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The Journal of Bone and Joint Surgery 82:980 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Bristol-Myers Squibb/Zimmer Award for Distinguished Achievement in Orthopaedic Research: Long-Term Follow-up of Pediatric Orthopaedic Conditions

Natural History and Outcomes of Treatment*{dagger}

Stuart L. Weinstein, M.D.{ddagger}

Investigations performed at University of Iowa Hospitals and Clinics, Iowa City, Iowa
*Read at the Annual Meeting of the American Orthopaedic Association, Sun Valley, Idaho, June 5, 1999.
{dagger}The author was the recipient of a medal and a cash prize related directly to the subject of this article. Grant support for some of the studies described in the article was received from the National Institutes of Health, the Orthopaedic Research and Education Foundation, the St. Giles Foundation, and the Children's Miracle Network Telethon.
{ddagger}Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01026 JPP, Iowa City, Iowa 52242. E-mail address: stuart-weinstein@uiowa.edu.


   Introduction
 
The treatment of any medical condition is an attempt to alter the natural history of that condition. If treatment is to be offered, it must alter the natural history in a positive way. The focus of our research efforts over the years has been twofold: first, to examine the natural history of various pediatric orthopaedic conditions in order to learn their adult consequences and, second, to evaluate the long-term outcomes of various treatment methods applied to childhood disorders in order to learn if the natural history had been favorably altered. This has been possible because of a good record-keeping system, started by Arthur Steindler, and a stable population base. This report will give brief highlights of some of these and related studies in the hope of elucidating the adult consequences of the natural history and treatment outcomes of childhood disorders. These studies provide the foundations for current treatment recommendations.


   Spinal Disorders
 
Scheuermann Kyphosis
In . . . [Full Text of this Article]


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