Re-evaluating consensus and uncertainty among treatment options for early onset scoliosis: a 10-year update

Matsumoto, Hiroko; BS, Adam N. Fano; BS, Theodore Quan; Akbarnia, Behrooz A.; Blakemore, Laurel C.; Flynn, John M.; Skaggs, David L.; Smith, John T.; Snyder, Brian D.; Sponseller, Paul D.; McCarthy, R.; Sturm, Peter; Roye, David P.; Emans, John B.; Vitale, Michael G.

doi:10.1007/s43390-022-00561-1

Cited by 6 publications

(5 citation statements)

References 26 publications

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“…Preferences for conservative management have increased, especially in younger children, and casting was preferred over bracing in infantile cases. 16 The methods used for bracing largely correspond to the principles of elongation, derotation, and flexion, based on the techniques of Mehta and Cotrel (traction and apical derotation) or Risser (traction and apical lateral translation), each described in the 1970s. 18,19 While a sustainable correction or at least control of the deformity seems possible with noncongenital EOS in case of early treatment, 19,20 conservative measures are often used to gain time until surgical intervention becomes necessary ("buy time strategy") with some studies showing an average time gain of 2-3 years.…”

Section: Conservative Treatmentmentioning

confidence: 99%

“…In addition, there is a distinct trend back to a time-buying non-operative initial treatment approach, opposed to early definitive fusion in older EOS patients. 16 The heterogeneity of patients included under the umbrella of EOS and the overall low incidence mandate a systematic approach with multicenter research projects and a global exchange among experts. In addition, healthcare and industry partners must prioritize their ethical obligations to fund research and empower the development of improved treatment options.…”

Section: Current Challenges and Future Perspectivesmentioning

confidence: 99%

“…This trend is also reflected in a consensus study on the evaluation and evolution of the preferred treatment options for EOS among a selection of renowned pediatric spine surgeons over the last 10 years. 16 , 17 In 2020, 11 pediatric spinal surgeons with a mean number of 32 years in practice were invited to re-evaluate 315 idiopathic and neuromuscular EOS cases after a 10-year interval. Preferences for conservative management have increased, especially in younger children, and casting was preferred over bracing in infantile cases.…”

Section: Diagnosismentioning

confidence: 99%

“…Preferences for conservative management have increased, especially in younger children, and casting was preferred over bracing in infantile cases. 16 …”

Section: Diagnosismentioning

confidence: 99%

“…In addition, there is a distinct trend back to a time-buying non-operative initial treatment approach, opposed to early definitive fusion in older EOS patients. 16 …”

Section: Diagnosismentioning

confidence: 99%

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Diagnostic and therapeutic strategies in early onset scoliosis: A current concept review

Studer,

Hasler

2024

Journal of Children's Orthopaedics

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Substantial advances in the treatment of early onset scoliosis (EOS) over the past two to three decades have resulted in significant improvements in health-related quality of life of affected children. In addition to classifications that address the marked heterogeneity of this patient population, increasing understanding of the natural history of the disease, and new implants and treatment techniques have resulted in innovations unlike any other area of pediatric orthopedics. The growing understanding of the interaction between spinal and thoracic growth, as well as dependent lung maturation, has had a lasting impact on the treatment strategy of this potentially life-threatening disease. The previous treatment approach with early corrective fusion gave way to a growth-friendly concept. Despite the steady development of new growth-friendly surgical treatment options, whose efficacy still needs to be validated, as well as a revival of conservative growth control with serial casts and/or braces, the psychosocial burden of the long lasting and complication-prone treatments remains high. As a consequence, EOS still represents one of the greatest pediatric orthopedic challenges.

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Section: Conservative Treatmentmentioning

confidence: 99%

Section: Current Challenges and Future Perspectivesmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

“…Preferences for conservative management have increased, especially in younger children, and casting was preferred over bracing in infantile cases. 16 …”

Section: Diagnosismentioning

confidence: 99%

“…In addition, there is a distinct trend back to a time-buying non-operative initial treatment approach, opposed to early definitive fusion in older EOS patients. 16 …”

Section: Diagnosismentioning

confidence: 99%

See 3 more Smart Citations