The Journal of Bone and Joint Surgery (American). 2007;89:42-54.
doi:10.2106/JBJS.F.01256
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Management Themes in Early Onset Scoliosis

Behrooz A. Akbarnia, MD

Corresponding author:
Behrooz A. Akbarnia, MD
San Diego Center for Spinal Disorders, 4130 La Jolla Village Drive, Suite #300, La Jolla, CA 92037.
E-mail address: akbarnia@ucsd.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
Children with early onset scoliosis present with the deformity in the first five years of life. Radiographic criteria may be helpful to distinguish between the curves that will progress from those that will spontaneously resolve. Severe cardiopulmonary problems can occur in patients with untreated progressive curves. A comprehensive evaluation should be performed to identify the true cause of the deformity, including any conditions that are commonly associated with early onset scoliosis.

Progressive curves of ≥20° may require the use of magnetic resonance imaging to assess for occult lesions of the central nervous system. Surgical treatment of spinal deformity should be considered when nonoperative measures, including bracing and casting, are not indicated or fail to arrest curve progression. Surgical methods continue to evolve and are primarily directed at obtaining and maintaining curve correction while simultaneously preserving or encouraging spinal and trunk growth.

There are three surgical options for the treatment of . . . [Full Text of this Article]


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