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REVIEW ARTICLE
Year : 2017  |  Volume : 1  |  Issue : 3  |  Page : 45-49

Strategies in early-onset scoliosis treatment


Department of Pediatric Orthopaedics, Medical University of Lublin Ul. Gębali 6, 20-093 Lublin, Poland

Correspondence Address:
Dr. Michal Latalski
Ul. Gebali 6, 20-093 Lublin
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/EJSS.EJSS_14_17

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Background: Early-onset spinal deformities are still challenging to pediatric orthopedic surgeons. One still looks for the ideal treatment of these deformities. Preservation of thoracic motion, spine growth, and protection of cardiac and lung function are crucial to the success of the treatment. Purpose: The purpose of this review is to present the reader's brief description of available methods of treatment of early- onset scoliosis (EOS). Methods: Authors searched the PubMed for locating and selecting the data. Extracting and synthesizing the data were done by orthopedic surgeons based on their knowledge and experience in the treatment of EOS patients. Results: The current treatment techniques include nonsurgical strategies, such as body cast or brace in younger patients with a smaller curve (<50°). Surgical treatment of spinal deformity should be considered when progression increases. Definitive fusion is rarely indicated in young patients. Strategies based on compression (staples or tethers), distraction (growing rods, vertical expandable prosthetic titanium rib), and growth guiding (Shilla, growth guidance system) are presented with their advantages and disadvantages. Repeated surgeries – planned and unplanned are burdensome for patients. Although technology improves, the complication rates in the treatment are still high. Conclusion: Treatment of EOS is challenging. Although much is already known about the treatment of children with EOS, there is still no gold standard in proceedings.


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