The Journal of Bone and Joint Surgery (American). 2007;89:163-166.
doi:10.2106/JBJS.F.01513
© 2007 The Journal of Bone and Joint Surgery, Inc.
Early Onset Scoliosis: Future Directions
George H. Thompson, MD,
Lawrence G. Lenke, MD,
Behrooz A. Akbarnia, MD,
Richard E. McCarthy, MD and
Robert M. Campbell, Jr., MD
Corresponding author: George H. Thompson, MD Division of Pediatric
Orthopaedics, Rainbow Babies and Children's Hospital, University Hospitals of
Cleveland, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH
44106. E-mail address for G.H. Thompson:
ght@po.cwru.edu
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Introduction
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The management of children with severe, progressive early onset scoliosis
has been greatly advanced in the last decade, yet there is considerably more
research to be accomplished in the future. In this concluding article, we
review some of the major issues for future research with regard to this rare
but potentially fatal disease.
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Etiological Considerations
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Despite the similar clinical appearances of the various forms of early
onset scoliosis, the etiologies are different; however, little is known
regarding etiology, particularly with regard to genetic defects. Further
research is necessary to distinguish the various types of early onset
scoliosis. Only by understanding the etiology can true advances be made in
altering the natural history of early onset scoliosis. Research in the area of
etiology will require increased funding through the National Institutes of
Health and other agencies. Due to its low prevalence, early onset scoliosis
currently does not have a high priority with these . . . [Full Text of this Article]

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