A2 Refereed review article in a scientific journal
Treatment strategies for early-onset scoliosis
Authors: Helenius I.
Publisher: British Editorial Society of Bone and Joint Surgery
Publication year: 2018
Journal: EFORT Open Reviews
Journal name in source: EFORT Open Reviews
Volume: 3
Issue: 5
First page : 287
Last page: 293
Number of pages: 7
ISSN: 2058-5241
eISSN: 2058-5241
DOI: https://doi.org/10.1302/2058-5241.3.170051(external)
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/35864747(external)
Abstract
Early-onset scoliosis (EOS) is defined as a spinal deformity occurring before the age of ten years. Untreated EOS or early spinal fusion resulting in a short spine is associated with increased mortality and cardiopulmonary compromise. EOS may progress rapidly, and therefore prompt clinical diagnosis and referral to a paediatric orthopaedic or spine unit is necessary. Casting under general anaesthesia can be effective and may prevent or delay the need for surgery in curves of less than 60°. ‘Growing’ rods (traditional or magnetically-controlled) represent the standard surgical treatment in progressive curves of 45° or greater. Children with congenital scoliosis associated with fused ribs benefit from surgery with a vertical titanium prosthetic rib. Surgery with growth-friendly instrumentation is associated with a high risk of complications.
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