A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä

Treatment strategies for early-onset scoliosis



Tekijät: Helenius I.

Kustantaja: British Editorial Society of Bone and Joint Surgery

Julkaisuvuosi: 2018

Journal: EFORT Open Reviews

Tietokannassa oleva lehden nimi: EFORT Open Reviews

Vuosikerta: 3

Numero: 5

Aloitussivu: 287

Lopetussivu: 293

Sivujen määrä: 7

ISSN: 2058-5241

eISSN: 2058-5241

DOI: https://doi.org/10.1302/2058-5241.3.170051

Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/35864747


Tiivistelmä
  • 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