The Journal of Bone and Joint Surgery (American). 2007;89:55-63.
doi:10.2106/JBJS.F.00644
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Management of Juvenile Idiopathic Scoliosis

Lawrence G. Lenke, MD and Matthew B. Dobbs, MD

Corresponding author:
Lawrence G. Lenke, MD
Department of Orthopaedic Surgery, St. Louis Children's Hospital, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300, West Pavilion, St. Louis, MO 63110.
E-mail address: lenkel@wustl.edu

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


    Introduction
 
Idiopathic scoliosis is a structural, lateral curvature of the spine for which no etiology has been established. Chronologically, idiopathic scoliosis can be categorized on the basis of the age of the patient at first identification of the deformity: infantile (birth to two years and eleven months), juvenile (three years to nine years and eleven months), and adolescent (ten years to seventeen years and eleven months). Thus, this article will describe the scoliotic deformities of patients who are at least three years of age but younger than ten years of age when the deformity is first identified. It has been demonstrated that spinal growth is fairly steady during this juvenile period1. For this reason, Dickson and Archer believed that true juvenile-onset scoliosis was rare enough not to warrant a separate category. They proposed a two-group classification that included early onset (five years of age or less) and late onset (six . . . [Full Text of this Article]


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