A2 Refereed review article in a scientific journal

Treatment strategies for early-onset scoliosis




AuthorsHelenius I.

PublisherBritish Editorial Society of Bone and Joint Surgery

Publication year2018

JournalEFORT Open Reviews

Journal name in sourceEFORT Open Reviews

Volume3

Issue5

First page 287

Last page293

Number of pages7

ISSN2058-5241

eISSN2058-5241

DOIhttps://doi.org/10.1302/2058-5241.3.170051(external)

Self-archived copy’s web addresshttps://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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    Last updated on 2024-26-11 at 21:05