old woman with Adult ScoliosisRobert Pashman
 
Spondylolisthesis upload
Spondylolisthesis uploadSpondylolisthesis upload
Spondylolisthesis uploadorthoprince
 
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...Dr. Donald Corenman, M.D., D.C.
 
Scurvy Presentation
Scurvy PresentationScurvy Presentation
Scurvy Presentationbolton18
 

Destacado (20)

Kyphosis
KyphosisKyphosis
Kyphosis
 
Case Review #9: 19 year old female with Scheuermann's Disease
Case Review #9: 19 year old female with Scheuermann's DiseaseCase Review #9: 19 year old female with Scheuermann's Disease
Case Review #9: 19 year old female with Scheuermann's Disease
 
Case Review #1: 13 year old female with Scheurmanns Kyphosis
Case Review #1: 13 year old female with Scheurmanns KyphosisCase Review #1: 13 year old female with Scheurmanns Kyphosis
Case Review #1: 13 year old female with Scheurmanns Kyphosis
 
Kyphosis lordosis
Kyphosis lordosisKyphosis lordosis
Kyphosis lordosis
 
Exaggerated thoracic kyphosis and compensatory lumbar lordosis
Exaggerated thoracic kyphosis and compensatory lumbar lordosisExaggerated thoracic kyphosis and compensatory lumbar lordosis
Exaggerated thoracic kyphosis and compensatory lumbar lordosis
 
Case Review #3: 17 year old male with Scheurmann's Kyphosis
Case Review #3: 17 year old male with Scheurmann's KyphosisCase Review #3: 17 year old male with Scheurmann's Kyphosis
Case Review #3: 17 year old male with Scheurmann's Kyphosis
 
Portals in a'scopy
Portals in a'scopyPortals in a'scopy
Portals in a'scopy
 
Case Review #26: 73 year old female with Kyphoscoliosis
Case Review #26: 73 year old female with KyphoscoliosisCase Review #26: 73 year old female with Kyphoscoliosis
Case Review #26: 73 year old female with Kyphoscoliosis
 
Rheumatoid Arthritis Part !
Rheumatoid Arthritis Part !Rheumatoid Arthritis Part !
Rheumatoid Arthritis Part !
 
NEUROLOGICAL EXAMINATIONS
NEUROLOGICAL EXAMINATIONSNEUROLOGICAL EXAMINATIONS
NEUROLOGICAL EXAMINATIONS
 
Chapter 3 ct cot song - page 129 - 147
Chapter 3   ct cot song - page 129 - 147Chapter 3   ct cot song - page 129 - 147
Chapter 3 ct cot song - page 129 - 147
 
Congenital kyphosis
Congenital kyphosisCongenital kyphosis
Congenital kyphosis
 
FLAT BACK SYNDROME
FLAT BACK SYNDROMEFLAT BACK SYNDROME
FLAT BACK SYNDROME
 
Case Review #6: 53 year old woman with Adult Scoliosis
Case Review #6: 53 year old woman with Adult ScoliosisCase Review #6: 53 year old woman with Adult Scoliosis
Case Review #6: 53 year old woman with Adult Scoliosis
 
Kyphosis
KyphosisKyphosis
Kyphosis
 
Spondylolisthesis upload
Spondylolisthesis uploadSpondylolisthesis upload
Spondylolisthesis upload
 
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...
Treatment for scoliosis | curvature of the spine | thoracic kyphosis | Spine ...
 
Scurvy Presentation
Scurvy PresentationScurvy Presentation
Scurvy Presentation
 
Spondylolisthesis ms
Spondylolisthesis msSpondylolisthesis ms
Spondylolisthesis ms
 
spondylolisthesis
spondylolisthesis spondylolisthesis
spondylolisthesis
 

Similar a Scheuermann’s disease | sagittal plane deformity | curvature of the spine | vail spine surgeon

Kin 188 Shoulder Evaluation And Injuries
Kin 188  Shoulder Evaluation And InjuriesKin 188  Shoulder Evaluation And Injuries
Kin 188 Shoulder Evaluation And InjuriesJLS10
 
Spine Examination And Scoliosis
Spine Examination And ScoliosisSpine Examination And Scoliosis
Spine Examination And Scoliosisdrkmliau
 
Postural deviations of spine by Dr. Nidhi
Postural deviations of spine by Dr. NidhiPostural deviations of spine by Dr. Nidhi
Postural deviations of spine by Dr. NidhiNidhiVedawala
 
2017_Brent_Feland_PDF_Presentation.pdf
2017_Brent_Feland_PDF_Presentation.pdf2017_Brent_Feland_PDF_Presentation.pdf
2017_Brent_Feland_PDF_Presentation.pdfHassanJaved694664
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femurJose Austine
 
mechanics of shoulder injuries based on clinical scenario
mechanics of shoulder injuries based on clinical scenariomechanics of shoulder injuries based on clinical scenario
mechanics of shoulder injuries based on clinical scenarioCharu Parthe
 
Spine Natural History Through Human Life
Spine Natural History Through Human LifeSpine Natural History Through Human Life
Spine Natural History Through Human LifeVirginie Lafage
 
Cerebral palsy.pptx
Cerebral palsy.pptxCerebral palsy.pptx
Cerebral palsy.pptxfuolornis
 
Cervical Laminoplasty by Pablo Pazmino MD
Cervical Laminoplasty by Pablo Pazmino MDCervical Laminoplasty by Pablo Pazmino MD
Cervical Laminoplasty by Pablo Pazmino MDPablo Pazmino
 
Plid 180227181825(1)-converted
Plid 180227181825(1)-convertedPlid 180227181825(1)-converted
Plid 180227181825(1)-convertedFarzana Gias
 
Lumber disc bulge/ Herniation/ Prolapse
Lumber disc bulge/ Herniation/ ProlapseLumber disc bulge/ Herniation/ Prolapse
Lumber disc bulge/ Herniation/ ProlapseDr. Zunaira Ahmad
 
Low back pain & ergonomics
Low back pain & ergonomics Low back pain & ergonomics
Low back pain & ergonomics Rajani Cartor
 
Lomber disk hernia.pptx
Lomber disk hernia.pptxLomber disk hernia.pptx
Lomber disk hernia.pptxBeoflexWill
 

Similar a Scheuermann’s disease | sagittal plane deformity | curvature of the spine | vail spine surgeon (20)

Cervical spine
Cervical spineCervical spine
Cervical spine
 
Kin 188 Shoulder Evaluation And Injuries
Kin 188  Shoulder Evaluation And InjuriesKin 188  Shoulder Evaluation And Injuries
Kin 188 Shoulder Evaluation And Injuries
 
Scoliosis
ScoliosisScoliosis
Scoliosis
 
Spine Examination And Scoliosis
Spine Examination And ScoliosisSpine Examination And Scoliosis
Spine Examination And Scoliosis
 
Postural deviations of spine by Dr. Nidhi
Postural deviations of spine by Dr. NidhiPostural deviations of spine by Dr. Nidhi
Postural deviations of spine by Dr. Nidhi
 
2017_Brent_Feland_PDF_Presentation.pdf
2017_Brent_Feland_PDF_Presentation.pdf2017_Brent_Feland_PDF_Presentation.pdf
2017_Brent_Feland_PDF_Presentation.pdf
 
Non union neck of femur
Non union neck of femurNon union neck of femur
Non union neck of femur
 
Differential Diagnosis Of The Hip2010
Differential  Diagnosis Of The  Hip2010Differential  Diagnosis Of The  Hip2010
Differential Diagnosis Of The Hip2010
 
mechanics of shoulder injuries based on clinical scenario
mechanics of shoulder injuries based on clinical scenariomechanics of shoulder injuries based on clinical scenario
mechanics of shoulder injuries based on clinical scenario
 
Spine Natural History Through Human Life
Spine Natural History Through Human LifeSpine Natural History Through Human Life
Spine Natural History Through Human Life
 
Cerebral palsy.pptx
Cerebral palsy.pptxCerebral palsy.pptx
Cerebral palsy.pptx
 
Ayurvedic management of disc prolapse
Ayurvedic management of disc prolapseAyurvedic management of disc prolapse
Ayurvedic management of disc prolapse
 
Ayurvedic management of disc prolapse
Ayurvedic management of disc prolapseAyurvedic management of disc prolapse
Ayurvedic management of disc prolapse
 
Cervical Laminoplasty by Pablo Pazmino MD
Cervical Laminoplasty by Pablo Pazmino MDCervical Laminoplasty by Pablo Pazmino MD
Cervical Laminoplasty by Pablo Pazmino MD
 
Plid 180227181825(1)-converted
Plid 180227181825(1)-convertedPlid 180227181825(1)-converted
Plid 180227181825(1)-converted
 
Coxa vara
Coxa varaCoxa vara
Coxa vara
 
Lumber disc bulge/ Herniation/ Prolapse
Lumber disc bulge/ Herniation/ ProlapseLumber disc bulge/ Herniation/ Prolapse
Lumber disc bulge/ Herniation/ Prolapse
 
Low back pain & ergonomics
Low back pain & ergonomics Low back pain & ergonomics
Low back pain & ergonomics
 
Chiou
ChiouChiou
Chiou
 
Lomber disk hernia.pptx
Lomber disk hernia.pptxLomber disk hernia.pptx
Lomber disk hernia.pptx
 

Más de Dr. Donald Corenman, M.D., D.C.

Patient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMPatient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMDr. Donald Corenman, M.D., D.C.
 
68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back painDr. Donald Corenman, M.D., D.C.
 
50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower backDr. Donald Corenman, M.D., D.C.
 
19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral painDr. Donald Corenman, M.D., D.C.
 

Más de Dr. Donald Corenman, M.D., D.C. (20)

17 year old elite soccer player
17 year old elite soccer player17 year old elite soccer player
17 year old elite soccer player
 
62 year old male with LBP and leg drags
62 year old male with LBP and leg drags62 year old male with LBP and leg drags
62 year old male with LBP and leg drags
 
What do you find?
What do you find?What do you find?
What do you find?
 
27 year old female pain onset 4 weeks ago
27 year old female pain onset 4 weeks ago27 year old female pain onset 4 weeks ago
27 year old female pain onset 4 weeks ago
 
Neurogenic claudication symptoms
Neurogenic claudication symptomsNeurogenic claudication symptoms
Neurogenic claudication symptoms
 
66 year old male with pain in buttocks for one year
66 year old male with pain in buttocks for one year66 year old male with pain in buttocks for one year
66 year old male with pain in buttocks for one year
 
Marrow findings
Marrow findingsMarrow findings
Marrow findings
 
What causes this pattern?
What causes this pattern?What causes this pattern?
What causes this pattern?
 
Patient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DMPatient is 63 year old with “stiffening” LB ache and Type I DM
Patient is 63 year old with “stiffening” LB ache and Type I DM
 
68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain68 year old patient had a mild fall and complains of lower back pain
68 year old patient had a mild fall and complains of lower back pain
 
What is it?
What is it?What is it?
What is it?
 
50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back50 year old female with 10 years increasing pain in lower back
50 year old female with 10 years increasing pain in lower back
 
Lower back pain increasing over 5 years.
Lower back pain increasing over 5 years.  Lower back pain increasing over 5 years.
Lower back pain increasing over 5 years.
 
Which One Needs Treatment Based Upon Images?
Which One Needs Treatment Based Upon Images?Which One Needs Treatment Based Upon Images?
Which One Needs Treatment Based Upon Images?
 
43 year complains of back pain.
43 year complains of back pain.43 year complains of back pain.
43 year complains of back pain.
 
40 year old has chronic lower back pain
40 year old has chronic lower back pain40 year old has chronic lower back pain
40 year old has chronic lower back pain
 
Patient has mild LBP
Patient has mild LBPPatient has mild LBP
Patient has mild LBP
 
78 year old with flat back posturing
78 year old with flat back posturing78 year old with flat back posturing
78 year old with flat back posturing
 
19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain19 year old fell on buttocks and complains of sacral pain
19 year old fell on buttocks and complains of sacral pain
 
Cervical Hematoma Airway Obstruction
Cervical Hematoma Airway ObstructionCervical Hematoma Airway Obstruction
Cervical Hematoma Airway Obstruction
 

Último

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 

Último (20)

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 

Scheuermann’s disease | sagittal plane deformity | curvature of the spine | vail spine surgeon