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.
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
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Introduction
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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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