Early onset scoliosis and current treatment methods

Abstract

Objective: Provide an update of the management options for early onset scoliosis patients, including general assessment, conservative and surgical options. Methods: We included the updated information about the assessment and management options of Early Onset Scoliosis, taking into consideration the non-fusion methods, including the burden on the patient and their family. Results: With the heterogeneity of this population, it is difficult to get a consensus about a unified protocol for management. Accordingly, the surgeon dealing with these cases needs to be aware of the broad range of surgical and non-surgical methods when treating these patients. Conclusion:The main aim of early onset scoliosis treatment is to gain a flexible spine associated with normal lung development and thoracic growth. Management needs to be individualized between the surgeon and patient in relation to the etiology and patient conditions.

Finite Element Comparison of the Spring Distraction System and the Traditional Growing Rod for the Treatment of Early Onset Scoliosis

“…These have been linked to cause both the ''law of diminishing returns'' as well as the necessary increasing distraction forces in TGR treatment. 32,33 Ideally, a biofidelic model would include this effect. The present study did not attempt this for two reasons.…”

Unusual cause of hemoptysis: A case report

“…Although modern instrumentation and new surgical techniques result in good surgical outcomes, the complication rates have remained somewhat constans ranging between 5% and 23% [ 5 , 6 ]. Delayed complications identified on radiogtaphy most commonly include broken rods and pseudarthrosis requiring re-instrumentation [ 7 ].…”

Evaluating the Readability of Patient Education Materials for Anterior Vertebral Body Tethering, Distraction-Based Methods, and Posterior Spinal Fusion for the Treatment of Pediatric Spinal Deformity

“…2,3 Furthermore, primary fusion at a young age is associated with high morbidity due to restricted thoracic growth and associated lung function, particularly in patients with early onset scoliosis, which includes all spinal deformities in children younger than 10 years. 4 The treatment paradigm has therefore shifted to focus on spine growth preservation techniques to preserve thoracic cavity, lung growth, and spine mobility. 5 Distraction-based constructs such as traditional growing rods, vertical expandable prosthetic titanium rib, and magnetically controlled growing rods have provided alternative approaches to primary fusion in skeletally immature patients; however, they are not without their own complications.…”