The Journal of Bone and Joint Surgery (American). 2007;89:72-78.
doi:10.2106/JBJS.F.01158
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Management Themes in Congenital Scoliosis

Douglas Hedden, MD, FRCSC

Corresponding author:
Douglas Hedden, MD, FRCSC
2D2.64, Department of Surgery, University of Alberta, Edmonton, AB, Canada T6G 2B7.
E-mail address: douglashedden@cha.ab.ca

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


   Introduction
 
Congenital spinal deformities are among the most difficult deformities to treat. They are a challenge both from a decision-making and a technical point of view. Many deformities do not require any treatment short of investigation and observation, but, at their worst, they will challenge the surgeon technically and cognitively. The variety of combinations of congenital deformities seems limitless and therefore makes the prediction about what will happen with growth very difficult. In this article, the principles of nonoperative and operative management will be discussed.


   Management Themes
 
Observation is appropriate when the natural history suggests that the curve will not worsen to an extent that will lead to a clinically important deformity. This has been discussed elsewhere in this symposium and will not be further discussed here.

The other form of nonoperative management is bracing. Bracing plays a very limited role in the management of congenital scoliosis, especially as a primary form of . . . [Full Text of this Article]


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